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It’s no secret that the rapidly accelerating ageing population has put pressure on the long-term care system in Canada. Statistics Canada indicates that the number of Canadians over 80 is projected to approximately triple in the next 25 years.

So the question is, are there enough long-term care beds for seniors in Canada?

Research published in the Canadian Institute for Health Information also announced that in Canada, there are approximately 2076 long-term care homes, and over half of the LTC homes are privately owned (54%). These LTC homes can provide around 198,220 long-term care beds, however, Canada has around 6,835,866 people aged 65 and older. So on average, for 1,000 seniors aged 65 and older in Canada, only 29 of them can have beds in the long-term care communities.

According to the Canadian Institute for Health Information, the incidence of dementia among Canadians aged 65 and older is more than doubling every five years. To be specific, about 1 in 100 seniors aged 65 to 69 have been diagnosed with dementia, and 1 in 4 seniors aged 85 and older have been diagnosed with dementia! Moreover, according to the Ontario Long Term Care Association, nearly 70% of seniors with dementia will need long-term care.

It’s not hard to see that long-term care resources are stretched thin, and our caregivers, who are working tirelessly day in and day out, somehow get the blame. Why is there no empathy towards our caregivers? Our leaders? We need to redefine what long-term care looks like from the outside looking in. That, of course, will take years, and support from all angles. In the meantime, caregivers, residents, and families need to connect and demonstrate empathy for all parties. How? Well, try CareStory. Scan Mr. Douglas Hughes’s QR code and experience the transformative power of how CareStory promotes empathy and connection.

Mr. Douglas Hughes QR Code

REFERENCES:
Policy Options
Ontario Long Term Care Association
Canadian Institute for Health Information

To all of our beloved caregivers, how long has it been since you allowed yourself to feel everything you feel during a day, a week, or even a month of caregiving?

Some of us go years holding onto energy that isn’t ours. Well, guess what, it’s time to start releasing it. Because that stuff is heavy. How does this show up? BURNOUT! The Ontario Caregiver Organization states that nearly 60% of caregivers experience burnout, with symptoms including depression, constant headaches, sleep disturbances, irritability, emotional dysregulation, and digestive issues, to name a few.

Let’s take a look at some QUICK and CONVENIENT ways to get that energy moving, shall we? Try some self-care activities together!

Try self-foot reflexology!

Research published in the Journal Korean Academy of Nursing shows that self-foot reflexology could reduce pain, stress and depression. Soaking your feet in hot water and mineral salts, and massaging your big toes’ base can minimize headaches caused by burnout.

Listen to podcasts on your commute!

Many people listen to podcasts and use them as a form of entertainment. Based on that, you can listen to your favourite podcasts and create a better state of mind for yourself. Some sample podcasts are “Feeling Good Podcast” by Dr. David Burns and “Tell Me What You’re Proud Of” by Dr. Maggie Perry.

Write down and celebrate small achievements every day!

At the end of each day, you should celebrate yourself for completing different tasks during the day. For example, completing your to-do list on time, receiving compliments from colleagues, getting along well with the seniors, etc. Please tell yourself every day that you are fantabulous! Take this one step further and write out all the negative feelings you’ve felt: the frustration, the annoyance, the insecurity: anything that we don’t like to admit that we feel.

Sleep in on your day off!

If you feel overwhelmed, you need rest, and the weekend is the perfect time to relax! Turn off your alarm and wake up naturally, and then do activities that you really enjoy. Watching TV series, reading, exercising, painting, cooking, etc. I know days off are for errands a lot of the time, but schedule afternoon appointments. Give yourself permission to rest.

So tell us, how are you feeling today? Remember to try the self-care activities and tell us your changes!

REFERENCES:
GR8NESS
Relax The Feet
Verywellhealth

In the long-term care industry, teamwork is key in offering consistent as well as high-quality care to our loved residents. Based on findings at Health Services Research, long-term care communities with a better teamwork structure and good staff communication are more likely to provide better senior care!

So if we want to create a high-performing team, we must have a clearly defined team structure. Among various team structures, CareStory recommends that caregiving communities should adopt a multi-team system (MTS) team structure. It consists of 6 smaller teams: the Administrative Team, the Core Team, the Coordinating Team, the Emergency Team, the Ancillary Team, and the Support Services Team.

