Long-term
care - A CEO’s perspective of his people
Response to the Toronto Star’s
Bitter End series
December 5, 2003
I wish everyone had the opportunity to revel in the accomplishments of their
people the way I did during a recent road trip. I was able to travel to
12 of our homes in five days and ask our staff what they were doing that
was great. I was looking specifically for success stories that supported
our residents, individualized their care and enhanced their lives. What
I witnessed was inspiring, satisfying and fulfilling. It filled me with
a sense of pride, jubilation and a deep appreciation for our people and
the tireless compassion of the human spirit.
When I arrived at the homes, I would go to the floors with
pen in hand eager to capture the magic happening in our homes each day.
I talked to anyone I came across. I asked them for examples that demonstrated
flexibility in meeting the individual needs of residents, where we were
able to extend a sense of purpose in the lives of our residents and where
we had reduced the reliance on medications thereby improving their quality
of life.
What follows are some of the amazing stories about how our
people apply their knowledge, live life beyond themselves and make a meaningful
difference in the lives of others each and every day.
In every home, without exception, I was given examples where
we had given our residents their lives back. I saw housekeepers assisting
and encouraging residents. I heard of residents being given the opportunity
to make a contribution to their home by helping staff make beds, set tables,
clean handrails and fold laundry. I heard about an office manager, initially
apprehensive about her interaction with residents, who now participates
in small, intimate sing-a-longs in her office.
At West Lake Terrace, George* had come from the hospital where
he was restrained and on three psychotropic medications. When he was transferred
to West Lake, our staff took it upon themselves to question the medication
and gradually reduce them in collaboration with our physician. Today George
is free from daily doses of psychotropic medications. He is no longer
restrained in any way and freely wanders the entire home. He is now lucid,
living life and participating in programs, thanks to staff that believed
in him.
At Streamway Villa, Ethel* is a chronic wanderer who can’t
sit still long enough to eat her meal. The staff in the dining room learned
to accommodate Ethel by allowing her to ‘eat on the run.’
They pass Ethel a piece of toast as she leaves the dining room to walk
down the hall. As she returns to the dining room they pass her juice and
the cycle continues. Given the flexibility, creativity and genuine interest
of our staff, Ethel has been able to maintain her nutritional health and
has actually gained weight.
At Springdale Country Manor, we used to get Mary* up at 8 a.m.
for breakfast and follow our typical routine. Mary became agitated, verbally
inappropriate and at times physically aggressive, to the dismay of our
other residents. Our people realized that they had to change what they
were doing to accommodate her. Mary was an alcoholic and diabetic who
used to get up at 4 p.m. and go to sleep at 4 a.m. Our people worked together
as a team to accommodate Mary’s prior life style. In collaboration
with the nutritional care department, Mary now has her meals through the
night, starting at 5 p.m. This is co-ordinated with the nursing in order
to give Mary her insulin with her meals. With commitment and a whole lot
of heart, our people restored Mary to a life style that was familiar and
comfortable to her. Her level of agitation has subsided and her contentment
has increased considerably.
At Burnbrae, John* is a young man with Downs syndrome. He was
over stimulated with our other residents occasionally exhibiting loud
outbursts and reduced appetite. Our regular programming and activities
were not suited to his abilities. Once again our people took it upon themselves
to find a way to accommodate John. Together with his family they converted
our library into John’s Room with a TV, appropriate videos, books,
musical instruments and board games. He has his own space away from the
stimulation and receives one-on-one programming. He is happy and laughing
and both his sleeping and appetite have improved. John has a sense of
belonging in a home where he is loved.
In another example Burnbrae’s life enrichment staff incorporated
a new activity called Brain Gym. This is a series of exercises and range
of motions that help residents stimulate the brain to recognize the link
between different parts of the body. Fred* was withdrawn and non-communicative.
Having participated in this program he is now whistling and talking. He
has regained his appetite, is feeding himself and is now mobile. Our staff
have given of themselves, made a meaningful contribution to Fred’s
life and have restored in Fred his dignity, his independence and the ability
to live life to his fullest potential. His wife is delighted.
At Kentwood, one of our residents was palliative. His wife
stayed with him every day until he passed away. She recently had a heart
attack and was not in the best of health herself. Our people in an act
of compassion, love and support took it upon themselves to provide her
with a bubble bath, pampered her and blow-dried her hair. This allowed
her to stay at our home and be with her husband up until the end. As she
said, her husband was able to die with ‘family’ in ‘his
home at Kentwood.’
At Willows, Margaret* came to us from hospital with psychiatric
disorders and had given up on life. She was not walking and due to the
amount of medication she was on, was rolling and chewing her tongue. By
altering her medications, working with our physician and with the encouragement
from our staff, Margaret is now attempting to walk. She is eating without
assistance and is now able to recognize jokes (apparently laughing for
half-an-hour when the doctor fell off his chair). She can recall the names
of staff and is able to notice small changes like the length of some staff’s
hair. This is yet another example of our people looking for opportunities
to give our residents their lives back.
At Forest Hill, James* came to us on two psychotropic medications.
He was sleeping during the day and up during the night. With commitment
and persistence our people have been able to alter James’s medication
regime and return him to sleeping at night and awake through the day,
a routine that is a more familiar life pattern to him. James now has minimal
reliance on psychotropic medication and he is able to communicate in English,
in addition to his mother tongue, Dutch. With the belief and determination
of our people, James was able to attend his daughter’s wedding this
summer with two of our staff on their own time. Although, James may have
struggled to recognize the people at the wedding, he rose to the occasion
and stood a proud man.
The recent road trip left me inspired. I went in search of
enlightening and uplifting stories. I started to see beacons of light
and of hope. The more I asked the more I saw. I saw our people genuinely
giving of themselves, helping co-workers without hesitation. This experience
left me warm hearted and fulfilled me as an individual and CEO. I also
believe it left our people feeling good about themselves and appreciated
for what they do. My hope is that I was able to have them look at the
significance they make in the lives of our residents, and give them cause
for celebration within themselves.
Today we are surrounded by societal negativity. A world that
looks for what is wrong, not what is right. A society that looks for faults
in one another as opposed to the good. I do not condone nor defend what
happened to Natalie Babineau as referenced in the Toronto Star. I can’t
stand the thought that this individual was treated with such disrespect
as a human being. I am truly sorry that this has happened in our sector.
On the other hand, it is my responsibility to stand up for
our people who give of themselves every day. To bring light to the incredible
stories of support, love and compassion that allows our residents to live
life to their fullest potential. I plead with those reading the Star’s
articles to put them into perspective. There are many more success stories
than there are failures in the system. Unfortunately success stories don’t
make the news and don’t sell papers. Please do not unjustly judge
those who inspire hope, purpose and belonging every day. They give their
heart and soul to make a difference in the lives of others. They deserve
your balanced perspective.
Fraser Wilson, CEO
OMNI Health Care
* Resident’s names have been changed.
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