Richmond Terrace has an active interdisciplinary Wound Prevention and Skin Care Team. This team includes members from Management, Nursing, Dietary, Rehabilitation Services and Activity Department. 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 Richmond Terrace.
Goal: To educate staff on new developments in palliative care and assist in the implementation within the facility.
- Look at the philosophies and goals of palliative care
- Dispelling the myths of palliative care
- Pain and symptom management
- Grief support for care givers and families
- Physician available 24/7
- Medication management at any level ordered by physician
- Therapeutic surfaces for comfort control
- Caring and compassionate staff trained in palliative care
Dementia Care Team
Richmond Terrace’s Dementia Care Team consists of staff members from all departments. We believe in a multidisciplinary approach when caring for those with dementia. Some staff has been educated in the P.I.E.C.E.S., Montessori techniques, Snoezelin. Our team liaises with the Alzheimer Society for educational opportunities and to assist with care issues when needed. The team serves as a resource to all front line staff in the management of behaviors 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
Active Outbreaks at Richmond Terrace
What is infection control and why is it important?
Infection control facilitates an environment that endeavors to prevent the transmission of disease to protect the health and safety of each resident, family, visitor and staff member. Infection control is integral to safe nursing practice. Residents of long term care facilities are at increased risk for developing infections due to immune and other body systems related to the aging process.
Purpose of infection control:
- To promote wellness through education and immunization
- To prevent infections and the spread of communicable conditions to each resident, family member and volunteer
- To manage infections and disease through daily surveillance of existing conditions
- To enhance the infection control program by ensuring access to new theories and practices
What can you as a client expect?
The immunization program for residents of Richmond Terrace includes:
- Tuberculosis (Mantoux) screening within 14 days of admission
- Annual fluzone clinics
- Pneumococcal vaccine
- Tetanus vaccine
The immunization program for Richmond Terrace personnel includes:
- Tuberculosis (Mantoux) screening of volunteers and newly hired staff
- Annual fluzone clinics
INFECTION CONTROL IS EVERYONE‘S BUSINESS!
Hand washing is the cornerstone of infection control. Hand washing is the most effective method of controlling infection and disease. All departments within the facility are supportive of and play an important role in the infection control program.
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. Richmond Terrace offers scheduled and impromptu educational opportunities for staff and volunteers.
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The Rehab team at Richmond Terrace is comprised of a Rehabilitation Therapist (certified kinesiologist), a consulting Physiotherapist and Restorative Care Aides. This team is responsible for enhancing the quality of life for each resident by maintaining his/her dignity, self-esteem, and independence. The focus of rehabilitation is to improve and or maintain independence and the functional abilities of our residents.
Upon admission to Richmond Terrace each resident receives a comprehensive assessment by the Physiotherapist to determine eligibility for the Active Physiotherapy program. The resident also participates in a thorough mobility assessment to determine current level of functioning. Information from these assessments are used to determine appropriate goals for future mobility as well as any necessary assistive devices that are needed to maintain safety and good posture. An individualized therapy program is then designed to meet the goals and current needs of the resident. This program will be carried out with the assistance and encouragement of the Rehab team. Continual monitoring occurs to ensure success of the prescribed goals and absolute safety of the resident.
Types of Therapy Plans
One, or any number of the following therapy plans may be recommended for the resident to participate in. The descriptions give a general outline of what is performed however each Therapy Plan is specific for the individual resident.
Residents who exhibit a potential to improve their functioning will receive Active Physiotherapy. These sessions are typically 2-3 times per week, and focus on transfers, gait, improving strength and pain management. Physiotherapy sessions may also include the use of modalities such as Heat, Ultrasound and TENS. Parallel bars may be used to assist with the development of proper gait patterns.
Residents that are able to walk are encouraged to do so on a regular basis. Residents are given the opportunity to walk with one or two members of the rehab team assisting them, as well with the use of standard or rollator walkers. Richmond Terrace is also equip with Arjo walkers, for those residents who have difficulty with balance and self support.
Range of Motion Exercises
Range of Motion is defined as flexibility in a joint or combination of joints. It is the extent to which a body part will move. These exercises are performed to maintain flexibility for independence and to aid in transfers.
- Passive – The resident is totally aided to move the parts of the body that he/she cannot do independently. Active Assistive – the resident does the movement to the greatest of their ability and is then assisted to complete the movement to its fullest extent.
- Active – The resident is capable of completing the entire exercise independently, however supervision is required.
Group exercise classes
Fit n’ Fun exercise classes take place three times per week, where fun and engaging exercises are performed to music. Classes are suitable for independent residents as well as any other resident willing to participate.
Hand Therapy and Upper Extremity Strengthening
Exercises are designed to encourage movement of the upper extremities, such as shoulders, arms, elbows, wrists, fingers and grip strength. Weights, Thera-bands, putty, therapy balls and the Power-Web are used in conjunction with exercises to increase movement and muscle strength.
Ex n’ Flex leg and arm exerciser
The Ex n’ Flex leg and arm exercisers are motorized exercising machines that aid in maintaining flexibility and mobility of joints and muscles for a population that includes residents with strokes, paralysis and multiple sclerosis.
Richmond Terrace is equipped with many devices that aid in improving or maintaining mobility and functioning. The following are available for use as prescribed by the Physiotherapist or recommended by the Rehabilitation Therapist:
- Arjo walking machine
- Ex n’ Flex arm/leg exerciser
- Parallel bars
- Weights and resistive manipulatives
- Rehab stairs
- Exercise bicycle
- Ultrasound, TENS, Hot and Cold Therapy
- Hand Posey’s, Heel Boots and Walking Shoes
- Positioning Bolsters and Wedges
Richmond Terrace also offers the use of wheelchairs, walkers and canes on a temporary basis, until the resident can acquire his/her own.
Additional Therapy Services
Wheelchair and Seating Assessments
The Occupational Therapist completes an assessment to determine the type and size of wheelchair each resident requires. The O.T. also applies to the Assistive Device Program for funding to assist in paying for the mobility device. The O.T. may be from C.C.A.C., or by private referral.
Walkers and Gait Aids
Assessments for walkers are completed by the Physiotherapist. The P.T. determines the type and size of walker that would best suit the resident, and applies to A.D.P. for funding to assist in paying for the mobility device.
Liaison and Information
The Rehabilitation Therapist is responsible to act as a liaison between the resident and their family, and the Professional Therapists and vendors of assistive devices. Residents and their families are encouraged to seek out the Rehab. Therapist if there are any questions regarding prescribed therapy, or mobility devices and repairs. If you would like more information regarding Rehab. Services at Richmond Terrace, please contact the Rehab Therapist at (519)736-4295.
Richmond Terrace has trained staff to perform basic foot care. Advanced foot care is provided by a contracted professional to residents within our facility.
We have a lab technician who visits our home weekly to perform lab tests ordered by the physician. Results are then communicated back to the home within a 24 hour time frame.
X-rays and ultrasounds may be carried out as per physicians orders, offsite. These services are available Monday to Friday with a prompt turn around for results.
First Medical Pharmacy is the homes provider for residents’ mediations. We have our own pharmacy consultant who visits regularly to assist staff, residents and families with any medication related concerns. She also provides education sessions for staff and is part of our Professional Advisory Committee.