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A m o n t h l y s u m m a r y o f a c t i v i t i e s a n d a n n o u n c e m e n t s r e l a t i n g t o p e r s o n a l c a r e i n W i n n i p e gVolume 4, Number 4 October, 2007

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River Park Gardens Opens! Winnipeg’s Newest Personal Care Home

On Thursday, October 25, 2007 the Minister of Health officially announced the opening of River Park Gardens. The Minister of Healthy Living was the event Emcee, with Réal Cloutier speaking on behalf of WRHA, Reverend Larry Ulrich for the Faith Lutheran Church, and Linda Norton, Director of Care for River Park Gardens.

Along with having members of the Faith Lutheran Church Advisory Council attend, an event highlight was the participation of the first resident of River Park Gardens, Mrs. Margaret Janssens, in the ribbon cutting.

River Park Gardens is an 80 bed Personal Care Home located in southeast St. Vital next to the Seine River. River Park Gardens has been designed with two home-style units on each of the two floors. Each unit is called a House and is composed of 20 single private rooms with in-suite bathrooms. Each House has its own dining room and quiet room. As well, RPG features a wall honouring the Mager family, whose family home was originally located on the grounds. Bricks from the original home, and a plaque recognize the Mager family.

Congratulations to Linda and her staff on the opening.

Ribbon-Cutting Ceremony: (Left to Right) Minister of Healthy Living, Kerri Irvin-Ross; Alf Horn, Faith Lutheran Church; Minister of Health, Theresa Oswald; Mrs. Margaret Janssens; Linda Norton, Director of Care, River Park Gardens

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Minister of Health, Theresa Oswald; Aaron Selby, MLA for Southdale, and Minister of Healthy Living, Kerri Irvin-Ross at the Mager Commemorative Wall

Mager family members beside wall commemorating the original Mager family residence that is now the site of River Park Gardens.

River Park Gardens staff

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Misericordia Quilting ClubBy Ellen Locke, Manager of Recreation Services, Misericordia Health Centre

Our new Quilting Club is the brainchild of Binn Khouv, Recreation Facilitator in Interim Care at Misericordia Health Centre. Binn recognized the need for a club when residents mentioned they had previously enjoyed sewing, quilting, embroidery and other types of handiwork in the past. With the help of volunteer Irene Bonneville, Binn decided to undertake the project of making a quilt wall hanging with the residents.

This was a wonderful project for the ladies, although most were skeptical and afraid they couldn’t sew due to visual and physical barriers such as arthritic fingers, loss of vision and hand tremors. As a team, the recreation department did some brainstorming and came up with different options on how to make the quilt project feasible. We had to use sewing needles with larger eyes and outline the edges of the quilt squares in bright colours, making the sewing lines easier for the ladies to see. We also used straight pins with large

bright coloured plastic pinheads and lined them so the residents were sewing away from the point. We wanted to make sure that the equipment we used was as familiar to the resident as possible even though some adaptations had to be made.

Our residents genuinely look forward to quilting every Thursday afternoon. There is a great deal of social value in the quilting time; many new friendships are formed. There is also a lot of laughter among the group, which is wonderful for everyone to be a part of; staff, families and visitors are always checking the group to see the progress. The ladies took pride in the project and created and named their first quilt “Friendship Quilt” which now hangs in the Recreation Area on Interim Floor Cornish 6. A second quilt for children was also completed and can be found in Misericorida’s Pediatric Dental Surgery waiting area for the younger patients to enjoy.

Volunteer Irene Bonneville helps residents Olivia Weldon and Anne Strutt (centre)

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Welcome Joe Puchniak,our new RAI Coordinator!

Joe has worked at Deer Lodge Centre for the past three years as a Clinical Social Worker in long-term care. Prior to that he was employed by the WRHA as a Home Care Case Coordinator and he has also worked for Psychogeriatric Services as a Mental Health Worker. Joe has worked with both MDS-HC and MDS 2.0 through his previous work experience.

Joe has a Bachelor of Social Work and a Bachelor of Arts degree from the University of Manitoba. He has also completed a Master of Social Work degree from the University of Toronto.

