24/10/2007
Hon George A=
bbott
PO Box 9050, Stn Prov=
Govt
Victoria , BC =
V8W 9E2
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in this
environment the vast majority of aggressive behaviours could be managed,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,AbbottGeorgePO Box 9050, Stn Prov GovtVictoriaBC=
V8W
9E2 adequately resourced standard of care, and allow for safe
supervision and treatment of the hardworking citizens of this country who h=
ave
had the misfortune of developing a devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Dave Han=
cock
Constituency Office
#203, 596 Riverbend S=
quare
Edmonton , AB =
T6R 2E3
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all prof=
essionals
working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,HancockDaveConstituency Office#203, 596 Riverbend
SquareEdmontonABT6R 2E3 adequately resourced standard of care, and a=
llow
for safe supervision and treatment of the hardworking citizens of this coun=
try
who have had the misfortune of developing a devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Len Tayl=
or
Room 346, Legislative
Building
2405, Legislative Dri=
ve
Regina , SK =
S4S 0B3
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,TaylorLenRoom 346, Legislative Building2405,
Legislative DriveReginaSKS4S 0B3 adequately resourced standard of ca=
re,
and allow for safe supervision and treatment of the hardworking citizens of
this country who have had the misfortune of developing a devastating diseas=
e.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Theresa =
Oswald
302 Legislative Build=
ing
450 Broadway
Winnipeg , Manitoba =
R3C 0V8
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,OswaldTheresa302 Legislative Building450
BroadwayWinnipegManitobaR3C 0V8 adequately resourced standard of car=
e,
and allow for safe supervision and treatment of the hardworking citizens of
this country who have had the misfortune of developing a devastating diseas=
e.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon George S=
mitherman
Hepburn Block <=
/p>
10th Floor, 80 Grosve=
nor St
Toronto , ON =
M7A 2C4
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,SmithermanGeorgeHepburn Block10th Floor, 80 Gros=
venor
StTorontoONM7A 2C4 adequately resourced standard of care, and allow =
for
safe supervision and treatment of the hardworking citizens of this country =
who
have had the misfortune of developing a devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Philippe Couillard
Edifice Catherine-De-=
Longpre
1075, Chemin Sainte F=
oy, 15e
Etage
Quebec , Quebec &n=
bsp;
G1S 2M1
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,CouillardPhilippeEdifice Catherine-De-Longpre107=
5, Chemin
Sainte Foy, 15e EtageQuebecQuebecG1S 2M1 adequately resourced standa=
rd
of care, and allow for safe supervision and treatment of the hardworking
citizens of this country who have had the misfortune of developing a
devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Michael =
Murphy
Legislative Building,=
Centre
Block
PO Box 6000
Fredericton , <=
span
style=3D'mso-no-proof:yes'>NB =
E3B 5H1
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,MurphyMichaelLegislative Building, Centre BlockP=
O Box
6000FrederictonNBE3B 5H1 adequately resourced standard of care, and
allow for safe supervision and treatment of the hardworking citizens of thi=
s country
who have had the misfortune of developing a devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Chris d'=
Entremont
PO Box 488
Halifax , NS =
B3J 2R8
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all prof=
essionals
working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,d'EntremontChrisPO Box 488HalifaxNSB3J 2R8
adequately resourced standard of care, and allow for safe supervision and
treatment of the hardworking citizens of this country who have had the
misfortune of developing a devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Doug W C=
urrie
Second Floor, Jones B=
uilding
11 Kent Street, PO Bo=
x 2000
Charlottetown ,=
PE =
C1A 7N8
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this dis=
ease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,CurrieDoug WSecond Floor, Jones Building11 Kent
Street, PO Box 2000CharlottetownPEC1A 7N8 adequately resourced stand=
ard
of care, and allow for safe supervision and treatment of the hardworking
citizens of this country who have had the misfortune of developing a
devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Leona Ag=
lukkag
Igaluit , NU =
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such a=
s bipolar
disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,AglukkagLeonaIgaluitNU adequately resourc=
ed
standard of care, and allow for safe supervision and treatment of the
hardworking citizens of this country who have had the misfortune of develop=
ing
a devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Brad Cat=
hers
Yukon Legislative Ass=
embly
Box 2703
Whitehorse , Yukon&nb=
sp;
Y1A 2C6
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho have
dementia. (Age is the highest risk factor for developing this disease)=
.
