Well-being of the housed people | A plan to “personalize” senior care in CHSLDs

(Quebec) It has been promised for 20 years, but Minister Marguerite Blais now assures us that this time is the right time: seniors will receive “personalized” care in all public accommodations. Starting with lunch at the time they want.

Updated yesterday at 4:22 PM.

Fanny Levesque

Fanny Levesque
The press

† [On veut] adapt to the person being housed, and not the other way around,” the Minister in charge of Seniors and Caregivers, Marguerite Blais, summed up her 2021-2026 Long-Term Housing Action Plan on Thursday. The goals of the minister, who will leave politics at the end of her mandate, will be accompanied by investments of $2.9 billion over five years, amounts already announced in the budget.

Quebec wants to “personalize” healthcare and services to “substantially transform” senior living environments, such as CHSLDs and intermediate resources (IR). The Legault government wants to make them a living environment as it plans for its future senior housing. The plan excludes private senior housing, where users are largely self-sufficient.

“We personalize care according to the life history, values, preferences of the people housed,” the minister illustrated at a press conference. “A very simple example to illustrate this: lunch. It is important to adapt to the person in question and offer him the morning meal at the time of his choice […]“We want to personalize the treatment as much as possible,” she added.


Marguerite Blais, Minister responsible for Seniors and Caregivers

To achieve this, Quebec wants to “strengthen” the role of the beneficiary accompanist and put the family and carers at the center of all decisions related to the user, both “for decoration” [des lieux] than for care plans,” says Ms.me blais.

Former Prime Minister Philippe Couillard, when he was Health Minister under the Charest administration, had submitted ministerial orientations in 2003 aimed at providing a “quality living environment for people housed in CHSLDs”. The aim was then to “create a living environment in which quality services and care are provided, based on the needs, tastes, habits and values ​​of individuals and their families”.

Why would this time be the right one? The one who was minister responsible for Seniors under the liberal banner from 2007 to 2012 answers: “In 2003 […], there was no money in the policy, do we understand each other? There we talk to you about $2.9 billion, so there’s money, it’s complete,” she said.

I will soon be leaving politics, but I believe that the plan that has been submitted is a plan for the present and for the future. We must change our ways […]we’ve seen it with the pandemic.

Marguerite Blais, Minister responsible for Seniors and Caregivers

This announcement comes on the day the ombudsperson submitted her intervention report in the CHSLDs of the CIUSSS de l’Estrie-CHUS. The investigation revealed “practice that amounted to mistreatment of the housed persons” as requests such as going to the toilet or having a snack could go unanswered. The institution accepted all recommendations.

M .’s lawme On April 6, Blais also took action to step up the fight against elder abuse.

Hiring staff

The lion’s share of the 2.9 billion will go to hiring. In particular, Quebec wants to continue its plan to provide every CHSLD with a manager, a commitment made at the end of the first wave of the pandemic, in 2020. So far, 280 managers have been hired and the government’s plan offers for 370. ., which excludes those of future retirement homes.

We are also looking for 67 project managers who will ensure the implementation of the action plan on the ground. Quebec also plans to hire 200 pharmacists to ensure optimal use of drugs in CHSLDs and about twenty dentists, 30 denturists and 60 dental hygienists to deploy the Quebec program for oral care and daily oral hygiene in CHSLDs.

“If we want to establish this new culture, we need more staff,” said the minister, without specifying where these workers would be dug up in the face of a labor shortage.

Quebec nevertheless plans to maintain its accelerated training program for caregivers in CHSLDs and is also counting on the arrival of nursing assistants through accelerated training.

It should be noted that the Ministry of Health and Social Services plans to hire 3,000 to 4,000 additional health workers to operate its 46 senior housing and alternative homes.

Marguerite Blais’s plan submitted on Thursday stems from the Housing and Long-Term Care and Services Policy introduced a year ago.

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