Wednesday, June 28, 2017

Sparrow said facility audits are performed every two years to ensure standards are being followed.------------Serious breaches that were found as a result of the investigation include: expired aseptic sterile supplies like catheters; soiled linen and garbage overflowing into hallways; slings being used communally without a clear, consistent cleaning process; medication left unsecured, unlabeled, unattended; lack of proper training in medication management and assistance (for those managing medication); lack of proper training in dementia care (for those assisting clients with dementia); and lack of proper training in risk management, fall prevention, CPR, palliative/end-of-life care, safe lifts, restraints, and bathing.-----------Wildrose spoke to concerned residents in Lacombe about the findings of the initial investigation. Lois Cookson’s 89 year old stepfather was a patient at LHCC and said that “he was dying before our eyes in the Lacombe Hospital” with problems that included incorrect testing, filing of testing under the wrong patient’s name, and providing the wrong antibiotic.


No Change with NDP in Continuing Care. We just get better spin.
Let me count the ways we got better spin.
1) Instead of amending the Trespass to Premises legislation to provide for an independent appeal process Sarah Hoffman directed the AHS bureaucrats that are captive to Alberta Health to create a banning policy. They did it. The banning continues and so we still have folks in hospitals as the system fails. This junk happened with the PCs and now continues with the NDPCs but at least now we have a banning policy so that everything is done according to the policy and procedure. NOT.
2) Instead of giving real powers to the Health Advocates, Sarah Hoffman creates yet another advocate in the Seniors Advocate who is here for a year I believe. I wonder what she will do for a year without any power? Maybe yap about the problems families and advocates face such as banning, cease and desist letters instructing us to shut up or face the real thing--a lawsuit? So why do we have so many advocates who can't do anything? I guess we pay for information collection offices that advise Alberta Health of "emerging issues" of banning, evictions, abuse etc so that the department can prepare the better spin.
3) We have the Protection for Persons in Care Office that is there as in the time of the PCs to provide the sanitized abuse reports. The PPIC Office is really the PGOA office (Protection of the Government of Alberta) office. It's not there for families and the abused residents. It's there to protect government and political hires so that they get rehired for 44 years because we don't know the real state of affairs in the continuing care system in Alberta. How could we? Everything is kept hidden including the PPIC reports, the audits and certainly even if the accommodation reports are up for a bit, they do will disappear. Everything that is negative about a care provider will vanish. I know because an item on my list of documents is now missing on the AHS website. Why? I guess the folks at AHS don't want us to know which facilities had the most complaints for that particular year.
Just have a look at my affidavit of records; item 63 is missing. I have a hard copy of the graph that shows the number of continuing care providers with care issues greater than five but somehow this is missing on the AHS site.
But maybe one of these links will help you get what you're looking for:
*************************************************************
#
Date
Description
1
May 21, 1996
Hansard Record - Govt of AB
May 21, 1996
February 25, 1996 death - Jennifer Fortier from detached ventilator
http://www.assembly.ab.ca/…/sessio…/19960521_1330_01_han.pdf
2
Aug 15, 1996
Hansard Record - Govt of AB
August 15, 1996
November 24,1995 death - George Clark from detached ventilator
3
May 21, 1996
Hansard Record - Govt of AB
May 21, 1996
Jennifer Fortier's fatality report
Died 1996, Feb 25 - detached ventilator/suffocation
http://www.assembly.ab.ca/…/sessio…/19960521_1330_01_han.pdf
4
Aug 21, 1997
Fatality Inquiry Report
August 21, 1997
February 25, 1996 death - Jennifer Fortier from detached ventilator
