Needs De: United Way Centraide North East Ontario Volunteer Resource Centre

Program Name: Friendly Visits (1 to 1 Person-Centered Engagement Program)

Program Description:   One to One visits are centred on contributing towards the unique needs, abilities and interests of patients in fulfilling the social, emotional, spiritual, and intellectual needs and support through purposeful and meaningful experiences in their everyday lives. Promoting and encouraging as much independence and self-care as possible in comfort, compassion and care, those volunteers assist our holistic based team-oriented practices and standards in supporting these health and wellness goals.

Where: St. Joseph's Villa, or St. Joseph's Continuing Care Centre Sites - South Bay Road Campus (across from Laurentian University) or our Downtown Geriatric Rehabilitative Care Site.

When: Visiting Program varies depending on the availability of volunteers and the needs/responses of the current resident/patient population. 

Volunteer Role:

going on indoor or outdoor walks, going for visits to the healing gardens where applicable, playing board games, puzzles, cards etc., at the person's individual ability level arts or crafts projects with a resident/patient, computer use, reading books, looking at photographs, reflecting on memories, scrapbooking, accompanying residents/patients to various activities within the St. Joseph's Site,

Volunteers are welcome to join us on a routine schedule that best suits their schedule throughout the week and must have a sincere desire to work with residents/patients of a variety of interests, personalities and ability levels, have an understanding of the aging process through provided orientation and program-specific training, involving the person-centred approaches to meeting individual needs of our residents' wellness goals.

 

Please contact Tanya Anne for more information at tanneball@sjsudbury.com

This role is great for leaders who enjoy creative relaxing outdoor time to aid with gardening initiatives at the centre. 

 

 

Service Name: Prayer and Spiritual Reflection - Open Chapel, Mondays

Location: St. Joseph's Villa Chapel

When: Beginning with setup and portering for 10:30 am -11:55 am cleanup. 

Volunteer Role: Set-up  in the Chapel, portering residents to and from chapel, assist those in need with prayer, clean up.

Procedure/Description:

A list of residents names who attend this service will be available at the start of your assignment when you come in weekly.  This list is located in the Sacristy in the Monday Prayer Group folder (located at back of Chapel) or through the Spiritual Health Practitioner/Chaplain. Each volunteer is designated to one neighbourhood.  The volunteer will be assigned a neighbourhood where resident will be portered to and from the Chapel.  If short, a volunteer may be asked to porter for more than one neighbourhood. If you are unable to come in for your shift, please inform us at least 24 hours in advance, so that we can have time to find a replacement. The volunteer must be here at least 30 mins before open chapel prayer begins to help with set up and portering residents to the chapel. The volunteer will check off from the list the residents who attended the Prayer Group and this list will be given to the SHP/Chaplain or placed in the mailbox in front of her door. This program is directed by our SHP/Chaplain.

 

Please contact Tanya anne for more information at tanneball@sjsudbury.com

Program Name: Weekend Patient Restorative Activities Program

Program description: Assisting a volunteer led patient activities program with game set up, positively engaging with patients for their involvement and attendance, assisting those requiring portering/accompaniment or encouragement to attend, and those identified requiring assistance during game times to participate, clean up and assist those requiring to return back to their rooms with portering/accompaniment. 

Where and When: Saturdays - 1:00pm - 3:30pm

Volunteer Role: Preparations, set up, portering patients to and from activities as well as clean up where needed.

Please contact Tanya anne for more information at tanneball@sjsudbury.com

Goal:   To assist in sustaining the rehabilitative outcome achieved from the inpatient rehabilitation program by maintaining regained strength and independence throughout the patient’s admission.

 

Objective:

To encourage patients to increase walking and strengthening throughout their admission at SJCCC.  To establish feedback mechanism for gathering patient’s willingness to Up and Move through this walking program once cleared from Nursing Restorative/Clinical Nursing Engagement prior to discharge. To instill continual Up and Move philosophy as part of one’s own independent life through inspirational engagement to carry through after the discharged patient’s transitional period back into the community.

