Grace Villa 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.
Palliative Care Team
Purpose: To continually reassess and improve palliative care services to residents at Grace Villa. The team serves a wider range than just those who are at end-of-life.
Goal: To educate staff on new developments in palliative care and assist in the implementation within the facility. Grace Villa supports staff in taking the Fundamentals of Palliative Care course offered regularly in the community.
Features offered to palliative residents:
- Physician available 24/7
- Medication management at any level ordered by physician
- Therapeutic surfaces for comfort control
- Drinks and snacks and meals provided to family members. Family are welcome to stay through the night. We have a chair which will become a bed for use in any room.
- Caring and compassionate staff trained in palliative care
- Music and aromatherapy are available
- The Pastoral Care coordinator is available for support and assistance with family concerns
Pyschogeriatric Resource Persons
Some staff have been educated in the Gentle Persuasive Approach, U-First, P.I.E.C.E.S., and Montessori techniques. Our team liaises with the PMAC Outreach Team as well as the Alzheimer Society for educational opportunities and to assist with care issues when needed. The trained staff members serve 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
Residents may continue to choose their own physician to provide care to them in the home. Each attending physician is required to sign a contract with the home. Attending physicians will be expected to meet the standards and criteria established by the government. If desired, residents care can be assumed by the “House” physician.
The home does not normally restrict the attending privileges of doctors. We will, however, consult or request attendance of another doctor if certain physician responsibilities have not been complied with, as required by the physician contract, home policies and provincial legislation. If a resident does not have a local doctor, the home, upon consultation with the family, will assist in selecting a doctor for the resident.
Active Outbreaks at Grace Villa
Infection Control is the practice by which the home prevents and manage infections. Infection control principles are included in all aspects of providing care for all resident. Hand washing is the best method to prevent infections. In order to protect residents from infections, staff wash their hands often. We encourage residents and visitors to do the same.
It is sometimes necessary to take additional measures, gloves, gown and masks may be worn to protect the resident and caregiver from potential infection.
Family members and visitors may be asked to not visit the facility during an infectious disease outbreak when residents in the home are ill. The purpose is to protect you and your family from the illness. Family members and visitors should also not visit if they have colds, fever or vomiting and diarrhoea. Children exposed to chickenpox are advised not to visit. The residents can catch these infections easily.
Immunization is important for all seniors. It is especially important for individuals who are frequent visitors in a long-term care home. It is recommended that seniors receive:
- A single dose of tetanus and diphtheria booster every ten years
- A single dose of pneumococcal vaccine at the age of 65 years or over
- A flu shot for influenza every year
The influenza vaccine is the single most effective way of preventing the flu. Please check with your family doctor.
INFECTION CONTROL IS EVERYONE‘S BUSINESS!
To protect our residents and staff from contracting potentially contagious illnesses such as colds or gastro-type illnesses, we suggest visitors refrain from visiting if feeling unwell. If they are suffering from cold-like symptoms, they should wait 3-5 days before visiting. If they have a gastrointestinal illness, they should wait at least 48 hours from onset of their symptoms before visiting.
For further visitors’ information, please download a PDF copy of our Visitors Pamphlet.
Grace Villa continues to work on their pandemic plan in conjunction with the Ministry of Health guidelines.
- 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.
- Grace Villa offers scheduled and impromptu educational opportunities for staff and volunteers.
The Medical Advisory Committee (MAC) addresses unresolved concerns and provides direction and recommendations to ensure that resident and family needs and expectations are met.
- Ministry of Health
- APANS Health Services
- District Health Council
- Hamilton-Wentworth Social and Public Health Unit
- Community and Hospital Infection Control Association (CHICA)
- Hamilton-Wentworth Regional Infection Control Program
What is rehabilitation?
It enables residents to make the most of their abilities rather than focus on their illness or disability. The rehab team at Grace Villa is comprised of the Rehabilitation Manager, the Physiotherapist and two Physiotherapy Therapy Assistants. 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, 8:30 a.m – 4:30 p.m.
Rehab Admission Process
Upon admission to Grace Villa 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 3 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 or more frequently to meet the changing needs and or function 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. Grace Villa 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.
Liaison 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.
If you would like more information regarding Rehab services at Grace Villa, please contact the Rehab Manager.
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 continue this 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, families and staff on appropriate and safe use of the equipment. The focus of these programs is to increase the residents endurance and improve the quality of their gait and transfers.
Range of Motion
Active range of motion (ROM) exercises are performed independently without the assistance from a Physiotherapist Assistant. These exercises help maintain flexibility for functional activities and to aid in transfers. Assisted exercises encourage the resident to perform exercises with the same goal as Active ROM however the resident requires some assistance from physiotherapist assistant to gain full range of motion.
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. These exercises help maintain joint and muscle integrity.
This therapy is performed by the Physiotherapist and involves teaching residents breathing exercises and the provision of manual/mechanical percussions to improve breathing.
Independent Exercise Programs/Gym Facilities
Group Exercise Programs
Seated Exercise Group
Seated exercise groups are offered twice per week. 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.
TENS, Hot packs, Ice packs, Deep Cold/ A535 cream massages are available.
Assistive Devices Assessments
The Physiotherapist determines/assesses the resident for the need of a mobility aid such as a cane/walker/wheelchair. The Occupational Therapist is then brought in to assess for the type and size of the aid that would best suit the resident.
The Physiotherapist completes an assessment to determine the type and size of wheelchair the resident requires.
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.
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.
Wheelchair/Walker repair and maintenance clinics
Shoppers Home Health Care
A representative visits the home once per week to ensure all mobility equipment such as wheelchairs and walkers are in good working condition.
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.
We have a lab technician who visits our home weekly to perform lab tests ordered by the physician. Grace Villa has several registered staff who are trained Phlebotomists, who can obtain blood samples. Results are then communicated back to the home within a 24-hour time frame.
Charlton Medical Pharmacy is the home’s provider for residents’ medications. We have our own pharmacy consultant who visits regularly to assist staff, residents and families with any medication related concerns. She also provided education sessions for staff and is part of our Medical Advisory Committee.