Joe has experience in the areas of teaching and research. He recently received a research grant from the Deer Lodge Centre Foundation, in partnership with a University of Manitoba professor, to conduct a qualitative research study in long-term care. Joe also has international teaching experience when he worked for Japanese Government as an English Instructor in Nagasaki, Japan. Most recently, Joe was hired as an evening “Sessional” Instructor to teach for the Faculty of Social Work at the University of Manitoba.

Joe Puchniak

Congratulations to Laurie Blanchard, Librarian with the J.W.Crane Memorial Library and Susan Bernjak, Education Educator with the Personal Care Home Program on the publishing of their article in the Canadian Journal of Geriatrics. The article is entitled, “Education In-a-Box: Delivering evidence-based information for continuing education to personal care home teams” and is published in the September, 2007 supplement of the journal. This innovative approach to providing educational support to Personal Care Homes has been well received by educators and staff. There are currently three boxes in circulation. The topics are wandering, sexuality and falls. Work is currently underway on two more boxes. Laurie and Susan are to be commended on their initiative and innovative approach to providing educational resources.

They’re thinking inside the box...

EducationIn-a-Box

T h i s b o x c o n t a i n s r e s o u r c e s s u i t a b l e f o r e d u c a t i n g p e r s o n a l h o m e c a r e s t a f f o n w a n d e r i n g b e h a v i o u r .F r o m t h e J . W . C r a n e M e m o r i a l L i b r a r y , U n i v e r s i t y o f M a n i t o b a H e a l t h S c i e n c e s L i b r a r i e s i n c o n s u l t a t i o n w i t h t h e W i n n i p e g R e g i o n a l H e a l t h A u t h o r i t y , P e r s o n a l C a r e P r o g r a m

FALLS

Changes at the Personal Care Homes

Madeleine Baril, has accepted the position as Director of Care for Taché Centre and Foyer Valade effective Wednesday, October 17, 2007.

Sanja Prokopetz, has accepted the position as Acting Executive Director of Heritage Lodge effective Monday, October 15, 2007.

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PCH PROGRAM NEWS UPDATE

CNS CornerLuana Whitbread and Judy Robertson, Clinical Nurse Specialists, Personal Care Home Program

The Personal Care Home Program is able to provide specialized pressure reduction mattresses for residents’ use.

We currently have an inventory of 9CFTs, (non powered) 24 APM2’s(powered) and 3 Easy Air (moisture control, powered ) mattresses.

We are in the process of setting up a maintenance schedule for these mattresses to ensure optimal functioning of all the equipment.

In order to provide the correct surface for your resident, please consider the following guidelines.

For residents able to reposition themselves, who are in bed more than out and who have a Braden Scale of 12 or less, a CFT mattress would be appropriate.

For residents who cannot consistently be positioned off a pressure area, who have less than 2 ulcer free positions and who do not respond to lower level surfaces, you might choose an APM2. This surface cycles between alternating pressure and lateral rotation.

For residents who cannot tolerate repositioning and who have excessive skin moisture or maceration, the Easy air low air loss mattress would be most appropriate.

For assistance in determining the appropriate surface, or to place a resident on the waitlist for a mattress, please contact the CNS for your PCH.

Updated August 2007

PCH Program Clinical Nurse Specialist PCH Assignments

Luana Whitbread 831-2966

Judy Robertson 831-2965

Foyer Valade Bethania Mennonite Personal Care Home Fred Douglas Lodge Beacon Hill Lodge CCC Golden Links Lodge Calvary Place Golden West Centennial Lodge Charleswood Care Centre CCC Heritage Lodge CCC Concordia Place Kildonan Personal Care Centre CCC The Convalescent Home of Winnipeg Lion’s Personal Care Centre Donwood Manor Meadowood Manor Golden Door Geriatric Centre Misericordia Health Centre Holy Family Nursing Home Misericordia Place Luther Home Oakview Place Maples Personal Care Home CCC River Park Gardens The Middlechurch Home of Winnipeg The Sharon Home – Kanee Park Manor The Sharon Home – Simkin Parkview Place CCC St. Amant Centre Pembina Place Mennonite Personal Care