To contribute to continuous quality improvement within the rehabilitation program by collecting feedback from persons served.

 

Procedure/Description:

The Volunteer Coordinator (VC) will: Recruit appropriate volunteers from the community interested in  increasing opportunities for patients to reach their goals related to mobility and ultimate discharge back to the community.  The VC will promote the program and focus recruitment strategies on programs and students studying in the fields of: Kinesiology, OTA/PTA, Health Promotions, Recreational Leisure, Gerontology, Recreational Fitness and Leisure, Sport Psychology.  Screen new community recruits for appropriateness to enter in the program based on their learning goals, interests, background or expertise during the time of application and interview.  Provide the new Volunteer with training and education to include: Overall organizational registration, general orientation, overview of policies as well as the SJCCC Site and tool locations with introductions to key point of contact staff.

Instructional Guidelines on the program, including how to safely walk with a patient.  Emphasis will be placed on the availability of nursing staff should the volunteer encounter any issues related to the patient in our care as a measure of urgency or immediate follow up required during program hours.  Any other program questions can be directed to the VC via email, phone extension, or in person at any time.

 

Patients:  Once the Patient has meet the goals of Nursing Restorative as deemed by the RN, the RPN assigned to the care of the Patient, notification will be sent by the RPN to the MDS/RAI Coordinator via e-mail to request the patient be cleared from NR, set low risk and appropriateness for the ‘UP and Move! Walking Program’.

Patients approved for appropriateness in this program will be engaged by a trained ‘Up and Move! Walking Program’ volunteer to be engaged and inspired to get Up and Moving, as part of maintaining active healthy well-being after discharge, maintaining strength ongoing as part of preventing falls/injury/further hospitalization.  In this program, the patient could be engaged to: walk down the hall to the dining room, to the healing garden, to their feet to explore the activities and on goings of the daily life of the site, to visit other sections of the site they have not yet seen, explore in building, potentially visit and meet other patients.

 

The MDS/RAI Coordinator will: Assess the status of the patient once referral is received from the RPN and add appropriate patients cleared from NR to the ‘UP and Move! Walking Program’ Tracking Sheet. Pull data from the weekly tracking sheets and collect them on a summary evaluation document. Track any patterns for refusal and flag any patients with documented concerns from the volunteer for further assessment.

Update the tracking sheet as patients are discharged from the program/facility.

 

 

The Registered Volunteer, once trained in this program, will: Sign In on the SJCCC Better Impact Software under the ‘UP and Move! Walking Program’ Be given access to the master Patient Tracking List via Tablet when coming on shift which will be stored and located in the first floor clinical lead office. Follow the Patient Tracking List identifying which patients to walk with the following schedule: 

* In order to determine which patients to walk with, follow these directions:

- Patients who have been walked on prior days of the week will be highlighted in green.

- Patients who have refused to walk on prior days of the week will be highlighted in red.

- Patient who were not available will be highlighted in grey.

- Patients who were not walked (i.e. due to time restrictions) will be left blank/white.

* When coming in for your shift, begin with patients who have not been walked. Then proceed with the other patients.

 

Complete the outcome column of the tracking sheet after each patient visit.  SAVE the document each time you document the visit outcome.  REPORT: Any communication clinical nursing staff should be aware regarding the patient, including any unusual issues/concerns you may have encountered. Ensure the tracking sheet is saved and place it back to the 1st Floor Clinical Lead Office. Sign Out on the SJCCC Better Impact Software under the ‘UP and Move! Walking Program’ before leaving for the day

 

 

Risk Management: Low Risk

Volunteers will be provided with organizational registration, orientation as well as program specific training including: instruction on accurate data collection and program instructional guidelines for program use.

 

Evaluation: 

Number of Volunteers and Hours Contributed to Patients in the Program per month by the Volunteer Coordinator. Number of patient responses per month by the MDS/RAI Coordinator. Volunteers will be provided with Evaluation Surveys during initial trial year to assist Management involved in program development for SJCCC in determining effectiveness of ‘Up and Move! Walking Program’ on its patients’ outcome and/or identify areas for improvement.

