HomeMy WebLinkAboutTimes-Advocate, 1984-01-25, Page 6flac4 )offing3
Options for Living - part 1
Liberal Leader David
Peterson and Health Critic
Sheila Copps recently made a
presentation to the Canadian
Medical Association Task
Force entitled "Options for
Living", which I would like to
summarize for you.
Ontario is currently home
to 900,000 elderly people. By
the year 2000 this number will
rise to 1.4 million. These peo-
ple need a choice of options
for living which will ensure
they have opportunities for
continued self sufficiency and
satisfaction. Will such options
be available as Ontario's
population ages?
The present record does not
provide grounds for hope. A
1981 Ontario Economic Coun-
cil study outlines our grim
position compared with other
provinces in terms of number
and percentage of aged'per-
sons in various types of in-
stitutions, using 1976 data. On-
tario placed eighth with 8.9
percent of its population aged
65 or over in hospital, special
care or mental health
facilities.
The study also revealed
that the percentage of such
people in nursing home -
residential living ar-
rangements was 6.5 percent
compared to 2.4 in England
and Wales and 5.0 percent in
Options for living
the U.S. Canda has one of the
'highest levelsof admission to
hospital settings per 10,000
population in the world, ac-
cording to a 1980 World
Health Organization study.
WAITING LISTS. One
might expect the preceding
facts to indicate that elderly
Ontarians have their health
care needs provided for more
than adequately. Yet the
three main types of long-term
care facilities (homes for the
aged, nursing homes and long
term care beds in hospitals)
are subject to long waiting
lists.
Latest available Ministry
figures reveal numerous
outstanding applications for
admission for fiscal 1981/82.
Charitable homes for the ag-
ed reported outstanding ap-
plications totalling 3,138
across Ontario while
municipal homes reported
2,800 outstanding
applications.
Neither the Health Ministry
nor the Ontario Nursing
Home Association could pro-
vide information of waiting
lists for the same time period.
Numbers of persons awaiting
chronic care beds are not
really available from the On-
tario Hospital Association.
However, District Health
Council records provide
regional estimates which
serve as approximate in-
dicators of a saturated
system.
Durham Region, as of
August 1983, reported 478 peo-
ple awaiting placement.
Hamilton -Wentworth
reported 436. Ottawa -Carlton
(where 10 percent of a 550,000
population are elderly)
reported an astonishing 761. A
Long -Term Care Needs Com-
mittee of the Hospital Council
of Metro Toronto, in -a 1980
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study, projected a short fall
of 2,350 long-term care beds in
1985 and 3.730 in 1990.
Clearly, despite Ontario's
rate of institutionalization,
many elderly people are on
long waiting lists for a
coveted spot in institutionaliz-
ed, many elderly people are
on long waiting lists for a
coveted spot in institutionaliz-
ed life Why is this so? What
are the options?
A BACKED -UP SYSTEM -
INAPPROPRIATE CARE.
For example, a glimpse of in-
appropriately placed patients
in acute care beds indicates a
system which has lost its
ability to provide appropriate
care for those it seeks to
serve. Latest 1983 Ontario
Hospital Council figures were
developed from a one day
survey of Toronto hospitals in
April. 13.9 percent of patients
in acute care beds (approx-
imately 1,000 patients) were
found to be inappropriately
placed. This has detrimental
effects on the allocation of ex-
tended care, chronic care
beds and home support
services.
It has become apparent
through coroners' inquests,
advocacy organizations and
complaints' of family
members and many elderly
are inappropriately placed.
This problem of inappropriate
allocation is the result of two
issues: reimbursement and
levels of care.
MATCHING FUNDS TO
THE REALITIES OF CARE.
In Ontario, there are 29,206
Licensed nursing home beds -
providing extended and
chronic levels of care. Ex-
tended care, under the Pa-
tient Classificatidn System, is
up to 1,2 hours of nursing
care. However, many pa-
tients receive up to 4 hours of
such care. Funding
allotments remain the same,
with the obvious result. Quali-
ty of care suffers. Another
common result is the place-
ment of a resident within a
home for the aged which was
never intended to provide
such high levels of nursing
care. A bleaker scenario is
the result of endless, futile
days in a hospital bed.
The Health Ministry avoids
defining the upper limit of ex-
tended care and adjusting
funding levels accordingly at
the peril of the elderly within
extended care settings.
September '83 Conventions of
both the Nursing Homes and
Homes for the Aged Associa-
tions called with united voice
for the immediate implemen-
tation of a third level of care
- heavy extended care - to
bridge the gap between ex-
tended and chronic care.
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Listerine 3.49 Palmolive 1.2
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Vicks 2/79t
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Home Perms .. 4.19
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Tampax 4.29
Shampoo, 350 ml. Reg., Oily, Gentle
Henna
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Mouthwash, 500 ml.
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Johnson, 240 mi.
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Playtex, Large, small, medium
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Head & Shoulders 3.9
Antiphlogistine Rub, 120 ml. Plus 2S°,
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Johnson, 350 ml.