5
Dec 13, 2002
News article Edmonton Journal
December 16, 2002
December 13, 2002 death of 72 year man from detached ventilator
http://www.elderadvocates.ca
6
Aug 30, 2006
Hansard Record - Govt of AB
August 30, 2006
Continuing Care Costs
http://www.assembly.ab.ca/…/sessio…/20060830_1330_01_han.pdf
7
May 7, 2013
Hansard Record
May 7, 2013
Care for Dementia Patients William Buckley
http://www.assembly.ab.ca/…/sessio…/20130507_1330_01_han.pdf
8
April 9, 2013
Fatality Inquiry Report
July 18, 2010 death of William Evan Buckley
9
May 14, 2013
Newsletter
CANADIAN OVER 50s HOUSING WEEKLY NEWS • MAY 14, 2013
10
January 2015
Alberta Health CCHSS Audit
11
Oct 9, 2015
Investigation file Protection for Persons in Care (PPC) File # 8523
Particular pages
12
Oct 2, 2015
Director’s Decision Protection for Persons in Care (PPC) File # 8523 Allegations #8523.001 and #8523.002
13
2010-2015
Care and Medical Records Good Samaritan Millwoods
14
2010-2016
Medical Records Grey Nuns Hospital
15
2010-2016
Medical Records UAH/ Royal Alexandra Hospital
16
2010-2016
Emergency/ Admission / Discharge Documents and Consultant reports
17
2010-2016
ABG results and summary
18
2014-2015
Letters/Faxes E-mails from VitalAire
compliance monitoring
19
2010-2015
Downloads Medigas and Vitalaire Compliance Information (Good Samaritan Extended Care at Millwoods)
20
2015-2016
Downloads Medigas and VitalAire Compliance Information (Grey Nuns Hospital and Villa Marguerite)
21
2013
BIPAP AVAPS user manual
http://www.ahcah.com/…/BiPAP%20AVAPS%20C%20Series%20User%20…
22
2016
VitalAire Quick set up of your BIPAP Device
23
2016
VitalAire Successful BIPAP Treatment
24
Jan 22, 2015
Respiratory Information Sheet
BIPAP AVAPS Respironic ownership - ADL
Serial Number C13030482EF74
25
Oct 13, 2015
E-mail to Brenda Vos
Re BIPAP AVAPS Respironic ownership (ADL)
26
2005-2015http://www.albertahealthservices.ca/assets/info/pf/if-cc-ccrt-final-report-appendix.pdf
Respiratory Letters - Dr Damant and Government of Alberta
27
2010-2015
Care plans and Resident Care Conferences
Good Samaritan MW
 28
2010-2016
Cognitive and Capacity Testing
For R. Ali
29
May 26, 2010
Personal Directive
30
November 22, 2015
Supported Decision Making Authorization Form
31
2010-2016
End of life orders/ DNR orders/Goals of Care designations
32
2010-2016
Alberta Continuing Care Info System Assessments (ACCIS)
33
2015-2016
Eviction Correspondence
34
2010-2016
E-mails and Letters
35
Feb 19, 2015
Recording of first banning Voice Recording of Banning
http://pialberta.org/…/woman-evicted-care-facility-due-fami…
36
Sept 3, 2015
Voice Recording of second banning
37
2010-2014
The Good Samaritan Society SAP Manual Worksheet MWC004 -MILLWOODS RESPIRATORY
38
2010-2014
The Good Samaritan Society Vendor Receipt Report-Detail
39
2010-2014
The Good Samaritan Society
Supply Area Profile Valuation
40
2010-2014
The Good Samaritan Society Department Expense Detail Report by Category
41
2005-2012
The Good Samaritan Society Process Manual with revisions
42
2009-2014
The Good Samaritan Society Non-consolidated Financial Statements
43
May 22, 2007
Newspaper article
“Changes promised after Mountain View protest”
44
December 21, 2007
Newspaper article
“Concerns at Mountain View Centre raised again”
45
March 19, 2012
Newspaper article
“Confusion over long-term care”
46
April 2, 2012
Newspaper article
“AHS responds to long term care concerns”
47
November 19, 2012
Newspaper article
“The push for a long-term care facility”
48http://www.albertahealthservices.ca/assets/info/pf/if-cc-ccrt-final-report-appendix.pdf
April 30, 2013
Newspaper article
“Good Sam needs changes: Long Term Care Working Group”
49
May 13, 2013
Newspaper article
“Good Sam fatality report causes worry in Hinton”
50
May 13, 2013
Newspaper article
“Doubt surrounds seniors care facility”
51
August 29, 2013
Newspaper article
“Seniors issue a community problem”
52
October 8, 2013
Newspaper article
“Care facilities deemed insufficient for Hinton’s needs by working group”
53
October 12, 2013
Newspaper article
“Hinton’s seniors need more support, says working group”
54
October 21, 2013
Newspaper article
“Hinton’s elders deserve better”
55
December 3, 2014
Newspaper article
“Linden View care concerns voiced”
56
