Park Lane 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.
Park Lane Terrace has been chosen to participate in the Pressure Ulcer Awareness Program, initiated and supported by the Canadian Association of Wound Care. We feel by participating in this program we will be able to enhance our current practices.
Palliative Care Team
Purpose: To continually reassess and improve palliative care services to residents at Park Lane Terrace.
Goal: To educate staff on new developments in palliative care and assist in the implementation within the facility.
Internal Education: 10 hour in-house Palliative Care Course, focus on palliative care of the elderly resident in a long term care setting.
- Look at the philosophies and goals of palliative care
- Dispelling 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
- Medication management at any level ordered by physician
- Therapeutic surfaces for comfort control
- Access to the Family Lounge
- Small meals provided to family members
- Caring and compassionate staff trained in palliative care
Dementia Care Team
Park Lane Terrace’s Dementia Care Team consists of staff members from all department. 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., Montessori techniques, and the Best Friends Approach. Our team liaises with the Brant Psychogeriatric Outreach Team as well as 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
Active Outbreaks at Park Lane Terrace
What is infection control and why is it important?
Infection control facilitates an environment that endeavors 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 Park Lane Terrace includes:
- Tuberculosis (Mantoux) screening within 14 days of admission
- Annual fluzone clinics
- Pneumococcal vaccine
- Tetanus vaccine
The immunization program for Park Lane Terrace personnel includes:
- Tuberculosis (Mantoux) screening of volunteers and newly hired staff
- Annual fluzone clinics
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.
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. Park Lane Terrace offers scheduled and impromptu educational opportunities for staff and volunteers.
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What is rehabilitation?
Rehabilitiation enables residents to make the most of their abilities rather than focus on their illness or disability. The Rehab team at Park Lane Terrace is comprised of the Rehab Manager, the Physiotherapist and two Physiotherapy and Occupational Therapy Assistants. An Occupational Therapist is also a contributing member to our Rehab programs. The team aims to help each resident to maintain his/her dignity, self esteem, and independence. Rehab 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 programs are offered 5 days a week,
Monday to Friday, 9:00 a.m – 5:00 p.m.
Rehab Admission Process
Upon admission to Park Lane 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. Residents are seen 2 to 4 times per week, and may be seen more frequently if needed. 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. Park Lane offers specialized programs for conditions including: CVA, Parkinsons, MS, Fractures, Contractures, Amputees, Re-motivation, Arthritis.
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.
Liason and Contact Information
The Rehabilitation Manager is responsible to act as a liaison between the resident, their family, and the professional therapists. Residents and their families are encouraged to seek out the Rehab Manager if there are any questions regarding prescribed therapies.
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.
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 increase the distance and quality of walking.
This therapy involves teaching residents breathing exercises and the provision of manual/mechanical percussions to improve breathing.
Assessments for mobility aids (e.g. walkers) are completed by the Physiotherapist. The Physiotherapist determines what type and size of walker would best suit the resident.
TENS and Ultrasound treatment is available
Occupational Therapy Services
Wheelchair/ Seating Assessments
The Occupational Therapist completes an assessment to determine the type and size of wheelchair the resident requires.
Splinting W/C assessments / Seating assessments
The Occupational Therapist may prescribe different splints to support hand/foot positioning to improve position or function and prevent contractures.
The Occupational Therapist may prescribe adaptive feeding equipment to improve the resident’s ability to feed themselves.
This program is focused on our Dementia and Alzheimers units. It provides residents with and opportunity to perform tasks that enable them to maintain or improve skills needed in their daily lives. These activities enhance the skills required to perform basic tasks such as self feeding, dressing and participating in recreational activities. Montessori-based activities engage residents in purposeful meaningful activity.
The Restorative Dining Program assesses a resident’s ability to feed themselves and provides opportunities and adaptive equipment to promote independent eating.
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.
Independent Exercise Programs/Gym Facilities
Residents are welcome to use the Rehab room independently during open hours (9-5) Monday to Friday. Residents that wish to carry out a regular exercise routine independently will be assessed by the Physiotherapist to determine a challenging and safe exercise program and will be monitored by rehab staff.
Group Exercise Programs
Seated Exercise Group
The seated exercise group is appropriate for most individuals and accommodates residents in wheelchairs as well as residents with other mobility aids. The focus is on improving arm and leg strength and flexibility.
Standing Exercise Group
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.
Other Rehab Programs
A variety of other physical activities are offered including: hockey (a Park Lane favourite), volleyball, soccer, baseball and golf.
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 percent of the cost of the mobility aid.
Jenuine Care foot care to residents who require this. Advanced foot care clinics are held about every 8 weeks 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. These services are available Monday to Friday, with a prompt turn around for results.
Charlton Medical Pharmacy 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. He also provides education sessions for staff and is part of our Medical Advisory Committee.