Copper Terrace has an active Interdisciplinary Wound Prevention and Skin Care Team. The focus of the team is to maintain excellence in skin care, the prevention of skin break down and ongoing education of staff, residents and family.
Palliative Care Team
Goal: To educate staff on new developments in palliative care and assist in the implementation within the facility.
Internal Education: Palliative Care Courses available, focus on palliative care of the elderly resident in a long-term care setting.
- Look at the philosophies and goals of palliative care
- Dispel the myths of palliative care
- Pain and symptom management
- Grief support for care givers and families
Features offered to palliative residents:
- Physician available 24/7 as well as Nurse Practitioners during normal business hours Monday-Friday
- Medication management at any level ordered by physician
- Therapeutic surfaces for comfort control
- Family Lounge
- Small meals provided to family members
- Caring and compassionate staff trained in palliative care
Dementia Care Team
Copper Terrace’s Dementia Care Team consists of staff members from all departments. We believe in a multidisciplinary approach when caring for those with dementia. Some staff have been educated in the Gentle Persuasive Approach, U-First, P.I.E.C.E.S., and Montessori techniques. Our team liaises with the Alzheimer Society for educational opportunities and to assist with care issues when needed. The team serves as a resource to all front line staff in the management of behaviours related to dementia and to provide a better understanding of dementia to staff, residents and their families.
The PIECES approach to care encompasses the following:
- Physical – look at the disease, drugs, disability
- Intellect – look at changes in specific areas of the brain
- Emotional – is there depression, delusions; loss of independence
- Capabilities – focus on what the person can do, not what they cannot do; build on their strengths
- Environment – is the environment noisy, cluttered, etc.?
- Social – life story; likes/dislikes; previous coping skills
What is infection control and why is it important?
Infection control facilitates an environment that endeavours to prevent the transmission of disease to protect the health and safety of each resident, family, visitor and staff member. Infection control is integral to safe nursing practice. Residents of long-term care facilities are at increased risk for developing infections due to immune and other body systems related to the aging process.
Purpose of infection control:
- To promote wellness through education and immunization
- To prevent infections and the spread of communicable conditions to each resident, family member and volunteer
- To manage infections and disease through daily surveillance of existing conditions
- To enhance the infection control program by ensuring access to new theories and practices
What can you as a client expect?
The immunization program for residents of Copper Terrace includes:
- Tuberculosis (Mantoux) screening within 14 days of admission
- Annual flu vaccine
- Pneumococcal vaccine
The immunization program for Copper Terrace personnel includes:
- Tuberculosis (Mantoux) screening of volunteers and newly hired staff
- Annual flu vaccine
INFECTION CONTROL IS EVERYONE’S BUSINESS!
Hand washing is the cornerstone of infection control. Hand washing is the most effective method of controlling infection and disease. All departments within the facility are supportive of and play an important role in the infection control program.
Copper Terrace has an Outbreak Management Team which oversees the care of our residents during a respiratory or enteric outbreak. They liaise with the Chatham-Kent Health Unit and the Ministry of Health during any outbreak.
To protect our residents and staff from contracting potentially contagious illnesses such as colds or gastro-type illnesses, we suggest visitors refrain from visiting if feeling unwell. If they are suffering from cold-like symptoms, they should wait 3-5 days before visiting. If they have a gastrointestinal illness, they should wait at least 48 hours from the onset of their symptoms before visiting.
Copper Terrace continues to work on their pandemic planning in conjunction with the Ministry of Health guidelines.
An important component of the Infection Control Program is the ongoing education of residents, volunteers and staff. Awareness of the mode of infection transmission is paramount to the prevention and control of such conditions. Copper Terrace offers scheduled and impromptu educational opportunities for staff and volunteers.
The home’s Infection Control Committee meets quarterly to review infection statistics, review and revise policy procedure and make recommendations related to infection control.
- Ministry of Health
- APANS Health Services
- Chatham-Kent Public Health Unit
- Community and Hospital Control Associations of Southwestern Ontario
- Chatham-Kent Infection Control Committee
What is rehabilitation?
It enables residents to make the most of their abilities rather than focus on their illness or disability. The Rehab Program is comprised of the Restorative Director, Physiotherapist and one Nursing Restorative Aide and one Physio Aide. Our Rehab team involves Rehab Dir. / Physio, Nursing Staff, families. The team aims to help each resident to maintain his/her dignity, self esteem, and independence. Nursing Restorative programs promote the highest level of functioning that a resident can attain through walking, exercise, restorative programs or through optimal communication and social interaction between staff and residents.
