HCAP 135 Quiz

Mission and Vision - • is the federal department that is responsible for helping the people of Canada maintain and improve their health. • is committed to improving the lives of all of Canada's people and to make this country's population among the healthiest in the world as measured by longevity, lifestyle and effective use of the public health care system (Health Canada) Canada Health Act (1984) - • Federal legislation that clarifies the types of health care services that are insured; it also outlines five principles that must be met by provinces and territories to qualify for full federal health funding • Provinces receive approximately 20% of their funding federally if they meet the five principles of the Canada Health Act • Canada's national health insurance plan is known as MEDICARE The Five Principles of the Health Care Act - • Comprehensiveness • Universality • Portability • Accessibility • Public Administration The Federal Government Role - • Administer the Canada Health Act • Provide provincial funding • Provide direct delivery of health care services to specific groups such as First Nations people on reserve, RCMP, CF, Veterans and inmates of Federal penitentiaries • Develop and carry out government policy and programs that promote health and prevent disease • Transfer tax money to provinces and territories • Ensure that provinces and territories provide the same quality and type of care BC Ministry of Health Services - Over all responsibility to ensure that quality, appropriate and timely health services are available to all British Columbians The Ministry Works by... - 1. collaboratively with the Ministry of Health to guide and enhance the province's health services to ensure British Columbians are supported in their efforts to maintain and improve their health. 2. with the health authorities, care providers, agencies and other groups to provide access to care. 3. Our provincial insurance plan is known as MSP or Medical Services Plan Provincial Health Services - • Responsible for Provincial Services such as: • BC Women's Hospital and Health Center • BC Children's Hospital • Sunnyhill Health Center for Children • BC Cancer Agencies • BC CDC • BC Transplant Clinic • BC Provincial Renal Agency Provincial Health Authorities - • Northern Health • Interior Health • Vancouver Coastal Health • Vancouver Island Health • Fraser Health Health Care: What does it do? - • Encourages good health • Prevention of health problems • Restoring health • Providing continuing care for people with health problems Continuing Care - • From BC's -Continuing Care Act • 3 The Lieutenant Governor in Council may prescribe to be continuing care one or more health care services to persons with a frailty or with an acute or chronic illness or disability that do not require admission to a hospital as defined in section1 of the Hospital Act. • [BCHC - BC Health Coalition] -Continuing care refers to a range of programs whose objective is to maintain, restore, or improve the health and functioning of seniors and people with disabilities. Current programs include home-based services (such as home support, rehabilitation and home nursing), communitybased services (adult day care and respite care), assisted living, and long-term residential care. Accessing Services - • Team Lead for Primary Care (old term known as Case Manager) for an Assessment of Eligibility (MDS-RAI) • Dx, Hx, ADLs, IADLs, Current supports, Changes in Condition, Medication Reviews • Physician Referral for some services • Social Worker involvement • Financial Assessment is part of this • Waitlist process for Long-Term Care Long-Term Care - • Often referred to as extended care, intermediate care, complex care or residential care • Community care Facility • Higher level of personal assistance that AL or SH • 24 hour nursing care, supervision by skilled staff • Complex Care: Minimum $1162.50 for 2019 per month - Maximum $3377.10 per month 2019 Assisted Living - • Semi-independent form of housing • Live as independently as possible, residents must be able to direct own care, and staff provide some assistance with supports and ADLs • Meal services, housekeeping, laundry, social and recreational opportunities, 24 hour emergency response, some assistance with medications and personal care Supportive Housing - • Offers housing and hospitality services, but not personal assistance services • Residents can access personal supports as if they were living in their own home/apartment if needed Family Care Homes - • Family care homes are unlicensed and can house no more than two clients. • Family care homes provide a home-like atmosphere, nutritious meals, laundry and housekeeping services and supervision, along with any required assistance with daily living activities, such as bathing, grooming and dressing. Home Support Services - • May be referred by: • Continuing Care Division of the Ministry of Health • ICBC after an accident • WCB after a work-related accident • Ministry of Social Services Geriatric Treatment and Assessment Centres - • Intended for short term stay in order to received specialized assessment and planned intervention • GAT Unit has closed here now in 2017; it is now an Short Stay Unit for ALC patients (alternate level of care) Home Care Nursing Program - • Operates 7 days a week days and evenings • RNs and LPNs Quick Response Program (QRP) - • 10 hours of Home Support upon discharge from Hospital • Social Worker, PT, OT, Nursing, can authorize this; home support is initiated with no cost for these 10 hours of care • To assist in earlier and safer discharge to help transition back into community CSIL: Choice in Supports for Independent Living - Choice in Supports for Independent Living (CSIL) is a self-directed option for eligible home support clients. CSIL clients receive funds directly from their local health authority to purchase their own home support services. CSIL clients become employers who manage all aspects of their home support from hiring and supervising staff to overseeing how CSIL funds are spent. Respite Care - It provides a client's main caregiver a period of relief, or to provide a client with a period of supported care to increase their independence. Convalescent Care - It's provided to clients with defined and stable care needs who require a supervised environment for reactivation or recuperation, usually prior to discharge home, and most commonly following an acute episode of care. Residential Hospice Care - It's provided to clients who require support with comfort, dignity and quality of life in the final days or weeks of their lives. CONCEPT OF NORMALIZATION - any efforts made to establish and maintain personal behaviours and characteristics which are as close as possible to what would be considered NORMAL in our culture for persons of the same age, sex etc. How is Normalization achieved in a Care Facility? - Start with choice and control; next is integration → interacting with other adults in society in their typical, normal ways. → activity programs should foster the community linkages that assist the person with integration Models of Care - • Person-centered care; client centered care; individualized care • Eden Philosophy • GentleCarePhilosophy • Dementiability Philosophy Professionalism - ▪It is also an attitude ▪Responsible for your own actions ▪To provide the best care possible to your clients/residents/patients ▪To be responsible for your own learning ▪For displaying certain qualities and characteristics of your work role and situation Responsibility - Caring about elderly and disabled people is an important trait for caregivers Qualities and characteristics of a responsible HCP - 1. Dependable 2. Considerate 3. Cheerfulness 4. Empathy 5. Patience 6. Trustworthiness 7. Respectfulness 8. Courtesy 9. Conscientious 10.Honesty 11.Cooperation 12.Self-Awareness Responsibility: Personal Health, Hygiene, appearance - ▪ You can't take care of others if you don't take care of yourself! 1. Diet 2. Sleep and Rest 3. Body Mechanics 4. Exercise 5. Smoking 6. Alcohol 7. Hygiene 8. Appearance Accountability - You will be held to task for duties you performed, or were assigned and did not perform. Professional Practice: Expectations - ▪ know the team roles ▪ know the care the client/resident is to receive ▪ cooperation from the HCA ▪ awareness of the unit's workload ▪ to report accurately, timely ▪ to report assessments, changes or abnormalities in timely manner ▪ when you leave for breaks - so will know when to expect you to return ▪ know if your personal problems will affect your work and to take action as needed ▪ NEVER neglect a resident that is not on your team ▪ NEVER let your team leader be surprised - because you didn't inform her/him Professional Practice: Physical Stress - ▪ Nursing is a physically demanding job! ▪ Lifting, transferring, walking, bending, crouching, reaching, pushing, pulling and a bunch more walking! ▪ Much higher incidence of time lost to injury than other vocations. Professional Practice: Physical Stress S&S - ▪ headache ▪ stomach ache ▪ pain in general ▪ twitches and muscle spasms ▪ nausea and constipation Professional Practice: S&S Emotional Stress - ▪ Over engagement ▪ Overactive emotion ▪ Urgency and hyperactivity ▪ Exhaustion ▪ Anxiety ▪ Disintegration ▪ Short tempered ▪ Tearful ▪ Forgetful ▪ Not caring Professional Practice: Abuse - ▪ Stress and other factors may lead to situations of potential abuse ▪ Signs that you may be heading towards a potentially bad situation ▪ What to do if you are seeing some warning signs in yourself? Professional Practice: Healthy Responses - ▪Many factors around workplace stress is out of our control ▪When stress and/or anger happens what can you do? Self-Care: Physical Activity - ▪ Choose an activity that suits you and your lifestyle. ▪ Brisk walking