boomer tsunami*** - centraleastlhin/media/sites/ce/uploadedfiles/home_pa… · facing the facts....

BOOMER TSUNAMI*** FACING THE FACTS

IT ALL BEGAN WITH A DOG. CELESTE BECAME A CERTIFIED THERAPY DOG & GOT A JOB AT A NURSING HOME.

The Canadian Study of Health & Aging, The world’s largest study of the prevalence of dementia, shows that by age 85, one-third to one-half will have dementia.

BOOMER TSUNAMI FACING THE FACTS

BY 2050, 25% OF CANADA'S POPULATION WILL BE AGED 65 OR OLDER.

Even so, As the system is presently organized, hospitals are underfunded in terms of the demands placed upon them.

HOSPITALS CONSUME $14.4 BILLION OF ONTARIO'S $40.4 BILLION HEALTH CARE BUDGET -- WHICH IS CLOSE TO HALF OF ONTARIO'S ENTIRE ANNUAL BUDGET OF $96 BILLION.


They are spending more than $200 million every year on a total wasted expense: Bed Blockers – mostly seniors – who take up 20 per cent of hospital beds. They’re ready for discharge but can’t be sent home because of inadequate care in the community.

HALF OF ONTARIO'S 157 HOSPITALS ARE RUNNING DEFICITS.


THE CURRENT SYSTEM IS NOT SUSTAINABLE. Self-reliance.

Already, hospitals are unable to cope with demands, the community care system is stretched to the limit, and the demographic tsunami has not yet hit.


OF THE 12.7 MILLION PEOPLE IN ONTARIO IN 2006, 1.6 MILLION WERE OVER THE AGE OF 65, ACCOUNTING FOR 13% OF THE POPULATION.

THE NUMBERS

THAT SENIORS GROUP WILL MORE THAN DOUBLE TO 3.5 MILLION -- MORE THAN 21% OF THE POPULATION -- BY 2031.


IT COSTS ABOUT $1,000 A DAY TOKEEP A PERSON IN HOSPITAL.

MORE NUMBERS

IT COSTS $43,000 A YEAR TO KEEP A PERSON IN LONG TERM CARE.


IT COSTS $3,000 A YEAR TO KEEP WWII VETERANS – AVERAGE AGE 84 – AT HOME, WITH HOUSEKEEPING AND GROUNDSKEEPING SERVICES.

MORE NUMBERSBOOMER TSUNAMI FACING THE FACTS


HOME CARE:In Ontario, if you need a little help with house cleaning, you won’t be eligible for CCAC home care. You have to require medically necessary services.

In Canada, VIP – veterans independence program – is the gold standard for home care. When seniors know they will receive help to stay at home, a funny thing happens: they feel secure, less stressed, and function better. Overall, they cost the system less money, and they enjoy life more.


MORE ON THE IMPACT OF VIP

When Marcus Hollander’s research team studied VIP’s outcomes, they found that waiting lists for nursing homes shrank when veterans joined VIP. Once they realized They could manage at home with VIP support, they no longer wanted to go to nursing homes.

- Again remember the costs: $3,000 per year for VIP, $43,000 per year for nursing home.


POVERTY AMONG SENIORS

- There are 338,000 seniors in Toronto. That’s 14% of the population & the fastest growing segment.

- 40% are single with median incomes of $17,000

- From 1995-2000, the number of low income seniors almost doubled.

- The social determinants of health – poverty, inadequate housing, lower levels of education, less stimulating jobs – conspire to put poor people at higher risk of dementia and chronic ill health – which means they cost the system more money.

GROUP PROGRAMS ARE ESSENTIAL


Studies show that group programs like Toronto Western Hospital’s Falls Prevention Program reduce the risk of life- threatening falls and educate seniors to better care for themselves through exercise, nutrition and activities.

Every hospital should have a seniors wellness clinic based on Toronto Western Hospital’s model. Seniors can make their own appointments. They are seen by a geriatrician, medications are assessed, they receive guidance from physiotherapists and occupational therapists re lifestyle

WE MUST EXERCISE, NO MATTER HOW FRAIL.

SENIORS KEEP LEARNING, MENTALLY & PHYSICALLY


BEING PART OF SOCIETY, OF COMMUNITY, IS ESSENTIAL

THE JOY OF LEARNING, BEING OPEN TO NEW IDEAS


INNOVATION IN HOW SENIORS ARE CARED FOR & HOW THEY LIVE.


WE ARE INDIVIDUALS, WE MAKE CHOICES, WE FIND PLEASURE

INNOVATION IN HOW SENIORS ARE CARED FOR & HOW THEY LIVE.


THE SINGLE MOST IMPORTANT CONCEPT:Innovation in how seniors are able to age in the neighbourhood, not necessarily at home. We need to open the conversation about how we can live together and support each other without being in institutions.We need to reinforce the right to make choices and to take risks.

Innovation in how care is delivered in groups.

INNOVATIONS TO FORM THE FRAMEWORK OF AGING AT HOME.


We can find happiness and connection at every stage of life.

INNOVATIONS TO FORM THE FRAMEWORK OF AGING AT HOME.


www.shrtn.on.ca

SHRTN – Seniors Health Research Transfer Network, a knowledge transfer network linking ‘communities of practice’ in alzheimer’s, incontinence, led by knowledge brokers.