December 10, 2014
Newspaper article
“Bikman brings Linden View issues to seniors minister”
57
December 10, 2014
Newspaper article
“Linden View debate needs discussion”
58
December 18, 2014
Newspaper article
“Changes being made at Linden View”
59
December 23, 2014
Newspaper article
“Flip flop by Linden View management”
60
May 19, 2005
http://elderadvocates.ca/pdf/disciplining.pdf
Disciplining a Nursing Home Senior – May 19, 2005
61
March 24, 2015
Presentation to Legislature
http://www.assembly.ab.ca/…/sessio…/20150324_1330_01_han.pdf
62
March 24, 2015
Online News Article and Soundwave Document
Public Interest Alberta (PIA)
http://pialberta.org/…/woman-evicted-care-facility-due-fami…
http://www.pialberta.org/woman_evicted_from_care_facility_d…
63
June 2015
Continuing Care Resolution Team Feedback Summary
Appendix B -page 15
http://www.albertahealthservices.ca/…/if-cc-ccrt-final-repo…
Alberta Health Services
Continuing Care Resolution Team
Final Report
http://www.albertahealthservices.ca/…/if-cc-ccrt-final-repo…
64
June 24, 2015
Hansard
Presentation to Legislature
http://www.assembly.ab.ca/…/sessio…/20150624_1330_01_han.pdf
65
June 2015
TV broadcast - Alberta Primetime
2 Part Video
http://alberta.ctvnews.ca/video?clipId=648793
http://alberta.ctvnews.ca/video?clipId=647813
66
September 9, 2015
Newspaper article - Edmonton Sun
67
September 9, 2015
Newspaper article
“People banned from visiting family in hospital demand provincial help.”
68
September 10, 2015
Newspaper article
“Banned hospital visitors fight back.”
69
September 10, 2015
Newspaper article
“Family members speak out after being banned from care facility.”
70
October 2015
Online Survey Report
Health Quality Council of Alberta (HQCA) Survey
Long Term Care Family Experience pages
http://hqca.ca/surveys/continuing-care-experience/
71
October 2015
Online Survey Report
HQCA LTC Family Experience
2014-15 Survey Report - Provincial Results
https://d10k7k7mywg42z.cloudfront.net/…/HQCA_LTC_Provincial…
72
October 28, 2015
Newspaper article
“Ratings released for long-term care facilities”
73
October 28, 2015
Newspaper article
“City care centre ranks last
Good Samaritan has lowest ranking among long-term facilities in Alberta”
74
October 28, 2015
Newspaper article
“Health watchdog ranks Alberta long-term care centres.”
75
October 28, 2015
Online Newspaper article
“Staffing is key issue, says Health Quality Council of Alberta survey”
76
October 29, 2015
Newspaper article
“Watchdog hands out report cards for long-term care .”
77
November 5, 2015
Newspaper - Letter to Editor
” Experienced staff crucial to long-term care”
78
November 17, 2015
Online Newspaper article
“Government directs AHS to develop policy on banning visitors at long-term care facilities”
79
November 18, 2015
Online Newspaper article
“Alberta Health Services Ordered To Create Clear Policy For Banning Visitors At Long-Term Care Homes”
80
March 26, 2014
Health Quality Council of Alberta report
“Review of Alberta Health Services’
Continuing Care Wait List: First Available Appropriate Living Option Policy - March 26, 2014”
https://d10k7k7mywg42z.cloudfront.net/…/FAALO_FINAL_Report.…
81
April 30, 2014
Health Quality Council of Alberta report
Review of Quality Assurance in Continuing Care Health Services in Alberta - April 30, 2014
https://d10k7k7mywg42z.cloudfront.net/…/Continuing_Care_FIN…
82
June 4, 2014
Newspaper article
“Health watchdog calls for better oversight of care facilities”
83
June 5, 2014
Online Press Release
“HQCA releases two reports that address continuing care in Alberta”
http://hqca.ca/…/…/06/hqca-releases-continuing-care-reports/
84
June 5, 2014
Online Newspaper article
“Continuing care in Alberta will be better, promises province
Promise follows release of two reports critical of Alberta health policies”
85
June 5, 2014
Online Newspaper article -
“Confusion in Alberta continuing care: report”
86
2014-2015
Photographs and video
87
Blog posts limited to affidavit
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Because I have been in the continuing care system alongside my handicapped sister since 2010 when we put Rebecca in the long term care facility, we have no confidence in the government of Alberta (GOA) and the health authority (AHS).

