{"id":19789,"date":"2024-10-18T11:43:56","date_gmt":"2024-10-18T15:43:56","guid":{"rendered":"https:\/\/ssaquebec.wp.vortexdev.com?p=19789"},"modified":"2025-08-01T08:58:01","modified_gmt":"2025-08-01T12:58:01","slug":"list-of-improvements-to-ease-the-transition-between-home-and-long-term-care-facilities-chsld","status":"publish","type":"post","link":"https:\/\/ssaquebec.wp.vortexdev.com\/en\/news\/list-of-improvements-to-ease-the-transition-between-home-and-long-term-care-facilities-chsld\/","title":{"rendered":"List of improvements to ease the transition between home and Long-term care facilities (CHSLD)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The Par-A\u00een\u00e9s project, part of the PATIenTS program, which aims to improve the trajectory of seniors in the transition between home and residential care in the RUISSS Universit\u00e9 Laval territory, has documented a list of improvements to facilitate the transition between home and Long-term care facilities (CHSLD).<\/p>\n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Team<\/h3>\n    \n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Owner : <strong>Maude Laberge<\/strong>, Associate Professor, Department of Social and Preventive Medicine, Universit\u00e9 Laval<\/li>\n\n\n\n<li>Authors : <strong>Maude Laberge, Fanny Leblanc<\/strong><\/li>\n\n\n\n<li>Collaborators : <strong>Manon Cody<\/strong>, CISSS de la C\u00f4te-Nord<\/li>\n\n\n\n<li>Patient partner :<strong> Louise Bertrand<\/strong><\/li>\n<\/ul>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Recipients : Unit\u00e9 de soutien SSA Qu\u00e9bec, Centre int\u00e9gr\u00e9 de sant\u00e9 et services sociaux de la C\u00f4te Nord (CISSS-CN), R\u00e9seau universitaire int\u00e9gr\u00e9 de sant\u00e9 et services sociaux \u2013 Universit\u00e9 Laval (RUISSSUL)<\/p>\n\n\n<\/div>\n\n                    \n\n\n\n<h3 class=\"wp-block-heading\">Process for identifying improvements<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The team pooled and compared the following elements:<\/p>\n\n\n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Recommendations identified in the grey literature;<\/li>\n\n\n\n<li>Best practices identified in the scientific literature;<\/li>\n\n\n\n<li>Recommendations and suggestions from interview analysis;<\/li>\n\n\n\n<li>Field observations;<\/li>\n\n\n\n<li>Current practices documented in interviews.<\/li>\n<\/ul>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">The improvements thus identified were divided into two categories and eight sub-categories.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The improvements<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ssaquebec.wp.vortexdev.com\/wp-content\/uploads\/2024\/10\/Liste-des-ameliorations-de-Par-Aines.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download the list (in French) or see in English below<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The table presented in the document is classified by type of strategy:<\/p>\n\n\n<div class=\"wp-block-list\">\n<ol class=\"wp-block-list\">\n<li><strong>Strategies related to the structure of care and services<\/strong><div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Personalized and adapted living environment :<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Have a different architecture and layout from hospitals to reduce the feeling of being hospitalized and create a sense of familiarity.<\/li>\n\n\n\n<li>Facilitate the personalization of the room by giving access to it before moving in, and helping people who don&#8217;t have relatives to do this with them.<\/li>\n\n\n\n<li>Take people&#8217;s culture and beliefs into account when designing private and communal spaces<\/li>\n<\/ul>\n<\/div><\/li>\n\n\n\n<li>Stability of human resources and continuity of care and services:<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Have stable teams to enable relational continuity<\/li>\n\n\n\n<li>Foster collaboration with residents and their families<\/li>\n\n\n\n<li>Hold weekly team meetings to follow up on files and case discussions.<\/li>\n<\/ul>\n<\/div><\/li>\n\n\n\n<li>Management and administrative processes:<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Provide managers with tools to address the issues experienced by seniors and their loved ones during the transition to a CHSLD: training, online toolbox and forum, procedures guide, co-development workshops, etc.