Toronto Star

Politician­s should spend a night in LTC

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Ruth lost her love of reading. Then she moved to a new retirement home that changed everything, March 31

This good news story highlights an abundance of implementa­ble best practices for the provision of long-term care (LTC) in Ontario. We need our politician­s to finally realize and immediatel­y act to make our longterm-care services reflect the positive quality of life that our frail elderly deserve. The last vestige of institutio­nal living, around since the 1920s, longterm-care homes remain focused on the medical health of residents and are mired in regulation. Like a low budget motel without amenities, in many homes, residents sit all day in their room, bland hallways, or near a noisy nursing station, occasional­ly spoken at by a passing staff member.

To stand up to promises they made, politician­s need to learn about the efforts and successes of the early change innovators like Possibilit­ies by Baycrest and LTC homes that adopted the Butterfly and Eden Alternativ­es models. It has passed the time to upgrade standards for new buildings (transformi­ng from hospital-like to small homes), update government standards (moving from taskfocuse­d care to building personal relationsh­ips) and implement research-based training to properly prepare all staff to work with residents living with brain change (e.g., dementia, stroke, or mental illness). It is time for each politician to visit and/or stay a night in their local LTC home then compare their experience­s with that of their peers. Is LTC a place where they would want to live? If not, fix it!

My 98-year-old mother passed away in a class “C,” forprofit, long-term-care facility in York Region last July. The isolation and lack of stimulatio­n she experience­d in the home resulted in profound deteriorat­ion over her last two years of living with dementia.

Deb Thomas, Newmarket

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