Government of New Brunswick

Stakeholder Engagement sessions will be held twice a year.  Participants for each session will vary based on the priority area to be discussed.  The participants will provide suggestions for solutions and strategies to address challenges facing seniors.

Objectives:

  1. To provide statistics around the challenges
  2. Discuss possible causes for the challenges
  3. Identify possible solutions and strategies to address the challenges

 

Stakeholders Invited to Participate

  • Association francophone des établissements des soins spéciaux du N.-B.
  • Association of NB Licensed Practical Nurses
  • NB Association of Nursing Homes
  • NB Association of Social Workers
  • NB Home Support Association
  • NB Medical Society
  • NB Special Care Home Association
  • Nurses Association of NB (Nurse Practitioners of NB)
  • NB Association of Occupational Therapists
  • Atlantic Physiotherapy Association
  • Canadian Gerontological Nursing Association - NB
  • NB Health Council

Challenges Discussed

  1. Seniors are prematurely entering Nursing Homes
  2. Seniors experience delays in transitioning between care settings
     

Key Themes Emerging

a)      Early targeted Interventions

  •  Look at stats by zone rather than provincial
  •  Interventions closer to the individual – client centred

b)      Enhance services to allow aging in place (to solve the problem that is preventing them from aging in place)

  • Services at home
  • Convalescent Equipment
  • Additional support in ARF or at home

c)      Workforce

  • Recruitment and retention
  • More support and training
  • Standardization of training

d)     Navigation and Planning for Aging

  • Communication and awareness of the help available - programs and services
  • Conversations early in the process, at opportunities – to discuss what are the needs at home that would allow the person to age in place (safely)

Stakeholders Invited to Participate

  1.  Ability NB
  2.  Alzheimer Society of New Brunswick
  3. New Brunswick Association of Social Workers
  4. Canadian Mental Health Association - NB
  5. Economic and Social Inclusion Corporation
  6. New Brunswick Home Support Association
  7. Loch Lomond Villa, Inc.
  8. Université de Moncton - Population Aging, Department of Research
  9. Community Health Clinic – Horizon Health Network
  10. Association of New Brunswick Licensed Practical Nurses
  11. Paramedic Association of New Brunswick
  12. New Brunswick Pharmacists' Association.
  13. New Brunswick Medical Society
  14. Nurses Association of New Brunswick
  15. New Brunswick Association of Occupational Therapists
  16. New Brunswick Association of Respiratory Therapists
  17. Nurse Practitioners of New Brunswick

 

Challenge Discussed

Enhancing Community Based Care and Support to Seniors 

 

Key Themes Emerging

a)    Access to Care and Support Services

  • The continuum of care includes the services available to seniors in the community
  • Needs are not just medical but include social supports such as transportation and options to engage and participate in the community
  • Language of choice must be addressed in the provision of services
  • There should be a person-centred coordinated integration of care
  • Health promotion and prevention programs can flourish in the community
  • Services may be available in communities, but people do not know about them or how to access them if they are aware of the services
  • The need for services, when needed, to help seniors age at home must be normalized and not seen as a negative
  • The institutional model needs to be reassessed

b)    Information, Navigation and Coordination

  • It is important to understand how seniors receive information. Not all seniors have the capacity to access information through technology
  • An in-person/virtual community care coordinator can be helpful
  • Research demonstrates that there is a need for a person-centred approach to providing seniors with information about what services are available to them
  • There needs to be consistency in the messages being provided to seniors
  • There needs to be coordination and sharing of information in the health and social systems
  • Collaborative community centres could meet the needs of seniors in one place

c)    Transportation

  • Transportation is a critical element to assist seniors to age in place
  • Seniors living at home need transportation to access services in their community
  • A collaboration among partners needs to take place to implement a transportation strategy for New Brunswick
  • There needs to be a coordinated approach to ensure that the needs of seniors can be met within the community and within the existing system

d)    Enhanced Home Care / Community Support

  • Human resources within the home care system are at an all-time critical level and many agencies are in danger of closing their door.  Home care wages are often advocated, what is not advocated for is proper funding for the home care agencies
  • Home care should be normalized, giving seniors active choice in what they need to stay at home safely and longer.  Seniors need to be involved as an active participant in the decision about their care plan – not just the family
  • We need to change our thinking around aging in place to consider the risk of social isolation of seniors in their home
  • Home support workers are being required to encroach into medical territory – especially since the pandemic
  • Many seniors in the community need social supports and do not necessarily have medical needs
  • Food security, transportation, home maintenance including snow removal and suitable housing options are issues. Many seniors opt not to age in place as their home is too difficult to maintain but there are few options in their community
  • Seniors often see home care as being thrust on them by medical staff and family concerned for their safety.  This causes seniors to lose a sense of self and a loss of independence.
  • Good home care needs to be a normal part of the support system in the continuum of care not just a long-term care facility or hospital
  • Purposeful home care is needed – not just providing a sitter for seniors
  • Many services offered could be provided outside of a hospital or nursing home – it requires collaboration to make it work
  • Seniors who are not connected to the system need to be able to access services close to their home to maintain their independence.
  • The nursing home without walls concept could allow seniors to access services like foot care, baths, meals, and transportation – to name a few
  • The unique needs of a community must be looked at and partners should bring their skills to the table to address the needs together