<\/li>\n\n\n\n<li>Integrate life history questionnaire into electronic file<\/li>\n\n\n\n<li>Adopt a continuous improvement approach in which facilities draw on evidence to make improvements<\/li>\n<\/ul>\n<\/div><\/li>\n\n\n\n<li>Staff preparation and support:<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Ensure that staff understand all stages of the transition process and its effects on the individual.<\/li>\n\n\n\n<li>Allow staff time to help people settle in and acclimatize to their new environment<\/li>\n\n\n\n<li>Provide a practical guide outlining best practices to be adopted during the transition.<\/li>\n<\/ul>\n<\/div><\/li>\n<\/ul>\n<\/div><\/li>\n\n\n\n<li><strong>Strategies for quality of care and service processes<\/strong><div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Housing access mechanism:<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Establish a unique transition mechanism that respects resident preferences<\/li>\n<\/ul>\n<\/div><\/li>\n\n\n\n<li>Admission and welcome procedures:<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Whenever possible, conduct a pre-move-in visit to familiarize the resident with the premises and the people, otherwise conduct a virtual visit.<\/li>\n\n\n\n<li>Draw up a life history in advance, so that it is available at the time of admission.<\/li>\n\n\n\n<li>Support the person and family in completing the life story<\/li>\n\n\n\n<li>At reception, staff introduce and welcome residents; they are welcoming, the center is visited, the experience must be positive for the person.<\/li>\n\n\n\n<li>Pair all residents with an attendant so that they have a resource person, someone who will act as an advocate for the facility.<\/li>\n\n\n\n<li>For the first week, identify other employees who can respond to residents when the attendant is not available.<\/li>\n<\/ul>\n<\/div><\/li>\n\n\n\n<li>Life history :<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Add an introduction to the life history questionnaire to explain its relevance and use to the person and family.<\/li>\n\n\n\n<li>Complete the questionnaire before the person moves into the CHSLD.<\/li>\n\n\n\n<li>Complete the questionnaire with the person and family<\/li>\n\n\n\n<li>Have the life history completed by a person with training in helping relationships, so as to have the skills to discuss more sensitive or painful subjects.<\/li>\n\n\n\n<li>Make staff aware of the importance of the life story through training: how to fill it in and use it.<\/li>\n\n\n\n<li>Make the information available in the rooms<\/li>\n\n\n\n<li>Make greater use of the person&#8217;s life story<\/li>\n\n\n\n<li>Create a concise, easy-to-read format (summary)<\/li>\n<\/ul>\n<\/div><\/li>\n\n\n\n<li>Aspects related to interpersonal relations :<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Develop tools\/interventions to improve communication and reception of indigenous people<\/li>\n\n\n\n<li>Use the person-centered approach and shared decision-making<\/li>\n\n\n\n<li>Respect residents&#8217; values, preferences, tastes and consent<\/li>\n\n\n\n<li>Facilitate the creation of new social relationships and participation in activities<\/li>\n<\/ul>\n<\/div><\/li>\n<\/ul>\n<\/div><\/li>\n<\/ol>\n<\/div>\n\n\n<section class=\"selected-post-block theme-block alignwide\">\n  <div class=\"selected-post-block__wrapper\">\n    <div class=\"selected-post-block__row selected-post-block__row--posts\">\n          <\/div>\n  <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>How to improve the transition between home and Long-term care facilities (CHSLD)? Here is a list of of recommendations.<\/p>\n","protected":false},"author":2,"featured_media":19784,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"10895,18024,12777,15212,18907,16667","footnotes":""},"categories":[40],"tags":[],"article-type":[47,48],"class_list":["post-19789","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","article-type-deliverables","article-type-tools"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>List of improvements to ease the transition between home and Long-term care facilities (CHSLD) | Unit\u00e9 soutien SSA Qu\u00e9bec<\/title>\n<meta name=\"description\" content=\"How to improve the transition between home and Long-term care facilities (CHSLD)? 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