can be easy to incorporate into a busy day. ▪ Fit in a walk or a workout....even if you're tired ▪ Take the stairs!! Professional Practice: Self-Care - ▪Stretch it out ▪Starting the day with a stretch and a flex can help activate sleepy muscles ▪Correct poor posture ▪Breathe! Health Care Assistants - "HCAs promote and maintain the health, safety, independence, comfort and wellbeing of individuals and families. HCAs provide personal care assistance and services in a caring manner that recognizes and supports the unique needs, abilities and backgrounds of clients and their families. They work as members of a health care team in a variety of settings with direction and supervision from regulated health care professionals" -Health Care Assistant Program Curriculum 2015 HCA Provincial Curriculum - ▪ Framework of practice and behaviours for HCA's ▪ Provides clearly stated standards for Health Care Assistant education ▪ Core concepts include: 1. Caring 2. Safety 3. Critical thinking, problem solving and decision-making 4. Professional Approach to Practice Professional Practice: HCA Registry - ▪ To be eligible to work as a HCA in any publicly funded health care setting in BC, applicants must be registered with the BC Care Aide & Community Health Worker Registry ▪ The Registry is a database of credentialed* or "registered" care aides and community health workers working for, or wanting to work for, publicly funded employers in BC How the Registry Works - ▪ health care employers can verify and confirm that their current or prospective HCAs are registered ▪ the Registry is compiling a list of educational institutions that offer the HCA provincial curriculum ▪ Eligible registrants will be provided a number to be able to work in BC The role and mandate of the Registry is: - 1. to protect vulnerable patients, residents and clients 2. To create a common process for employers in reporting and investigating patient, resident and client abuse complaints 3. To establish and improve standards of care in the care aide and community health worker occupations 4. To promote professional development for care aides and community health workers and to assist these workers in identifying career opportunities. Commitment to care - 1. An adult person in care has the right to a care plan developed: (a) specifically for him or her, and (b) on the basis of his or her unique abilities, physical, social and emotional needs, and cultural and spiritual preferences. Rights to health, safety and dignity - 2. An adult person in care has the right to the protection and promotion of his or her health, safety and dignity, including a right to all of the following: (a) to be treated in a manner, and to live in an environment, that promotes his or her health, safety and dignity; (b) to be protected from abuse and neglect; (c) to have his or her lifestyle and choices respected and supported, and to pursue social, cultural, religious, spiritual and other interests; (d) to have his or her personal privacy respected, including in relation to his or her records, bedroom, belongings and storage spaces; (e) to receive visitors and to communicate with visitors in private; (f) to keep and display personal possessions, pictures and furnishings in his or her bedroom. Rights to participation and freedom of expression - 3. An adult person in care has the right to participate in his or her own care and to freely express his or her views, including a right to all of the following: (a) to participate in the development and implementation of his or her care plan; (b) to establish and participate in a resident or family council to represent the interests of persons in care; (c) to have his or her family or representative participate on a resident or family council on their own behalf; (d) to have access to a fair and effective process to express concerns, make complaints or resolve disputes within the facility; (e) to be informed as to how to make a complaint to an authority outside the facility; (f) to have his or her family or representative exercise the rights under this clause on his or her behalf. Rights to transparency and accountability - 4. An adult person in care has the right to transparency and accountability, including a right to all of the following: (a) to have ready access to copies of all laws, rules and policies affecting a service provided to him or her; (b) to have ready access to a copy of the most recent routine inspection record made under the Act; (c) to be informed in advance of all charges, fees and other amounts that he or she must pay for accommodation and services received through the facility; (d) if any part of the cost of accommodation or services is prepaid, to receive at the time of prepayment a written statement setting out the terms and conditions under which a refund may be made; (e) to have his or her family or representative informed of the matters described in this clause.