 

Please contact Tanya anne for more information at tanneball@sjsudbury.com

Service Name: Assistance on External Healthcare Appointments

Where a resident/patient may have no representative(s), AND, is unable to pay for a private caregiving agency, a referral may be made to Volunteer Services requesting a volunteer to accompany a resident/patient requiring accompaniment.

When: As required

Where: Various external locations for appointments such as; hospital, dental, vision, hearing, clinics, etc. 

Procedure/description:

Volunteers may sign up to be on a call list within the Volunteer Services office to pick up occasional calls inquiring availability to support accompaniment for residents/patients who have no alternative support on occasional community healthcare appointments.  Transportation and appointment details are arranged prior to appointment time.  Volunteer are requested to accompany residents/patients to assist with portering, to stay with the resident/patient during the appointment, and safe return with the resident/patient via handi-transit or other arranged mobility transportation specific to the unique needs of the resident/patient.

Please note: Volunteer referrals are not received if the resident/patient is exhibiting high responsive behaviours that could put both the resident/patient and the volunteer at risk, requires feeding, administration of medication; toileting and/or transfers as required for the patient’s need through the duration of the appointment time.

 

Please contact Tanya anne for more information at tanneball@sjsudbury.com

 

Program Name:  Feeding Assistance Program

 

Goal:     To ensure residents meet their physiological needs of nutritional intake and are provided with a dignified, pleasant social dining experience in their provision of care in body, mind and spirit. 

 

Objective: 

To maximize independence with queuing and physical assistance with utensils and self-feeding

To engage a calm and therapeutic social environment that assists to decrease anxiety and reduce agitation

To encourage a pleasant social interaction and conversation

To ensure optimal nutritional intake.

 

Background

Malnutrition and dehydration are prevalent in residents residing in long term care and are associated with higher rates of complications. Many residents experience gross and/or fine motor impairment, swallowing difficulties, disorientation and confusion, and poor appetite, all of which impact on nutritional intake.

Feeding assistance has traditionally been the role of nursing staff (RNs, RPNs, PCAs), however with an ageing and more complex population there are challenges in socializing and feeding the growing number of nutritionally vulnerable people. Studies have shown that dietary intakes increase when volunteers are available to complement the efforts of nursing staff in this area.

Volunteers assist residents who are unable to independently feed themselves in order to improve dietary intake. In addition, there are other activities listed below that volunteers may assist with which benefit the overall quality of life and environment of residents and staff environment during mealtimes.

The Feeding Assistance Training Session provided to volunteers upon initial entry into Volunteer Program includes an overview of:

Nutritional needs of residents Factors impacting appetite and intake Physical, cognitive, and perceptual deficits Strategies to assist a resident experiencing such deficits Adaptive utensils Safe feeding techniques Positioning for safe feeding Diet types and textures Roles of the RN/RPN, PCA, FSA in the dining room

 

Where:  St. Joseph’s Villa Dining Rooms in the resident assigned neighborhood as scheduled through the Volunteer Coordinator.

 

When:  Scheduled mealtimes which are: Breakfast 8:30 a.m., Lunch 12:00 p.m., and Dinner 5:00 p.m.

 

REFERENCES

Chang C Wyckle M, Madigan E (2006). The effect of a feeding skills training program for nursing assistants who feed dementia patients in Taiwanese nursing homes. Geriatric Nursing.

Division of Quality Assurance. (2009) Wisconsin Feeding Assistant Training Curriculum. Department of Health Services, State of Wisconsin.

Walton K, Williams P, Bracks J et al. (2008). A volunteer feeding assistance program can improve dietary intakes of elderly patients--a pilot study. Appetite.