Multi-team System (MTS) Caregiving Team Structure

The Administrative Team includes the medical directors, the nursing directors, and the administrators. The Administrative Team has 24-hour accountability for the overall nursing home’s management. Administrative team members need to ensure that all teams at the caregiving communities understand their role, responsibility and specific tasks.

The Core Team has leaders and members who provide direct care to the residents: for instance, nurses, restorative aides, attending physicians, etc. Members in the Core Team not only need to be fully aware of the overall caregiving performance, but also need to have good communication skills to keep all team members on the same page.

The Coordinating Team consists of nursing supervisors and heads from different departments. Coordinating team members are responsible for the daily operational management and coordination functions in the organization. Moreover, they also provide the maximum support to the Core Team, and they are responsible for resource management as well.

The Emergency Team is responsible for immediate and emergent situations. It’s is important to make sure that the Emergency Team always composes members from different teams so that they can respond to different types of crises. Possible emergency team members can be emergency response members, care planning professionals, etc.

The Ancillary Team also provides direct and task-specific care to residents, but in a supporting manner. Ancillary team members provide specific services that support the care of residents, and members can be X-Ray technicians, pharmacists, and laboratory professionals.

The mission for members of the Support Services Team is to provide safe, comfortable, and clean environments for residents. Possible members can be volunteers, housekeeping staff, gardeners, etc.

The structure of the MTS team can vary from long-term care community to community, as long as all members in the communities have specific responsibilities and close ties to the team members.

REFERENCES:
https://www.belbin.com/media/1818/belbin-team-work-in-care-homes-cmm-april2012.pdf
https://seniorhousingnews.com/2012/06/21/better-care-found-nursing-homes-with-good-staff-communication-teamwork/
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/longtermcare/module2/igltcteamstruct.pdf

It’s not surprising that professionals in the caregiving industry care. And when we care, we can also face heavy emotions and a lot of stress.

According to studies conducted by the Ontario Caregiver Organization, more than half of our colleagues are stressed with overall caregiving management (57%), emotional control (55%), and work-life balance (55%). 65% of caregivers mentioned that they need emotional support, however, only 28% of them actually received any resources.

We have to do more, and provide more to all of our caregivers! Here are some small tasks each institution can do to improve the mental health of everyone involved:

Organize social activities regularly!

Work-life balance is salient, especially in the caregiving field. Social activities not only promote better interactions and communication between caregivers but also improve mental health and reduce stress. For example, comedy shows, balls, and more…whatever it takes to have some fun in your daily/weekly routines!

Provide resilience training!

Caregivers often find it difficult to manage their negative emotions and feelings, and experience depression, burnout, etc., therefore learning how to adapt to stressors is critical for mental wellness. This type of training is used in the military to resolve mental issues like stress, and it should be applied in the medical field as well.

Schedule meditation workshops!

One research done at Stanford University School of Medicine found that people who practice mindfulness meditation show fewer stress-related symptoms and declare that they have a greater sense of control over their health and emotions. So just arrange 15 minutes a day for all employees to meditate, and the return will be impressive!

CareStory is always here, supporting you on your caregiving journey. We hope to continue to deliver empathy, promote workplace wellbeing, and raise mental health awareness in the caregiving industry. Stay with us, we won’t let you down.

REFERENCES:
Well-Being Index
Arizona State University

Happy Wednesday caregivers! We are accustomed to taking care of others, however, we often put our health on the back burner. Caring for yourself is one of the most important things, but caregivers often forget about it. Start from now, and spend more time on your own fitness, nutrition and other needs! Let’s check some fun wellness activities for caregivers together XD!

Walking Meetings

Make sure you’re not all sitting in a chair during the day. Get up from your chair, take a walk outside and move throughout the day! Some fresh air can help you stimulate your creativity. Set aside 10-15 minutes a day to go for a walk. Trust me, exercise is always helpful.

Meditation Breaks

We know that caregiving is challenging and sometimes, overwhelming, therefore, stress management is crucial for caregivers. Whenever you feel stressed, take a deep breath and then take a ten-minute break for meditation. You can also just close your eyes and implement “no-talk times” during the day. Try it, it can help you de-stress and refocus your energy so that you can become more productive afterwards.