Baby Shampoo 2.69
Toothpaste, reg., gel. mintShampoo,
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Normal, Dry, Oily, Extra -body
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Nature Organic Henna, 450 plus 100 mI,
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Conditioner, Dry, Normal, Extra -body
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200 ml. reg. Unscented powder. 60 g.
solid reg., unscented 8 -fresh, scented
Arrid X -Dry 2.29
Toothpaste, 50 ml.
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Deodorant, scented or unscented
200 ml. spray, 60 g. solid, 75 ml. roll-on
Secret 2.39
200 ml. Extra hold, Reg.
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Gillette
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Foamy, Reg. Face Saver,
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STORE HOURS
9:00 a.m. - 9:00p.m.
Sundays
12:00 Noon - 6:00 p.m.
-� DISCOUNT
033 MAIN ST EXETER - 2351661
TOYS FROM YEARS AGO - Shown with antique toys during a Toys Theme Day
at Precious Blood Separate School in Exeter are Jamie Bedard, Jason Coolmon, Jacob
Peterson and Peter McDonnell. The steam engine belongs to Harvey Adams and
the others are the property of Charles Elson in Lucan. T -A photo
Huron Farm and Home
Pesticide dealer
Encourage your dealer to
attend the dealer pesticide
courses!
Crop production in Ontario
is dependent on pesticides. In
fact, each year pesticides are
used in more and more ways
in Ontario crop production.
This dependency, on
pesticides, as well as possible
consequences of misapplica-
tion, raises a lot of public
con rn.
Many environmental
groups are concerned that we
in agriculture are not using
pesticides safely. Their con-
cern is that farmer misuse
will lead to residue in the food
chain.
Coupled with this is the
farmers' concern that the
pesticides they use must con-
trol the intended pests without
damaging the crops. These
two concerns are the reason
why there is a two-day
pesticide course for retail
dealers who sell pesjicides to
farmers. Custom spray
operators are also encourag-
ed to take this course.
This course is destined as
an intensive workshop where
the dealer will be put through
dozens of situations that arise
each year. These situations
are in the form of commonly -
asked questions and common
in errors in misapplication of
pesticides. Questions include,
When do you use the low rate
of a certain pesticide versus
the high rate when there is a
range in recommendation?"
Another series of questions
deals with how the weather
interacts with pesticlde ap-
plication (e.g. - How many
hours must a certain her-
bicide be applied before a
rain? How does cold weather
affect weed control of another
pesticide?) We will also be
covering many of the
commonly -used tank mixes.
The thrust behind these
courses is to keep the people
selling and custom applying
pesticides up-to-date with the
newest registrations and
recommendations of the
pesticides that farmers use.
If you are a farmer, please
encourage your pesticide
dealer or custom operator to
attend one of these meetings.
In fact, I suggest this year
when you go to buy your
pesticides, ask for the person
who took the Dealer Pesticide
Course. The meetings are a
joint venture of the Plant In-
dustry Branch of 0.M.A.F.
and the chemical manufac-
turers and suppliers in On -
courses
terio. Each course lasts for
two days and begins each day
at 9:30 a.m. There will be a
small fee each day to cover
the cost of lunch and coffee.
The meeting locations in
this area and dates are: Lon-
don at the Municipal Building
at 367 Ridout Street on
February 21 and 22; Centralia
College on February 16 and
17; Belmore Community Cen-
tre on February 2 and 3; and
Kitchener at the Cedar Barn
Restaurant on February 23
and 24.
For further information,
contact Pat Lynch, Soils and
Crops Specialist, Stratford, at
271-0280.
P. J. Lynch
Soils and Crops Specialist
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Times -Advocate, January 25, 1984 Poge 5
Dlffornc•s over cars
•xp.ct�d to be resolved
Administrative differences
between the Victorian Order
of Nurses (VON) and the
Huron County Health Unit's
home care program are ex-
pected to be ironed, out
through discussion says
Huron's medical officer of
health, Dr. Harry Cislar.
Dr. Cieslar reported to
Huron County council's Jan.
5 meeting that home care has
purchased nursing services
from Community Nursing
Services for the northern part
of the county. The Health Unit
also purchases services from
VON, but said Dr. Cieslar,
there have been problems in
the kinds of services
provided.
The MOH explained that
home care provides alter-
native services to enable pa-
tients to stay in the home
rather than being hospitaliz-
ed. Home care offers a varie-
ty of nursing services, as does
VON, ranging from physio-
therapy to temperature and
blood pressure
adminstration.
The board of health's report
to county council on the situa-
tion caused council to go into
committee -of -the -whole for
over an hour at the Jan. 5
meeting.
At the re -opening of the ses-
sion, it was announced that
the statement "the delivery of
services in quality and quan-
tity has not been acceptable to
the Health Unit", Was taken
out of the report before being
approved by county council.
It was noted that as the ma-
jority of the health unit's fun-
ding comes from the Ministry
of Health, county council has
no jurisdiction over the Board
of Health, except that the ma-
jority of the board members
are county councillors.
Therefore county council
could not approve or disap-
prove of the board of health's
decisions.
Dr. Cieslar said he has "no
criticism of the organization"
in reference to the VON.
GOU
is visiting Exeter the
week of January 23
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Please visit us at the Town hall Main St.
January 25 and 26th -
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continues
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