A proposal to restructure the long-term care sector in the St. John's region of Newfoundland and Labrador

• Main Author: Reddy, Madhuri
• Format: Thesis
• Language: English
• Published: Memorial University of Newfoundland 2002
• Subjects: Newfoundland
• Online Access: https://research.library.mun.ca/1351/; https://research.library.mun.ca/1351/1/Reddy_Madhuri.pdf; https://research.library.mun.ca/1351/3/Reddy_Madhuri.pdf

There is a concern that there is a mismatch between the needs of the elderly and the level of care provided in long-term care (LTC) facilities. In 1991, the number of LTC beds per 1000 people over the age of 75 years in NF was the highest in Canada. Alternatives to institutional placement would be preferable for a multitude of reasons, including social, medical, and financial. The absence of data concerning the mismatch makes it premature to recommend plans for restructuring. A descriptive profile of residents of LTC facilities can help provide a foundation for current and future program planning. Describing the characteristics of the current and potential residents of LTC facilities provides a basis for confirming needs, identifying developmental priorities, establishing program objectives, and evaluating program outcomes. -- The primary objective of this study is to assess the care requirements of institutional LTC residents in the St. John's Region and to determine actual and optimal population rates for institutional care. The LTC needs in the St. John's region were studied. All clients seeking placement in the institutional LTC sector for the year February 20/1995 through February 20/1996 were prospectively followed. Data on degree of disability for these clients was obtained prior to placement in LTC and at intervals following placement. -- Mortality data on this incident cohort was collected following acceptance for placement in LTC as well as at yearly intervals after initial placement. Using this information as well as a search of the medical literature, the natural history of LTC residents was determined. A more accurate estimate for demand for LTC beds assuming an efficient system using an appropriate number of appropriate beds) was ascertained. A Decision Algorithm was developed, incorporating two objective, validated tools for assessing the need for professional nursing care (RUG-III) and client disability (ARCS). The current needs and level of care of the inception cohort were assessed and compared ...