Healthy Recipe Sharing

Healthy eating is just as essential as fitness for maintaining your wellness. But for caregivers, we probably do not have enough time to prepare fancy nutritious meals for ourselves. Find healthy meal recipes that take 10 minutes to prepare. During the lunch break, chat with your colleagues and share your recipes! Could be an avocado egg sandwich, tuna, kale and spinach salad, etc. Discover your creative side and generate some easy healthy meal ideas!

Have more ideas? Share with us! Please comment below with the caregivers’ wellness activities you have attended or you would like to try! CareStory wants to hear from you!

REFERENCES:
The Atlanta Journal-Constitution
Rise People
Walder Wellness

Morning administrators! Have you ever found that your colleagues don’t have enough motivation for their work and are less connected to each other, especially during the pandemic? Today, CareStory is going to provide some engagement strategies for your colleagues and caregivers:

Firstly, involve caregivers in decision-making!

As the administrator, your proposed changes will directly impact your caregivers, which may have positive or negative influences. So before you actually implement these changes, please, listen to your colleagues — What feedback do they have? Any better ideas? Give them a voice in how plans are implemented, and make them feel deeply involved! Trust me, they may surprise you with incredible suggestions!

Besides, ask for feedback and improvements!

Regularly send out surveys to your employees; anonymous ones are recommended. Find out what resources they need, what resources you don’t currently provide but would help them develop their competence and confidence, their motivation, and their job satisfaction. You can also schedule one-on-one interviews and connect with your team members. Sample questions can be:

What are your recent goals?
What is going well so far?
Any obstacles or challenges are you currently facing?
What else do you expect from the company?
How can I better support you?

Keep doing that and show that you really care about them!

Moreover, launch wellness and fitness programs and promote staff well-being!

We all know that caregivers are more likely to experience stress, and the admin staff should help them stay healthy and positive! For instance, providing information about mental health, hosting workshops and webinars on how to regulate negative emotions, offering meditation training, creating peer support groups, etc. But trust me, this will gradually build a positive work culture!

To fuel motivation, one of the most effective ways is to show caregivers they are supported by their CEOs, executive directors, and administrators. Let’s work together! So if you have thoughts or ideas of strategies that can keep caregivers engaged, feel free to share with CareStory below in the comment section!

REFERENCES:
https://www.celltrak.com/blog/10-ways-to-help-home-health-caregivers-feel-connected-as-an-agency-team
https://www.relias.com/blog/refuel-your-caregivers-with-these-engaging-strategies

We are in the caregiving industry, and we know that, at times, negative emotions and feelings can surround us. Burnout, depression, and anxiety—yes, we are experiencing them. When does it end? It’s always a good idea to make hay while the sun shines. Start promoting mental health today and prevent long-term mental illness, with a few small changes.

Do some self-care activities every day!

Lots of people only have self-care activities during weekends. For example, going to the spa, getting a massage, acupuncture, etc. These activities often consume a whole day and sometimes even cost half a paycheck. However, it’s better to actually have daily self-care activities instead of waiting for a day off to “treat yourself.” You can take a 5-minute daily meditation, you can have a daily 15-20 minute video call with your close friends, you can read books and take bubble baths, etc. You can also do any activity you really enjoy! Give yourself at least a few minutes every day to regulate emotions and revel in something restorative :)!

Commit to healthy eating habits!

An article published at Harvard Health Publishing mentioned that eating high-quality foods that contain lots of vitamins, minerals and antioxidants can protect our brains from oxidative stress. We understand that sometimes you are too busy to prepare a healthy meal from scratch for yourself and consume junk food. Try meal-prepping! You can cook several healthy meals with fresh veggies, whole grains and lean protein and store them in your refrigerator. So next time you’re in a pinch, you can just take out a meal, microwave it, and off you go!

Take breaks when you’re exhausted!

Breaks are crucial to preventing burnout. We know that when you’re so busy working on your tasks, stepping outside for a fifteen-minute break and getting some fresh air seems impossible, but you have to do it! Trust us, you need to release your accrued tension when you feel too overwhelmed since breaks can help you become more focused and energized. But if you continue to work when you are exhausted, you will only become less efficient, and that will take you even longer to finish your tasks. If you work with your team, please ensure that everyone can take breaks every 3-4 hours. Cover for each other while they’re on break.