You only have to look at the record of dead residents or harmed residents to see the chaos. Then there is the small matter of oversight. We don't seem to have very accurate oversight if even the Lacombe long term care facility which is run by AHS can't seem to manage to do the work required without investigation by the head honchos at AHS as per this information:

May 09, 2017

Leaked documents highlight serious concerns with level of care at Lacombe Hospital and care centre: Wildrose

Leaked documents show a system in flux at the Lacombe Hospital and Care Centre (LHCC) and bring to light serious concerns about the level of care provided at the facility, the Wildrose Official Opposition said today.
The documents outline an investigation that was launched in April 2017 as a result of “serious concerns raised about care quality at the site” brought forward by Red Deer College practical nurse students who were completing their practicums at the facility.
Serious breaches that were found as a result of the investigation include:
  • expired aseptic sterile supplies like catheters;
  • soiled linen and garbage overflowing into hallways;
  • slings being used communally without a clear, consistent cleaning process;
  • medication left unsecured, unlabeled, unattended;
  • lack of proper training in medication management and assistance (for those managing medication);
  • lack of proper training in dementia care (for those assisting clients with dementia); and
  • lack of proper training in risk management, fall prevention, CPR, palliative/end-of-life care, safe lifts, restraints, and bathing.
“The findings of this investigation are incredibly concerning, and show that Albertans in the Lacombe area are not receiving the care they deserve, Wildrose Leader Brian Jean said. “If it hadn’t been for the nursing students who were adamant about bringing their concerns forward, these unacceptable standards could have persisted.”
As the documents outline, a formal report is pending. Wildrose is calling on the NDP government to ensure that report is made public to ensure transparency and accountability.
“There are serious failings at the LHCC that must be addressed in order for faith to be restored in our health care system,” Wildrose Lacombe – Ponoka MLA Ron Orr said. “Patients and their loved ones have seen inadequate levels of care that are simply unacceptable, and that must change. Wildrose will hold the NDP government to account to ensure that significant problems found in the initial investigation are fixed.”
Wildrose spoke to concerned residents in Lacombe about the findings of the initial investigation. Lois Cookson’s 89 year old stepfather was a patient at LHCC and said that “he was dying before our eyes in the Lacombe Hospital” with problems that included incorrect testing, filing of testing under the wrong patient’s name, and providing the wrong antibiotic.


Leaked report prompts calls for further investigation into use of restraints in Alberta seniors facilities

'We want to ensure we're using restraining as a last resort,' says senior Alberta Health executive

By Kim Trynacity, CBC News Posted: May 16, 2017 6:00 AM MT Last Updated: May 16, 2017 6:00 AM MT
Health advocates are calling on the provincial government to increase oversight of the use of restraints in seniors-care facilities.
Health advocates are calling on the provincial government to increase oversight of the use of restraints in seniors-care facilities.
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Recent findings of absent or improper monitoring in the use of restraints at the Lacombe Hospital and Care Centre have prompted calls for greater oversight into how and why restraints are used in seniors facilities across Alberta.
A review of the Lacombe Hospital and Care Centre found that "multiple clients" were being physically restrained with no indication the practice had been ordered by a physician.
The review was conducted only after nursing students from Red Deer College raised concerns in March during a practicum at the facility.
Leaked documents with details of the review were made public by the opposition last week, when Wildrose Leader Brian Jean told the legislature conditions in the facility were "appalling."
Sandra Azocar, Friends of Medicare
Sandra Azocar, executive director of Friends of Medicare, says the government needs to tighten up its oversight of how restraints are used in seniors-care facilities. (Linked-In)
According to the documents, some clients "had seatbelts without physicians' orders in place, monitoring, review or documentation in the care plan."
Similar problems were also found with the use of "pharmacological restraints," which are prescribed medications that Friends of Medicare health advocate Sandra Azocar said are another way to describe "sedation, anti-depressants, and anti-anxiety medication."
Under AHS procedures noted in the review, a physician or care team is required to monitor a patient restraint prescription each month.
But that wasn't always the case at the Lacombe facility, where "medication reviews by the physician did not always occur at a minimum of once a month," according to findings of the review.

