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2018 Increased Funding to Ensure Decrease in Violence by Residents with Dementia in Ontario Long Term Care Facilities

Resolution Number: 100.80.36
Club: Cambridge
Year: 2018
Status: Open

BACKGROUND: In Ontario the Long-Term Care Homes Act (2007) and Regulation 79/10 contains in its Part II, a Resident’s Bill of Rights that “every resident has the right to be protected from abuse.” (Government of Ontario, 2011, p. 2-2). Long Term Care Facilities (LTCF) are ran and funded by the government while private retirement homes are for-profit and run by private corporations and investors. According to a report prepared by the Geriatric and Long Term Care Review Committee and released by the Office of the Chief Coroner of the Province of Ontario, “more than half of the residents in Long term care in Ontario have a diagnosis of dementia and almost half exhibit aggressive behaviours.” (Office of the Chief Coroner Province of Ontario [OCCPO], 2015, p. 19). The report concedes that geriatric care is extremely complex and that managing Behavioural and Psychological Symptoms of Dementia are serious factors to consider when working towards keeping seniors safe (OCCPO, 2015). Deaths and injuries have resulted in many cases from patients with dementia. In Ontario between 2011 and 2016 resident-on-resident abuse has increased by 107% (Osman, 2018). As the baby boomer generation ages, the increase for the need to care for seniors with dementia is of great concern. Between 1981 and 2005 the number of seniors increased from 2.4 to 4.2 million while between 2005 and 2036 this number is estimated to increase to approximately 9.8 million seniors (Statistics Canada, 2006). Women are affected by the issue of seniors with dementia for many reasons such as mortality rate of men exceeds women of all ages, women tend to report worse health (United Nations, 2013; Case and Paxton, 2005)and “In Canada, average life expectancy for males born in 2012 is 80 and for females 84.” (CBC News, 2015, para. 2). According to Sinha (2012) we see women living longer than men, and “historically, caregivers have been disproportionally women (p. 10) and Sinha’s 2012 survey shows that “women are more likely than their male counterparts to spend 20 or more hours a week on caregiving tasks” (p. 10). Dementia patients have a tendency towards escalating violence as they are often frustrated due to their lack of communication, memory loss, disorientation, anxiety, and often feeling their wishes are not honoured and they might not feel respected. Addressing these issues on a personal basis would go a long way to improving the level of contentment and decrease in violent tendencies for these seniors (Alzheimer’s Society, 2017). Personal Support Workers (PSW) perform daily tasks for residents. For example, helping residents dress, wash, be taken for meals, etc.. BSO (Behavioural Support Ontario) Programs are staff teams that help to ensure residents’ personal wishes and documented preferences are understood, respected, and taken in to consideration. LTCF in Ontario are struggling to care for patients with dementia. However, according to The LTC Association an increase in the number of PSW’s would help ensure patients with challenges from dementia would be better managed and in turn could keep these patients more calm and content – helping to decrease frustration and ultimately a propensity toward violence. They also describe that ensuring the existence of BSO Programs in all LTC Facilities would also ensure a decrease in violent tendencies of dementia residents as LTCFs would all have documented personalized plans to address individual causes of violent outbursts and stave them off (Ontario Long Term Care Association [OLTCA], 2018). Currently not all LTC Facilities have designated areas for dementia patients. If dementia patients were in designated areas – it would be easier and more economical to include an increased number of PSW’s and also BSO teams in these areas. Ensuring these residents have appropriate care would ultimately likely lead to less escalation of violence by residents (OLTCA, 2018). Lanza (n.d.), a former administrator stated, “It was considered good practice when residents with similar needs are placed together so the special needs of that group can be focused on and met.” (para. 4). “According to the Alzheimer’s Association” one of the “key goals of a successful dementia unit should be to… maximize safety and support.” (para. 7) which leads to happier residents.

THEREFORE BE IT RESOLVED THAT BPW Ontario urges the Government of Ontario, specifically the Ministry of Health and Long Term Care to increase funding to Ontario long-term care facilities with residents with dementia to ensure an increased number of Personal Support Workers;
FURTHER BE IT RESOLVED that BPW Ontario urges the Government of Ontario, specifically the Ministry of Health and Long Term Care to design, where possible special dementia designated areas within Ontario long-term care facilities for residents with dementia;
AND FURTHER BE IT RESOLVED that BPW Ontario urges the Government of Ontario, specifically the Ministry of Health and Long Term Care to ensure that all Ontario long-term care facilities have designated Behavioural Supports Ontario Program workers to aid in helping residents with dementia be content and reduce the incidences of violence.


©BPW Ontario

Article ID:4395

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