Ignoring your stress is the least effective way to cope with your health issues! Let’s face mental health issues proactively together! Take our advice—we care about you a lot, and we want you to care about yourself as well!

REFERENCES:
RNnetwork
Gebaur Company
Harvard Health Publishing

The New Normal

Since the pandemic, we have been relying more and more on technology, therefore changing our day-to-day routines. Change, while scary, can also be good, and as a result, be exactly what we need.

When introducing new technology into any long-term care community, certainly, there are going to be some challenges. On the other hand, once you get the hang of it, there is no going back. In many ways, incorporating technology in senior living has become the new normal. Let’s take a look at four popular trends we have seen in caregiving technology since early 2020.

Interactive Platforms

Firstly, let’s discuss Interactive Platforms.

As professionals in senior living, we collect a lot of data. This data can consist of seniors’ personal information, health records, medications, and physical examination reports, for instance. Interactive platforms store and organize data for you, and as a result, can improve care management efficiency!

Voice-Enabled Interfaces

Let’s move on to Voice-Enabled Interfaces.

“Hi, Siri!” “OK, Google!” Sound familiar? These devices can comprehend, interpret, and even anticipate our needs. Yes, we said anticipate. Creepy? Definitely. Convenient? Definitely. Seniors need the convenience of speech recognition technology just as much as we do. According to a report published by Orlov’s Aging and Health Technology Industry in 2019, speech recognition technology will continue to be be everywhere in senior living because voice-enabled interfaces help seniors and caregivers have a better understanding of the seniors’ health conditions.

Remote Monitoring/Telehealth

Next, let’s discuss Remote Monitoring and Telehealth.

As you know, it’s the remote work era. How many Zoom meetings have you attended wearing pyjama pants? The correct answer is “all of them”. Currently, Telehealth technologies can monitor and manage health records at a distance, so caregivers can not only provide diagnoses remotely. Furthermore, care staff can also quickly access resources and documents they need, such as video conferencing, virtual reality training programs, and online chatting and booking systems.

Assistive Technologies

Finally, let’s review Assistive Technologies.

Research at the National Academies of Sciences, Engineering, and Medicine mentioned that assistive technologies have a great effect on those involved in senior living, especially in the care of people with disabilities. This technology can support people with vision, hearing, and mobility limitations. Common devices include smart glasses, which provides navigation for people with vision impairments, and smart hearing devices, which adjusts the sound of the environment around the user.

Now What?

Have we missed any?

In short, technology is currently shaping our experiences of living, ageing, and caregiving, and consequently, will help to change the narrative and perception of long-term care. CareStory believes that senior living will continue to evolve with emerging technologies, and therefore update outdated policies and procedures.

REFERENCES:
https://academic.oup.com/gerontologist/article/60/Supplement_1/S41/5735605#198949062
https://betterhealthwhileaging.net/tools-for-caregivers-keeping-organizing-medical-information/
https://pubmed.ncbi.nlm.nih.gov/31107599/
http://www.seniorhelpers.ca/blog/new-technology-making-seniors-safer-at-home

Let’s Talk Mental Health

It’s time to put stigmas to bed and start the conversation on Mental Health. In particular, let’s talk about mental health challenges involved in caregiving. Feelings of isolation, panic, frustration, and depression, for example, are very common. If you’re feeling overwhelmed with your caregiving responsibilities, there is always help. Together, we are strong, so let’s take a look at some resources you can use when you need a little TLC for the mind.

Helplines

To start, if ever things get too heavy or too overwhelming, helplines are available 24/7, and can often specialize in exactly what you’re going through. For instance, The Ontario Caregiver Helpline is designed for caregivers in Ontario, where caregivers can find mental health support services and information for themselves and even the people they care caring for. Furthermore, The Ontario Caregiver Helpline can help refer other caregivers to the support they need. The service is free and confidential, therefore you are not asked to provide your name and can be as open and honest as you like. There are two ways to access the helpline. You can either call 1-833-416-2273 (CARE) where you will speak with Community Resource Specialists who are available 24/7, or you can use the Live Chat feature on https://home-c11.incontact.com/inContact/ChatClient/index.html. The chat is available Monday to Friday 7am-9pm EST.