Concerns raised by seniors and families

Azocar said the use of restraints and medications has frequently been raised as an area of concern in meetings across Alberta with seniors and their families.
"There's quite a bit of a theme happening across the province in seniors care, when it comes to the use of these (restraints)," said Azocar.
Family members are often worried "there's a bit of an overuse," she said.
Friends of Medicare thinks there should be greater oversight of restraint usage in all facilities.
"It's definitely an area where the province needs to put a little bit more oversight and certainly focus on, in terms of how do we make somebody's life a little more bearable when they're in a facility," said Azocar.
Lori Sparrow, senior health executive for AHS central zone, wouldn't comment on the Lacombe findings, because of an ongoing investigation into the problems discovered there.
But Sparrow said every facility is expected to follow a "restraint procedure."
"If it's found that restraint-as-a-last-resort procedure is not being followed," said Sparrow, "then we'll go in and investigate and provide additional education and training for all those who are involved."

Restraints should be 'a last resort'

Sparrow said patients who are restrained are required to be monitored and reassessed every three months, or more often if necessary.
"We have a least-restraint policy," said Sparrow. "We want to ensure we're using restraining as a last resort."
Restraint should only be used when a patient poses a danger to themselves or others, she said.
Sparrow said facility audits are performed every two years to ensure standards are being followed.
Despite concerns expressed to Friends of Medicare about restraints, performance measures tracked by the Canadian Institute of Health Research show the rate of usage of chemical and physical restraints in Alberta is below the national average, and declining.
As of November 2016, the CIHI data shows 6.9 per cent of residents in Alberta long-term care facilities were restrained, compared to the national average of 7.4 per cent. The Alberta percentage compared to 8.6 per cent the previous year.
The Lacombe Hospital and Care facility is now under investigation by Alberta Health Services
A review of operations at the Lacombe Hospital and Care Centre uncovered problems with the use of mechanical and pharmacological restraints. (Google)
There has also been a steady drop in the use of anti-psychotic drugs in Alberta as a restraining measure in seniors care, according to the CIHI report.
What CIHI calls "potentially inappropriate" use of anti-psychotic drugs in Alberta long-term care facilities has dropped in recent years, from a peak of 36 per cent in north zone facilities in 2012-2013 to 24.8 per cent in 2015-2016. CIHI said the measure tracks "the percentage of residents who receive an anti-psychotic medication without a diagnosis of psychosis."
CIHI said the overall number for Alberta is now at 18.1 per cent, compared to 26.5 per cent in 2012-2013.
Anti-psychotic drugs, according to CIHI, are "a class of medication used for the treatment of acute and chronic psychosis" that could have adverse effects, especially on seniors. They are deemed appropriate, however, "when used in the treatment of chronic mental health conditions, such as schizophrenia and to manage psychosis," such as hallucinations.
As a result of the findings of the Lacombe hospital review, AHS placed three staff members on administrative leave, ordered more staff training, and launched investigations.
One investigation is being conducted under the the Protection for Persons in Care unit of Alberta Health.

The group responds to reports of potential abuse of patients in hospitals or nursing homes, in addition to examining accommodation standards.


*******************************************************

So let me get this straight--facilities are audited every two years as per this information and yet no one noted the major non-compliances suddenly visible to the nursing students?

http://www.cbc.ca/news/canada/edmonton/leaked-report-prompts-calls-for-further-investigation-into-use-of-restraints-in-alberta-seniors-facilities-1.4116124

Sparrow said facility audits are performed every two years to ensure standards are being followed.

*********
Why did no one follow up on the accommodation audits that were non-compliant for four years?
So who is in charge of the auditing?
I've seen comments by other families about other facilities in Alberta. We also have case of the banned father at Grande Prairie.

So I guess the banning policy of Ms. Hoffman's directive is not so useful is it?

