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HomeMy WebLinkAboutThe Lucknow Sentinel, 1988-06-01, Page 5Lucknow Sentinel, Wednesday, June 1, 1988—Page 5 Effective care for the elderly To the Editor: Home health care is one of the most humane and cost effective ways of pro- viding care to the sick and elderly. It allows individuals to be cared for in the comfort of their own homes and results in a positive financial impact on the total health care system. Unfortunately,' the providers of this vital service are threatened by a critical shor- tage of staff to supply home, health care and support. Essentially the problem is that the service is underfunded by the government, and the agencies supplying the service cannot offer high enough wages to attract staff. People are the backbone of the home health care delivery system. To ensure the integrity of home care service, there is a need for training programs and com- petitive wages and benefits. The issue is one of money, distributed in a fair and equitable manner. The challenge is one of laying the foundation to move from local and regional programs, Whole new set of problems Canada is getting old. Since the early 1960s, the number of Canadians over the age of 65 has grown from 1.4 million to 2.7 million. As baby boomers continue to grow up - and old - over the next two decades, this country's elderly population will swell to about 3.4 million. Up to 1 million of those Canadians will suffer from Alzheimer Disease, a degenerative brain disease with no known cause or cure. While science has made tremendous pro- gress in combating disease and extending life expectance, society is now faced with a whole new set of problems related to the health needs of the elderly. Health-care professionals are now asking themselves if we'll be ready to respond to the demands of the ever-increasing number of Alzheimer victims. Alzheimer Disease is an incurable brain condition that strikes both men and women, usually after the age of 40. Those over 65 are most susceptible to the disease. There are now about 300,000 Canadians suffering from Alzheimer Disease and 10,000 deaths each year caused by the disease. Research has shown that Alzheimer Disease is linked to two types of changes in the brain - an accumulation of abnormal fibres (neurofibrillary tangles) in the nerve cells of the cortex and the formation of "Plaques" that cause degeneration and disruption of electrochemical signals bet- ween nerve cells involved in memory. The effect of Alzheimer Disease reaches beyond the patient. Lack of support systems in the community and a shortage of suitable institutional facilities usually means that family members of the patient take on the responsibility of full-time.., caregiving, a task for which they often financially, emotionally and physically ill- equipped. The seriousness of the problems con- nected with Alzheimer Disease will become more apparent as the number of those affected multiplies. Vince Gillis, Ex- ecutive Director of the Alzheimer Society of Canada, thinks that increased numbers of Alzheimer patients will have a major impact on the health-care system. "Many Alzheimer victims lack the abili- ty to look after themselves. And because the community is often not equipped to provide the kind of support needed to keep them at home, they are admitted to institu- tions," said Mr. Gillis in a recent interview. "Because of the nature of the care they need, victims of Alzheimer Disease have great difficulty in finding ?nstitutions which will take them. If the situation re- mains as it is, or gets worse, family members and caregivers will have an in- creasing burden placed on them to provide 24-hour care. While research is the real key to understanding and dealing with Alzheimer Disease, it's clear to me that it's also very important to provide more support to those caring for Alzheimer vic- tims and develop satisfactory alternatives to home care." TO equitably and thoughtfully to a co- ordinated provincial effort. The government has recognized the pro- blem and responded by requesting the In- terministerial Review Committee Report on Ontario Homemaking Services. Person- nel from five provincial ministries in con- sultation with interested groups produced a report last fall addressing the critical RR1F A 11% INVESTMENTS 122 Courthouse Sq., Goderich 524.2773 1-800-265-5503 issues of wages, education, the rate setting process and rate structure. Tragically the government has not yet released this report or taken any action to address the issues. Surely a report which would focus attention on the needs of this vital health care sector should not be delayed. Nor should a piecemeal approach to this province -wide challenge be accepted. A response which addresses these critical challenges within the scope of an equitable, provincial system is needed now. 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