Home St. Joseph’s Residence Poseidon Care Centre CCC Tuxedo Villa River East Personal Care Home Vista Park Lodge St. Norbert Nursing Home Tache Centre West Park Manor

*Deer Lodge Centre and Riverview Health Centre do not have an assigned PCH Program CNS, as both have dedicated CNS resources. The CPL Personal Care Homes also have a dedicated CNS resource for clinical support, however, requests for WRHA pressure relief mattresses and overcost funding are to be directed to the PCH Program CNS.

Updated August 2007

PCH Program Clinical Nurse Specialist PCH Assignments

Luana Whitbread 831-2966

Judy Robertson 831-2965

Foyer Valade Bethania Mennonite Personal Care Home Fred Douglas Lodge Beacon Hill Lodge CCC Golden Links Lodge Calvary Place Golden West Centennial Lodge Charleswood Care Centre CCC Heritage Lodge CCC Concordia Place Kildonan Personal Care Centre CCC The Convalescent Home of Winnipeg Lion’s Personal Care Centre Donwood Manor Meadowood Manor Golden Door Geriatric Centre Misericordia Health Centre Holy Family Nursing Home Misericordia Place Luther Home Oakview Place Maples Personal Care Home CCC River Park Gardens The Middlechurch Home of Winnipeg The Sharon Home – Kanee Park Manor The Sharon Home – Simkin Parkview Place CCC St. Amant Centre Pembina Place Mennonite Personal Care

Home St. Joseph’s Residence Poseidon Care Centre CCC Tuxedo Villa River East Personal Care Home Vista Park Lodge St. Norbert Nursing Home Tache Centre West Park Manor

*Deer Lodge Centre and Riverview Health Centre do not have an assigned PCH Program CNS, as both have dedicated CNS resources. The CPL Personal Care Homes also have a dedicated CNS resource for clinical support, however, requests for WRHA pressure relief mattresses and overcost funding are to be directed to the PCH Program CNS.

*Deer Lodge Centre and Riverview Health Centre do not have an assigned PCH Program CNS, as both have dedicated CNS resources. The CPL Personal Care Homes also have a dedicated CNS resource for clinical support, however, requests for WRHA pressure relief mattresses and overcost funding are to be directed to the PCH Program CNS.

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Attention!PCH Trainers of Safe Feeding and Swallowing.

Annual Refresher

Deer Lodge Centre – November 19 – 12:30-4:00 St. Joseph Residence - November 21 - 8:30-12:00 Meadowood Manor- November 23 – 8:30 – 12:00

The topic of this year’s refresher session is feeding and swallowing issues related to dementia. A collaborative presentation with Alice Sebastian, Occupational Therapist, Tache Centre, will cover topics such as:

a general introduction to dementia signs and symptoms of dysphagiaassessment and management issues related to: o sensory impairment and dentition o mental state and behaviour o feeding situation and skills o issues related to food/drink and swallowing o severe swallowing problems

Attendance at an annual refresher session is mandatory for Safe Feeding and Swallowing Trainers as per WRHA Policy. If you have any questions and/or to register please call: Chris Hurtubise in the PCH SLP office at 831-2526.

Thank you, WRHA PCH SLP Service

PCH-SLP Services Deer Lodge Centre 2109 Portage Avenue Winnipeg, Manitoba R3J 0L3 ph: 831-2526 fax: 831-2953

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Improving Communication Skills

J. W. Crane Memorial Library,University of Manitoba Health Sciences Libraries831-2152e-mail: dlclibrary@umanitoba.caFax: 888-1805

Most of us realize the importance of good communication and know that poor communication skills can have damaging results on our personal and work relationships. Luckily there are thousands of books, articles and multi-media resources available to teach us how to be better communicators. The following is a selection of resources to help you acquire better communication skills for a variety of situations. This list represents only a few of the many resources on communication available at the J. W. Crane Memorial Library. For more information on how to access resources at the J. W. Crane Memorial Library, contact library staff at 831-2152 or dlclibrary@umanitoba.ca

Antai-Otong D. Nurse-client communication : a life span approach. Sudbury, Mass: Jones and Bartlett Publishers; 2007.Nurse-Client Communication presents an overview of effective communication and its influence on therapeutic relationships across the life span. This text focuses on the impact of culture, ethnicity, and the impact of the nurse’s own culture on communication, empathy, and understanding.