Just looking at the  Tucker family situation I guess Ms. Hoffman is fine with their situation:

https://www.facebook.com/stephen.tucker.334
Stephen Tucker added 4 new photos — with Tammilee Rideout-Tucker.
April 27
PLEASE SHARE!!!! It breaks by heart to have my mom in a emergency room bed were at least dad can now visit her . A care home in grande prairie has abused my mom for the last time . We are now taking up space in an emergency room while awaiting for a doctor to help us find a spot . The care home today slammed the door in my face as I tried to talk to them. As I had to remove mom s belongings out of there so the abuse can't continue. Dad fought with them for years with documentation and pics plenty of proof to put them under . But everyone turns a blind eye to the abuse and call it un founded . The judge without any looking at foundings or proof just say your banned and any further cost comes to dad? How does a retirement man pay for lawyer fees. I want this banning my dad from the care home for a full year without visiting rights to go viral . He has legal guardianship to be her voice from a court but means nothing . How does the justice system work ? She cannot speak for herself . Please share the shit outta this . Media here I comee

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Tricia Schuh My family has had lots of issues with abuse of my Dad in long term care. I am not sure what happened to your mom but Long term government care for seniors in Alberta is broken. Nothing has changed they are nursing homes where people get little care, no care or very poor care. There is a lack of equipment, staff and training. We need to treat our seniors better this should be a priority. WE need leadership to make changes in policy. Husbands and wifes should not be split up. This is wrong! I wish you and your family the best and I hope you find a better place for your mom.

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2
June 20 at 12:13pm
Julie Ali The system is broken because the government of Alberta has abdicated its responsibilities to the most vulnerable citizens. Instead of doing proper oversight, effective auditing and performance reviews we have tolerance of accommodation non-compliances for years. In the case of the non-compliances to the standards of care we don't get this information until the opposition party releases this information to us. Why don't we have access to the CCHSS audits and the Quality audits? I guess the GOA is more interested in the impact to third party business interests than in the families they are supposed to represent. Not in the public interest at all. The very fact that we have an AHS facility at Lacombe with so many non-compliances that were brought up by families that were not dealt with indicates to me that the situation is simply in chaos. http://edmonton.ctvnews.ca/documents-leaked-after-ahs... The nearly 40 page investigation report and audit was made public by the Wildrose Party earlier this week.
“We began this because an Alberta Health Services manager passed on to us a series of documents that indicate a number of standard breaches at the Lacombe hospital,” said Lacombe-Ponoka MLA Ron Orr.

The document brings to light that not all staff at the Lacombe Hospital were trained in critical areas such as CPR, palliative and end of life care, safe lifts, transfers or use of restraints. "I think the situation is serious. The official that gave us the documents said they were shocking and felt that the public needed to know,” said Orr.
Other concerns range from expired aseptic sterile supplies like catheters, to medication being left unsecured, unlabeled and unattended.


Alberta Health Services has confirmed three staff…
EDMONTON.CTVNEWS.CA

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ReplyRemove PreviewJune 24 at 1:19pm
Judy Bailey BC isn't any better. It's a sad state of affairs

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ReplyJune 20 at 5:20pm
Julie Ali Government is not interested in changing the system but families are. We're all speaking out now.https://www.facebook.com/groups/1314469888630077/

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ReplyRemove PreviewJune 24 at 1:19pm
Joni Elliott Hi Stephen. I don't know you but I do know of a place you can contact for help. These kinds of actions against our loved ones must stop. Thank you for posting your situation. http://elderadvocates.ca/

Elder Advocates of Alberta Society Website. Elder Abuse and Neglect Advocation
ELDERADVOCATES.CA

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1
June 23 at 9:40am
Dianne Lalonde Steppacher Shared, to say this exists in Canada

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1
June 24 at 10:36am
Julie Ali Exists and is tolerated by the GOA.