 

Please contact Tanya anne for more information at tanneball@sjsudbury.com

Service Name: Assistance to Hair Salon Services

When: 1 weekly shift per week on either: Wednesdays or Thursdays from 9:30am-12:00pm or bi-weekly Tuesdays from 9:30am- 1:30pm

Goal/Benefits of this service include:

Increases sense of self esteem; Creates a positive self image and; Provides time for socialization

Procedure/Description:

Knocking on resident/patient door listed as for appointment date, offer assistance with portering or accompaniment with those residents/patients to and from, as well throughout: awaiting their appointments, to provide a supportive, therapeutic, healing environment and opportunity for socialization, as well as  queuing with those experiencing cognitive impairment(s).

Objective:
 -To provide engaging experiences that promote increasing sense of self-esteem, positive self-image and personal self-worth
 -To engage residents/patients in a calm and relaxing environment that promote sensory stimulation
 -To incorporate support to services that meet with unique resident/patient needs, alleviate and decrease isolation, depression and decline and reduce the desire to become withdrawn
 -To offer opportunities to be out and engaged within one’s own community in a unique social environment with support.

Observation:   Provide prompting/cuing when necessary.

 

Please contact Tanya anne for more information at tanneball@sjsudbury.com

Service Name: Hand Hygiene Observer and Promotion Program

When: Flexible timing within the month to suit your schedule.

Procedure/Description: Hand Hygiene visits needed to help continue to maintain the importance of hand hygiene within a resident/patient caregiver setting in the promotion of proper hand hygiene practices. Proper hand hygiene protects residents/patients and care providers by reducing the spread of infections and preventing deaths.

Training is provided to overview:

The Hand Hygiene Program including the moments when hand hygiene should occur, The importance of Hand Hygiene in infection control, Provision of direction as to how to make an observation and how to use the observation tool.

 

Please contact Tanya anne for more information at tanneball@sjsudbury.com

Goal:   To assess the durability of the outcomes achieved from the comprehensive integrated inpatient rehabilitation program received at St. Joseph’s Continuing Care Centre.

Objective:

To collect long-term, follow-up information on the persons served to establish patient wellness outcomes post discharge: 1 month, 3 months and 6 months after discharge date through discharged patient’s transitional period back into the community. To establish feedback mechanism for gathering information which identifies supports that may have better improved the quality of life outcome for the patient. To maintain overall best and continuous quality improvement practices within the rehabilitation program based on feedback collected from persons served.

To identify patient outcomes measures on an ongoing basis.

Procedure/Description:

The Volunteer will undergo training and education: Overall organizational registration, general orientation, overview of policies as well as the SJCCC reception office (if this is the office area chosen to be stationed within for the weekly calling program hours) by the Volunteer Coordinator, Barthel Index Calling Program specific training will be provided.  Instructional Guidelines and assistive personnel are available to the volunteer during their weekly program hours ongoing. Please contact Tanya anne for more information at tanneball@sjsudbury.com

Service Name: Roman Catholic Mass, Fridays

Location: SJCCC - 1st Floor Dining Room

When: Mass begins at 2:00 pm.  Volunteers are required  weekly for 1:30pm set up, patient engagement and portering up to - 3:00 pm clean up.

Volunteers are needed to assist with following routine weekly process:

Meet as a team with Chaplain/Spiritual Health Practicioner at 1:30pm on 1st floor dining room, set up as needed, pair off in 2 per hospital floor - 1 per each south and north wing, patient engagement- knocking and greeting at each patient room door, inform of service beginning at 2:00pm, encourage attendance, offer supportive assistance where needed, or walk alongside patients (p.t.s) for support while p.t. maintains independence Sit with any p.t. who may request accompaniment, or sit toward back of service to observe if a patient may need assistance through duration of service, safely return p.t.s to their room who may express their need for portering/accompaniment.

or:

music ministry (organist/or piano) worship lead - singer If you are unable to come in for your shift, please inform Volunteer Coordinator with as much advance notice as possible so that the site's service support team can have time to find a replacement. The volunteer must arrive at least 30 mins. prior the Mass beginning, to help with set up, patient engagement and portering/accompaniment to and from service with return for cleanup This program is led/directed by the Chaplain/Spiritual Health Practitioner.

 

       Please contact Tanya anne for more information at tanneball@sjsudbury.com