BScN, RN, GNC (C), CHPCN (C)BScN, RN, GNC(C) President,
Eldercare Home Health Inc.

Nurse explaining medications to psw caregiver

Yes, Eldercare Home Health provides senior home care in Toronto – but that’s like saying Kawhi Leonard plays basketball. He does, but as we all know, he’s an exceptional player.

Why our PSW senior home care is Nurse case managed

Our clients are 90 years old, give or take.

As you can imagine, their care needs can often be medically complex to start with.

This can be complicated by a fall or other injury that they’ve suffered, or illness that they may be dealing with.

And, let’s face it, it’s unusual to meet a senior who doesn’t take any medications.

Medications that need to be taken properly, with or without meals, and possibly at specific times of the day.

Medications that may impact key vital signs that must, as a result be monitored – blood pressure, blood sugars, respiration, heart rate etc.

It doesn’t take a lot to have the blood pressure medications that are supposed to help manage your elderly parent’s hypertension turn into a major contributing factor in their fall in the bathroom, and subsequent hospital admission for a broken hip.

Because our Nurses will be actively involved in your parent’s care, they can have a significant, positive impact, on your parent’s wellbeing and help avoid these kinds of negative outcomes.

Senior home care – going above and beyond

We encourage our Nurses to go above and beyond, to take a wholistic approach to the senior home care that they are responsible for.

The outstanding work of our Nurses, their remarkable professionalism, their advocacy, their anticipation of health outcomes and their wide scope of Practice are beautifully demonstrated in this short excerpt from the email of one of our Nurses to the daughter of one of our Clients. I hope you agree;

“Hello Elizabeth!”

“I’ve dropped in to visit your mom and dad today. (1) I’ve filled both of their medication dosettes for a two-week period.”

“Your mom was missing Rabeprazole 20mg so I went ahead and refilled the prescription and picked it up at the pharmacy. I’ve also picked up the Tolterodine 4mg as it was running low. I’ve spoken with the pharmacist regarding the creams as I’ve noted that they were not yet delivered.”

“A fax has been sent to the doctor and they are awaiting a response for authorization to refill.”

“Your dad also had a few medications running low. I was able to order the Atorvastatin 40mg and the Tamsulosin 0.4mg and they will both be delivered during the week. The only thing that I could not order was the Apixaban as it was not a repeat order.”

“It is no rush at all as the dosettes are not due to be filled for another 2 weeks.”

So what’s really going on here?

1. Although the family contacted us to care for their father, the Nurse recognizes that his wife has care needs as well. She speaks with the family and gets permission to assist.

2. Our Personal Support Workers can give medications to our Clients, as long as they are organized in a dosette or blister pack by a pharmacist or Nurse. Other non-medical care providers do not authorize their staff to assist with medications and this impairs the ability to provide appropriate care for an elderly person.

3. Note that the Nurse does not just point out to the Client’s daughter that there are medications missing from the home – she actively engages with the Pharmacist on their behalf and then she actually picks up the medications needed to avoid any negative health impact on the Client and without adding to the burden of care to the daughter.

4. When she runs into a situation where the prescription cannot be filled as ordered, she confirms that there is a plan in place – “a fax has been sent to the doctor and they are awaiting a response for authorization to refill” once again avoiding any negative health impact on the Client and saving the daughter frustration in trying to coordinate this with the physician.

5. Not only does the Nurse handle the immediate medication issues, she looks ahead to the Client’s upcoming medications shortfalls well in advance of when they are actually needed in order to reduce anxiety and lessen the possibility of the Client not having the medications as prescribed.

6. Finally, in addition to this extraordinary, no-charge Nurse visit that is scheduled a minimum of once every two weeks for our Clients, it is notable that it is all occurring on a weekend day.

Is there another way to provide senior home care?

Honestly, I can only comment on how we, at Eldercare Home Health, work.

Since day one – over 24 years ago – we have always provided Nurses to supervise, and actively case manage our client’s care – at no additional charge.

Why? Because it’s the only way I know of, to provide the care our elderly Clients deserve.

And at the end of the day, that’s what it’s all about.

I hope you’ve found this blog post informative.

I’d love to hear from you if you have any comments or suggestions for topics that you’d like me to write about. Please post a comment below.

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