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1
June 24 at 1:20pm\
Robin Glinz Family needs to speak to speak with maybe, if you have not.

https://www.albertahealthadvocates.ca/.../Pages/default.aspx


ALBERTAHEALTHADVOCATES.CA

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ReplyJune 25 at 5:33pm
Julie Ali I spoke to them when my sister was evicted and I was banned and they said that they can't do anything. This is true. They can't do anything. They are there for cosmetic purposes only. Families in crisis go to them. The advocates yap and tell the families they have to move forwards. The families get referred to Patient Relations at AHS and Covenant Health which also has no power to do anything. No one can get the ban removed because these are private facilities. Also the Government of Alberta made the Trespass to Premises legislation that is used to ban. The PCs did not put in an independent appeal process so you stay banned. When the NDP were hired they refused to do the amendment too because I guess Sarah Hoffman believes that families and advocates should still be banned. She directed AHS to make a banning policy. And so we're still being banned. Way to go Sarah Hoffman!

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ReplyJust now


Julie Ali Also please not banning happens at public facilities as well. Covenant Health banned Shauna McHarg. http://www.edmontonjournal.com/people.../11351467/story.html

Julie Ali wants the NDP government to intervene…
EDMONTONJOURNAL.COM

*****
When specific problems come up such as the premature termination attempts on my handicapped sister we have the AHS folks come up with policy and  procedure that doesn't address the problem of families and advocates which is to PREVENT premature termination or euthanasia of patients in the system by overzealous doctors determined to save the system money while (ostensibly) following the instructions of a patient without insight.

The doctors at the Grey Nuns Hospital behaved unprofessionally in my opinion in their multiple attempts to use the DNR orders which were not warranted and represented an ethical breach.

But no one cares in Alberta. It's all about protecting the exposed behinds of the professionals, the absent health authority top dogs and the disinterested folks at Alberta Health who have the temerity to come before us whenever there is disarray and horror in the continuing care system to puppet the same script of "Abuse will not be tolerated" when it is clear to all of us that it is tolerated. It was tolerated in the time of the PCs and looking at the current mess at the Lacombe long term care facility where the Protection for People in Care (PPIC)  folks are doing their usual work of Protection of the Government of Alberta (PGOA)--- well it's still present with the NDP folks.


So what really has changed in the continuing care system in Alberta with the NDP folks? We get better spin.


It's sad but all I can do is keep documenting the failures. The new policy and procedure on Goals of Care designation is a poor response to my sister's hellish experiences at the Grey Nuns Hospital. I guess I have to keep writing about these failures for the rest of time and follow Ruth Adria's example.