Rehab Admission Process
Upon admission to Copper Terrace every resident participates in a thorough mobility assessment to determine current level of functioning. If assistive devices are needed, it will be determined at this time. An individualized therapy program is then designed to meet the current goals and needs of the resident. This program will be carried out with the assistance of the Rehab team. Continual monitoring occurs to ensure success of the prescribed goals and absolute safety of the resident. The Physiotherapist works with residents 3 days a week and the nursing restorative program is implemented 6 days/ week. Reassessments of a resident’s functional status are performed by the Physiotherapist on a quarterly basis to meet the changing needs of the resident.
The Rehab team works closely with the resident and family to assist in meeting their needs and developing safe and realistic goals. The length of the rehab program depends on the resident’s condition, progress towards goals and quarterly reassessments. The Rehabilitation program focuses on ability, strengths and potential. Copper Terrace offers specialized programs for conditions including: CVA, Parkinsons, MS, fractures, contractures, amputees, re-motivation, arthritis etc.
Family and those close to the resident can play an important role in the rehabilitation process. Families are encouraged to become actively involved in all aspects of the rehabilitation process.
Liaison and Information
The Rehabilitation Director is responsible to act as a liason between the resident, their family, and the professional therapists. Residents and their families are encouraged to seek out the Rehab Director if there are any questions regarding prescribed therapies.
If you would like more information regarding rehab services at Copper Terrace, please contact the Rehabilitation Director.
Rehab Services / Programs Offered
One, or any number of the following therapy plans may be recommended for the resident to participate in. The descriptions given are a general overview, however each Therapy Plan is specific for the individual resident.
Strengthening Exercise Programs
Free weights and resistive devices such as Theraband are used in conjunction with exercises to increase muscle strength. Performed with the goals of increasing or maintaining strength and endurance.
Balance Training Programs
Static and Dynamic balance exercises are prescribed to improve balance during ambulation and to help reduce the risk of falls.
Designed for Residents who would like to improve and/or maintain hand function.
Walking / Standing Programs
Residents that are able to walk are encouraged to do so on a regular basis. Residents who require assistance are given the opportunity to walk with one or two staff, and the use of a gait aid when appropriate. Rehab may assess for appropriate equipment and then educate Residents on appropriate and safe use of the equipment. The focus of these programs is to maintain and increase distance as able, maintain ambulation and safe transfers. Also the quality of the walk is more important than the distance.
This therapy involves teaching Residents breathing exercises and the provision of manual/ mechanical percussions to improve breathing provided by the Physiotherapist.
Assessments for mobility aids ie) walkers are completed by the Physiotherapist. The Physiotherapist determines what type and size of walker would best suit the Resident.
TENS and Ultrasound treatment are available. A Speech Language Pathologist is available upon referral of Physician/Staff.
Occupational Therapy Services
Wheelchair/ Seating Assessments
The Physiotherapist/Occupational Therapist completes an assessment to determine the type and size of wheelchair the Resident requires.
Walking / Standing Programs
Residents that are able to walk are encouraged to do so on a regular basis. Residents are given the opportunity to walk with one or two staff assisting them with a gait aid when appropriate. This may involve gait training. Rehab also assesses for appropriate equipment and educates on appropriate use of equipment. The focus of this program is to maintain ambulation and transfers.
Range of Motion
Active range of motion or active assisted range of motion exercises to help maintain flexibility for functional activities and to aid in transfers performed independently by the Resident while assisted exercises have the aid of an assistant.
Passive range of motion exercises are prescribed to maintain range of motion and prevent the development of contractures. Passive exercises are performed by an assistant to aid the movement of the body when the Resident is unable to do so independently.
Wheelchair / Walker repair and maintenance clinics
A representative visits the home once per week to ensure all mobility equipment such as wheelchairs and walkers are in good working condition.
Please note that a variety of walkers and wheelchairs are available for residents to use on a temporary basis, until they can acquire their own.
Assistive Devices Program
The cost of a new walker or wheelchair may be covered under this government funding program. Residents may qualify for cost relief of up to 75% of the cost of the mobility aid.
Copper Terrace has trained staff to perform basic and advanced foot care to residents who require this. Advanced foot care clinics are available for residents as needed on a fee for service basis.
We have a lab technician who visits our home weekly to perform lab tests ordered by the physician. Results are then communicated back to the home within a 24 hour time frame.
X-rays and ultrasounds may be carried out as per physicians orders, offsite. These services are available Monday to Friday with a prompt turn around for results.
Medical Pharmacies is the homes provider for residents’ medications. We have our own pharmacy consultant who visits regularly to assist staff, residents and families with any medication related concerns.