MORE INNOVATIONSBOOMER TSUNAMI FACING THE FACTS

CHAP – Cardiovascular Health Awareness Program. Peer led learning. Set up in drug stores in malls. Reduces high blood pressure.

Toronto Western Hospital’s Seniors Wellness Clinic and Falls Prevention Program. One huge benefit; reduce overmedication of seniors, estimated to cost the system billions of dollars a year.

The drugged out generation; today’s seniors, often on 20 different drugs. Clogging emergency depts. with drug reactions.

HEAVEN ON EARTH FOR SENIORS

LOOKS LIKE: Four high rise buildings on the esplanade in Toronto, near the St.Lawrence market.



- Rent-geared-to-income apartments and supportive housing on site.

- At the older women’s network co-op, 70 per cent of residents spend 30 per cent of their income on housing; some pay $300 a month for rent.

- If they fall sick, they can call Dixon Hall Supportive Housing, which is based in the next building.

- They can walk to the market to shop. The subway is close by.

- They live in a vibrant neighbourhood with social activities in their building. They report that they do not feel isolated.

HEAVEN ON EARTH FOR SENIORS CON’T

IMPORTANCE OF COMMUNITY AGENCIES


By far the most cost effective – and humane – way to maintain seniors at home is through community agencies and their collective day programs.

Community agencies provide transportation, communal meals, activities, socialization, fun, day programs for seniors with Alzheimer's disease.

Yet community agencies get only 3 to 4% of the health ministry budget, and they are hanging on by their fingertips.


Elders can be subjected to financial, emotional & physical abuse.

IMPORTANCE OF COMMUNITY AGENCIES

COMMUNITY AGENCIES SHOULD BE VIBRANT HUBS


The CCAC should be visible in every community, housed in a multiservice agency where staff know the seniors in the neighbourhood and can interact with greater flexibility.

Innovative housing facilitators can be based here; they can manage seniors group housing, mediate problems, assess need for financial support for ground floor bathroom.

COMMUNITY AGENCIES SHOULD BE VIBRANT HUBS


DR. INGRAM’S VISION – A VIBRANT SENIORS’ CENTRE.

ALLOW SENIORS TO PAY FAMILY MEMBERS OR NEIGHBOURS


Community agency staff would supervise to make sure seniors needs are taken care of. Encourage women – who are usually the caregivers – to set up home care businesses and care for neighbours. Encourage entrepreneurship among women – A big focus of Swedish reforms.

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ISOLATIONBOOMER TSUNAMI FACING THE FACTS

WHAT SENIORS FEAR MOSTBeing left alone.

THEIR SECOND GREATEST FEARBeing shipped off to a nursing home where they will have nothing to do and will die of boredom and inaction. It happens.

THE ANTIDOTEGroup housing facilitators/mediators based in community centres, enabling people to rent out rooms in houses and apartments and be watched over by a mediator – with financial support to add a bathroom on the ground floor if necessary.

ISOLATIONBOOMER TSUNAMI FACING THE FACTS

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WHAT WILL HAPPEN TO AGING IMMIGRANTS?


The Yee Hong Centre for Geriatric Care is a Leader in targeting LTC for ethnic groups.

Yee Hong opened its first Chinese community nursing home in Scarborough in 1994.

Today Yee Hong’s empire include senior residences, LTC delivered by Cantonese and Mandarin speaking staff, community based programs attended by more than 15,000 seniors annually and services for South Asian, Japanese and Filipino seniors.

Yee Hong’s waiting list for its nursing homes; 2,200. Elders live on average 2.7 yrs. in nursing homes. At Yee Hong, they live 7 yrs. on average

WHAT WILL HAPPEN TO AGING IMMIGRANTS?


DON’T LET NEGATIVE STEREOTYPES DEFINE YOU.

LACK OF AFFORDABLE HOUSINGBOOMER TSUNAMI FACING THE FACTS

-One-third of Toronto’s seniors are single, living below the poverty line.

- Close to 67,000 families are on Toronto’s wait list for affordable housing. They could be waiting for 10 years.

- More than 17,000 are seniors, which means they can get sick in inadequate housing, and require a nursing home care at a cost of $43,000 per year.

LACK OF AFFORDABLE HOUSINGBOOMER TSUNAMI FACING THE FACTS

PLAN AHEAD. LIVE IN CLUSTERS. CONNECT WITH PEOPLE.

ANXIETY MAKES SENIORS SICKBOOMER TSUNAMI FACING THE FACTS

Seniors who worry excessively may feel intense fear and distress that’s out of proportion to the actual danger – but anxiety makes them 4 times more likely to develop high blood pressure (hypertension) and increased heart rate.

Chronic anxious feelings can lead to heart problems, ill health, drug or alcohol dependency.

Seniors in VIP report reduced worries and increased feelings of security.

ANXIETY MAKES SENIORS SICKBOOMER TSUNAMI FACING THE FACTS

FIND YOUR PASSION. YOUR AUTHENTIC SELF.

THE LONGEST LIFE BOOMER TSUNAMI FACING THE FACTS

MME. JEANNE CALMENT, DIED AT 122.

LIFE EXPECTANCYBOOMER TSUNAMI FACING THE FACTS

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boomer tsunami*** - centraleastlhin/media/sites/ce/uploadedfiles/home_pa… · facing the facts....

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