#FollowingRuthAdria
I picked up Rebecca late today but we got home. It was time to watch Dr. Phil so younger boy put it on for Rebecca. She advised Dr. Phil during the shows which I tried to ignore as I had my small nap. Younger boy had to do the TV as I am not able to put it on. I gave her sundry fruit in the house but forgot about the watermelon. Then it was time to go back to the Villa.
When we got in the minivan all hell broke loose. There was a pounding rain as we drove on the Whitemud Freeway. Visions of the lost car of my dad danced before me as we drove through the deluge.
We got to the Villa safe. I kissed her goodbye and checked in with the LPN to let them know she was back.
 On the way home it was still mucky and I gave up on putting the laundry out.
I hung the wash in the mud room.
Younger boy did not want to eat my dad's beef curry so I took him for fast food. It's troubling but there was only sausage in the house and the sandwich meat so we didn't go there.
Maybe tomorrow he will have yet another sandwich.
Right now I feel very mellow. Although I am writing a lot and reporting on the major problems in the continuing care system most of the citizens ignore this stuff as it is not impacting them. It only becomes important when one of your family enters the system. Sometimes you can do super human efforts and keep them at home as we hope to do with my parents but for my handicapped sister, it's very hard to check on her all night. She is in the continuing care system in Alberta which is a sad state of neglect simply because the GOA (government of Alberta) has no intelligent planning folks in their employ. I mean how many staff do you need to get the basics of good care established? You just have to contact me or other families to get the dirt. We're ready to yap. But of course the policy makers at AHS and Alberta Health aren't interested in our feedback which requires that there be patient and resident rights. The system is interested only in protecting itself. I am curious how long the system will try to cover it's exposed rump in the continuing care system as more of us go to the media and social media to speak of government incompetence, indifference and just plain self interest? I doubt that any political party will be able to withstand the public exposure of their failures to monitor, penalize and evolve a broken continuing care system but in Alberta everyone we hire to the GOA simply ignores the problems because they can do this.
When we provide evidence of system wide failures as in the attempts to terminate my handicapped sister they simply put in new policy and procedure to make it even harder to protect vulnerable citizens such as the dumb new policy and procedure of the Alberta Health Services folks which requires families to go to the court system instead of an independent board as in Ontario.
http://www.ctvnews.ca/…/rasouli-life-support-case-scc-rules…
Case likely to return to Consent and Capacity Board
Criminal lawyer Edward Prutschi, of CrimLawCanada.com, says it appears the court did not want to hand doctors the right to make such decisions all on their own, contrary to the wishes of the family.
"And that's the reason that Ontario has a Consent and Capacity Board that is made up of doctors and ethicists, which will make the determination," Prutschi told CTV News Channel.
"And so the Supreme Court has said, 'Look, there's a system in place when this type of decision is contemplated. This meets the definition of treatment. Don't come to us; go to them'."
Mark Handelman, a lawyer and former member of the Consent and Capacity Board, says the board is comprised of doctors, psychiatrists, community members and lawyers such as himself. He maintains that the board is better equipped to resolve life support cases than the courts.
"It's probably heard more end-of-life care cases than all the courts in Canada put together," he told CTV News Channel. "It is an expert tribunal. They've heard these cases since the Health Care Consent Act was enacted in the mid-90s. And while it's not perfect, it's better than forcing people to start lawsuits and go to court on these matters."
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Why do we have to go to court?
Because the GOA and it's underlings in the AHS place aren't interested in citizens and their human rights.
Nope.
Government is interested in bureaucrats, their turf and their political heads of departments. We're just the problems they have to make policy and procedure in order to control.
Doubt this will work.
ADVANCE CARE PLANNING AND GOALS OF CARE DESIGNATION
7. Goals of Care Designation Decision Support and Dispute Resolution
7.1 When circumstances bring significant complexities, decision support may be required (refer to Appendix C: Decision Support and Dispute Resolution Resources Related to Advance Care Planning and Goals of Care Designations).
7.2 In the event that there is uncertainty, distress, or disagreement regarding the appropriateness of life support interventions or the Goals of Care Designation between either the patient or alternate decision-maker and the most responsible
health practitioner; or among the members of the patient’s health care team, refer to Appendix C: Decision Support and Dispute Resolution Resources Related to Advance Care Planning and Goals of Care Designations.
7.3 Where uncertainty, distress, or disagreement may escalate to a dispute, the principles and processes outlined in the Alberta Health Services Dispute Prevention and Resolution in Critical Care Settings policy suite shall be adhered to.
7.4 Where all efforts to reach consensus regarding appropriate interventions and/or a Goals of Care Designation have failed, and an impasse is reached, the most responsible health practitioner shall, in accordance with the Alberta Health
Services Dispute Prevention and Resolution in Critical Care Settings Procedure:
a) write a Goals of Care Designation order, including notification of the date and time the order shall come into effect;
b) provide a written copy of the order to the patient and/or alternate decision maker, with reasonable advance notice; and
c) inform the patient and/or alternate decision maker of their right to seek legal advice.
7.5 Where the patient lacks capacity and their expressed wishes, values and beliefs specific to the situation at hand are not known; the Dispute Resolution Process shall be initiated if:
a) the alternate decision-maker gives clear instruction to request, withhold, withdraw or limit intervention/treatment; and
b) the team strongly believes that the alternate decision-maker’s instruction is not clinically indicated and is contrary to the patient’s best interest and;
(i) there is disagreement regarding what constitutes the patient’s best interest; or
(ii) there is disagreement regarding whether the patient’s prior
expressed wishes, values and beliefs are applicable or relevant to the particular situation at hand.
7.6 In the event of a time critical medical emergency, when the patient lacks capacity and there is not time to complete the steps of the dispute resolution process, the most responsible health practitioner may need to initiate specific interventions necessary to address the emergency need, even if contrary to the alternate
decision-maker’s position.
NOTE: Overriding the alternate decision maker would be the exception to the norm, supportable only in those emergency situations where:
(i) the patient’s relevant wishes, values and beliefs are unknown; and
(ii) there is disagreement regarding best interests; or
(iii) where there is earnest disagreement about the applicability of the patient’s prior expressed wishes, values and beliefs.

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