Buckman, Robert. I don’t know what to say: how to help and support someone who is dying. Toronto: Key Porter Books, 1996.A classic text for helping people communicate with clients/friends/relatives in this particularly difficult situation.

J. W. Crane Memorial Library. Communicating with residents with dementia. Current Perspectives series. A selection of journal articles, books and videos selected by the Library. Available on the web at http://myuminfo.umanitoba.ca/Documents/i749/communication.pdfor on request from the J. W. Crane Memorial Library

Hargie O editor. The handbook of communication skills. 3rd ed. London; New York: Routledge; 2006.This book provides a comprehensive analysis of research, theory and practice in the skill areas of communication, including non-verbal communication, persuasion, leadership, assertiveness, self disclosure, listening and negotiation.

Patterson K. Crucial confrontations : tools for resolving broken promises, violated expectations, and bad behavior. New York: McGraw-Hill; 2005.This books provides tools to handle life’s difficult and important conversations by preparing you to prepare for high-stakes situation; transform anger and hurt feelings into dialogue; make it safe to talk about almost anything; be persuasive.

Pediatric Community Alliance. Breaking bad news [videorecording] : patient, family, and professional perspectives. 2007. (40 min.)Presents a training curriculum for strengthening the skills that healthcare professionals need for delivering difficult news to patients and families.

Solie D. How to say it to seniors : closing the communication gap with our elders. Prentice Hall Press ed. New York: Prentice Hall Press; 2004.Solie helps us understand the unique perspectives of seniors and gives us the tools to relate to them in order to gain their trust and cooperation, offer assistance without taking over, understand their need for legancy, and learn how to listen..

Providing Library and Information Services to all staff at Winnipeg Personal Care Homes

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INFLUENZAGET THE SHOT- NOT THE FLU!

DID YOU KNOW??Did you know that getting immunized is an important resident safety issue?

Did you know healthcare workers can spread influenza to residents, possibly leading to influenza-related illness and death; and did you know healthcare workers could also spread influenza to their co-workers?

Did you know when healthcare workers get sick with the flu; the result is absenteeism and disruption of care?

Did you know that last year reported immunization rates for the WRHA Personal Care Home staff ranged from 15.1% to 97.3% with an overall average of 45%?

Did you know as a healthcare worker getting the flu shot protects the resident, families, your co-workers and you.

Did you know as a healthcare worker getting the flu shot helps prevent illness and death.

And did you know as a healthcare worker getting the flu shot decreases sick leave.

HELP PROTECT THE RESIDENTS AND OTHERS. GET YOUR FLU VACCINE, AND ENCOURAGE YOUR CO-WORKERS TO DO THE SAME.

IS IT A COLD or IS IT INFLUENZA?

Symptoms Influenza ColdFever Usually high; lasts 3–4 days Not usual Headache Yes Not usual General Aches, Pains Usual; often severe Sometimes; Slight Fatigue, weakness Usual; Can last up to 2–3 weeks Sometimes; Mild Extreme Exhaustion Early and severe Unusual Stuffy Nose Common Common Sneezing Sometimes Usual Sore Throat Common Common

Chest Discomfort, Common; can be severe Sometimes; Mild to moderate

Cough Hacking cough Sometimes

Complications Bronchitis, pneumonia; can be life-threatening

Sinus congestion; earache

PreventionAnnual vaccination; antiviral medicines (see your doctor); Frequent hand Hygiene Frequent hand hygiene.

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Locations for Flu Shots

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ELDER FRIENDLY INTEREST SERIES2007 - 2008

See the following brochure and registration form:

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