change is a coming

our little facility will see changes coming in our OR capacity, and maybe some renos sometime soon. the alberta health care system will likely see catastropic failure. ER wait times in cities are unbelievable, LTC wait times and closings are ridiculous. old people will die because of both, a lot sooner than they were meant to. ADL's are not the way to go - pay for service model - do you want breakfast, lunch or both? your laundry done? a tv? bathed once a week? toileted once a day? (yikes!) if you get sick all the pca can do is call 911 - be it you threw up, scraped your elbow, or are having a heart attack - they dont know shit from shinola (well maybe that, but not much else, no offence) in proper LTC you have LPN's and RN's 24/7 to help you if you are sick. throw-up, they can do an abdominal assessment and vitals, give you a gravol if warranted. Scrape your elbow, a fancy dressing will be applied, and the wound monitored for healing and signs of infection. having a heart attack - they can do vitals, give you oxygen, nitro, aspirin and morphine, all while waiting for an ambulance...or respecting your chosen level of care or code status (dnr). Who would you have? Who do you want for your loved one?