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,CathersBradYukon Legislative AssemblyBox
2703WhitehorseYukonY1A 2C6 adequately resourced standard of care, and
allow for safe supervision and treatment of the hardworking citizens of this
country who have had the misfortune of developing a devastating disease.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
24/10/2007
Hon Ross Wis=
eman
Confederation Buildin=
g , 1st
Floor West Block
Box 8700
St John's , NL =
A1B 4J6
Dear Minister,
The content of the recent programs on CBC radio and
television which focused on the growing incidence of violence in Canadian L=
ong
Term Care Facilities has been extensively discussed by members of the Long-=
Term
Care Medical Directors Association of Canada. The outcome of these discussi=
ons
was a consensus view that violence in residential care facilities is a comm=
on
occurrence in all parts of Canada and is part of the day-to-day clinical wo=
rk
of physicians practising in this field. Every member of our group can report
numerous incidents in which facility residents, with behavioural complicati=
ons
accompanying dementia and other conditions, have caused physical harm to fe=
llow
residents or to staff.
We believe that this increase could be related to a nu=
mber
of factors which are new to Canada and which we believe will continue for m=
any
years to come.
These factors include but are not limited to;
The
changing demographics in Canada and the increasing number of seniors w=
ho
have dementia. (Age is the highest risk factor for developing this
disease).
The
increasing number of seniors diagnosed with dementia who develop
behavioural problems as a complication of the disease.
The
increasing number of seniors with other mental health illnesses such as
bipolar disorder and schizophrenia.
The
policy of integration of seniors with behavioural problems secondary to
illness in non- specialized units where there is often a mix of
cognitively well and cognitively impaired residents. ( It has certainly
been shown that integration of the cognitively well and cognitively
impaired residents can be beneficial where no behaviour issues exist)<=
/li>
The
decrease in staff numbers (particularly RNs) in both Community and
Residential Care. This has occurred through cut backs and the growing =
HR
problem related to a shrinking work force pool.
The
lack of physicians specializing in Psychogeriatrics and Geriatric
Medicine.
As a group of concerned physicians we urge each Provin=
cial
Ministry of Health to review their policies regarding staff and resident sa=
fety
in long-term care facilities and to openly discuss the concerns of all
professionals working in residential and community care.
Many seniors live in communities which do not have
specialized units where aggressive behaviours can be managed, and the exist=
ing
units in centres of higher population are often inaccessible and filled to
capacity. We believe that each community should have access to units which =
are
designed and staffed appropriately to care for the very specific population=
in
question. This care should be provided by trained staff, thus minimizing ri=
sk,
and markedly reducing the inappropriate use of medication. We believe that =
in
this environment the vast majority of aggressive behaviours could be manage=
d,
allowing the more specialized tertiary units to deal with the most violent =
and
potentially dangerous patients.
The solutions to this growing problem can only be reac=
hed by
consulting with front line staff and reviewing funding which might have to =
be
allocated to provide appropriate and safe care. We accept and understand th=
at
violence will never be eradicated but it is our duty to our patients to
advocate for safe care in the most suitable environment.
We urge you to meet with practising clinicians in your
Province to discuss this issue, and to communicate with other jurisdictions=
and
Provinces where changes are being made to address some of the concerns outl=
ined
above. The combined effort could lead to a universally accepted,WisemanRossConfederation Building , 1st Floor We=
st
BlockBox 8700St John'sNLA1B 4J6 adequately resourced standard of car=
e,
and allow for safe supervision and treatment of the hardworking citizens of
this country who have had the misfortune of developing a devastating diseas=
e.
We recognize that the Provincial and Federal Governmen=
ts are
aware of the urgency of this =
and
other health care issues, but as a group we respectfully request that due
consideration be given to this growing problem.
The Long Term Care Medical Directors Association of Ca=
nada
is willing to work with all levels of Government to find solutions to all c=
are
issues affecting the residents of facilities throughout Canada.
Yours sincerely
Dr Paddy Quail President LTCMDAC Calgary AB
&n=
bsp; Dr Len Aldridge Ca=
lgary AB Dr David Belcher D=
rayton Valley AB Dr Chris Cox Surrey BCDr. Nicholas Crist=
oveanu Kingston ON Dr. Ken Dick &=
nbsp; Abbotsford, BCDr Duncan Etches, =
Vancouver BC Dr Doug Faulder Ed=
monton AB Dr Alan Gow Salmon=
Arm BC Dr Lyla Graham Ott=
awa ON Dr Mary Hurlburt E=
dmonton AB Dr Garey Mazowita =
Vancouver BC Dr Kathleen McFadd=
en Powell River BC Dr Gerald Nemanish=
en, Mission BC Vancouver BC Dr Richard Sebba V=
ancouver BC Dr Pierre Soucie O=
ttawa ON Dr David Strang VP=
LTCMDAC Winnipeg MB Dr Merrick Tosefsk=
y Coquitlam BC Surrey BC Surrey BC
------=_NextPart_01C816D9.9547BCC0
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