Webinars

Next, webinars are a great way to educate yourself and also meet new people. If you want to deepen your understanding of caregiver roles, find more practical skills to manage negative emotions, and learn more effective methods to overcome them, for instance, you cannot miss the webinars put on by The Caregiving Association! The webinars are led by Nurse psychotherapists and Registered Social Workers. Check them out here:

Peer Support

Finally, perhaps one of the most important resources to over come mental health challenges, is peer support. Negative emotions, such as anxiety, depression and guilt, happens to caregivers all the time. As a result, you can always find someone who has walked a mile in your shoes, and understands what you are going through. We all face challenges in our caregiving journeys, therefore connecting with other caregivers and sharing feelings and experiences with other caregivers can relieve some of the stress. Some available peer support resources are listed below:

Ontario Caregiver Organization Online Caregiver Support Group https://www.eventbrite.ca/e/online-caregiver-support-group-tickets-100295998030
Young Caregivers Online Support Group https://www.eventbrite.ca/e/young-caregivers-online-support-group-tickets-101926424680

If you have any additional sources of support, please comment below! CareStory would love to share your voice!

REFERENCES:
https://ontariocaregiver.ca/resources-education/mental-health-resources/
https://ontariocaregiver.ca/peer-support/
https://ontariocaregiver.ca/resources-education/
https://ontariocaregiver.ca/resources-education/caregiver-resources/#caring-for-yourself

Good morning care staff! Did you get enough sleep last night? Did you eat a hearty breakfast? (No, coffee is not an adequate breakfast). We know that you have designed plenty of tailored care plans and activities for seniors, but what are yours? What are your self-care techniques?

The Facts

Research conducted by the Ontario Caregiver Organization mentioned that 77% of caregivers are dealing with challenges in their mental health, however, it’s difficult for them to find mental health support. As a result, 43% of caregivers are dealing with feelings of isolation and loneliness, which drastically increased during the pandemic. Now is the time to start taking better care of your body, soul, and mind, so we have some self-care tools you can check out to relieve some stress.

Mindfulness

First, let’s talk about the practise that seems to be one of the main focuses right now when it comes to self-care and self-awareness: mindfulness. Mindfulness can help individuals regulate negative emotions and build emotional strength, which is exactly what we need when we are taking care of others.

As an effective stress-management tool, studies at The Gerontologist, Journal of Consulting and Clinical Psychology show that mindfulness meditations can improve negative emotions experienced by caregivers all over the world. For instance, depression, stress, anxiety, isolation and sleep issues can all be improved with mindful practises.

Even if meditation isn’t your thing because you find your mind takes you too many places (yes, it is a skill), you can try simple things to get you started and self aware in the present moment. For example, have a look around and start naming everything you see, hear, and smell.

Thymus Thump

Next, let’s talk about the Thymus Thump. Have you heard of it? We haven’t up until recently. The best way to describe it would be to call it the happiness point. The happiness point can assist to release fear, neutralize negative energy, and relax mentally and physically. How? Well, simply tap the thymus point (under the collar bone, in front of the heart, behind the sternum) for about 30 seconds to receive new energy! Amazing right?

Acupuncture

Finally, let’s take a look at acupuncture. Acupuncture, is a traditional Chinese medicine practice. It inserts thin needles into specific points to stimulate nerves and muscles, which can seem daunting, but honestly, you can’t feel a thing. The pressure caused by the needles helps the body to balance and heal itself, and relieves stress, anxiety, depression and insomnia.

Have different self-care techniques? Please feel free to share your techniques with CareStory! Want to become better at caring for others? Start with caring for yourself first!

REFERENCES:
http://www.balancedhealthclinic.co.uk/articles/19-the-thymus-thump
https://ontariocaregiver.ca/about-oco/about-ontarios-caregivers/
https://ontariocaregiver.ca/wp-content/uploads/2020/12/OCO-Spotlight-report-English-Dec10.pdf
https://ontariocaregiver.ca/whats-your-self-care-plan/
https://vimeo.com/443464579

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