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Aboriginal Support Services
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Services that provide dementia related support for aboriginal people.
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Accessible Transportation
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Transportation services available for individuals with physical disabilities or confined to wheelchairs.
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Adult Day Programs
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A support service, which provides supervised programming in a group setting for adults to assist them to achieve and maintain their maximum level of functioning, to prevent premature and inappropriate institutionalization, and to provide respite and information for caregivers. Components of the service include planned social, recreational and physical activities, meals, and transportation (if required), personal support/attendant care and minor health care service (e.g., monitoring medication).
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Advance Care Planning Services
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Advance care planning is the process of making choices now, while the person is capable, about how a person wishes to be cared for in the future if he/she becomes incapable of making decisions. It is also about giving someone we trust the information and authority to act on those wishes for us. This service may include help with creating Power of Attorney for Personal Care documents by category
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Alzheimer Wandering Registry (Safely Home)
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Developed by the Alzheimer Society of Canada with the Royal Canadian Mounted Police (RCMP), this program is designed to help individuals with Alzheimer Disease and other dementia return home safely following an episode of wandering. Registration is voluntary. When registered, vital information about the individual is confidentially stored on a police database where police anywhere in Canada can access it. A one-time fee of $25 covers the cost of an identification bracelet, a Caregiver Handbook and ID Cards.This program is now called Safely Home.
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Ambulance ( Non Emergency)
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Service that transfers or transports individuals who cannot use regular transportation or taxi services (usually because they are confined to bed) to medical appointments, long-term care facilities or other locations. Fees may apply.
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Ambulance (Emergency)
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Service to transport individuals with acute health needs to appropriate medical services in a timely manner.
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Assessment
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The systematic collection of information from all available sources and the evaluation of information in order to develop a plan of care.
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Behavioural Management Services
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Behavioural Management Services aid individuals with dementia and or their caregivers in the assessment and treatment of behavioral disturbances, psychoses or depression. May include in and out patient care depending on the organization.
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Bereavement Counseling
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Programs that provide emotional support, problem-solving assistance, information and guidance for individuals who have recently lost a loved one. Counseling may be in the form of one on one counseling or group work. Services are not necessarily dementia specific.
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Capacity Assessment Services
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"Capacity assessment is a formal assessment of a person's mental capacity to make decisions about property and/or personal care under the Substitute Decisions Act, 1992 (SDA). Under the SDA, assessments are made in some situations where, as a last resort, individuals need to have someone else make decisions for them on a long-term basis. If a person is found incapable of making decisions regarding property and/or personal care, a guardian may be appointed or a power of attorney may become effective, depending upon the circumstances."
Questions and Answers on Capacity Assessment, Capacity Assessment Office c/o The Public Guardian and Trustee,September 2002, Ontario, Canada
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Case Management
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This service assists clients and their caregivers with problem identification and clarification through the gathering of client information and the provision of short-term service coordination. Case managers generally provide the following services: 1) Develop long-term goals, identify appropriate community and specialized support services in order to maximize independence and to increase accessibility of generic services. 2) Assist clients and their caregivers in the coordination of services. 3) Act as advocates for individual clients, or support clients and/or caregivers in their role as an advocate. 4) Work collaboratively with other community agencies to develop and maintain a continuum of coordinated services.
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Cognitive Assessment
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An evaluation of an individual's ability to think, perceive, reason and remember. Various health care professionals with specialized training complete this type of assessment.
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Community Care Access Centre (CCAC) - Placement
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Community Care Access Centres (CCAC) are not-for-profit community agencies which are responsible for the provision of information and referral services, case management, in home professional and personal support services and placement coordination services. CCACs determine eligibility for placement in long term care facilities, manage the waiting list for long term care facilities and assist individuals and their families in the placement process and admission to a facility.
There are two different types of placement:
· Long-term placement
· Short stay (respite or supportive care)
If clients need services while waiting for placement, CCACs make the necessary referrals and connect them to the appropriate services.
CCAC's are funded by the Ministry of Health and Long-Term Care and governed by government-appointed Boards of Directors.
Visit the North Simcoe Muskoka CCAC at http://www.ccac-ont.ca/Content.aspx?EnterpriseID=12&LanguageID=1&MenuID=1
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Community Care Access Centre / Home Care
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Community Care Access Centres (CCAC) are not-for-profit community agencies that:
· Provide a single point of information and referral to all community based health care services
· Determine the eligibility for in-home community heath and support services including case management, nursing, personal support, placement in long-term care facilities , therapy (Dietician, Physiotherapy, Occupational, Respiratory, Social Work, Speech and Language Pathology) and access to Adult Day Programs
· Provide case management support. A Case Manager works with the client and their family to ensure the right service(s) are available as the individual’s needs change
· Provide placement coordination services and manage the waiting lists for long term care facilities (Nursing Homes and Homes for the Aged)
CCAC's are funded by the Ministry of Health and Long-Term Care and governed by government-appointed Boards of Directors.
Visit the North Simcoe Muskoka CCAC at http://www.ccac-ont.ca/Content.aspx?EnterpriseID=12&LanguageID=1&MenuID=1
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Community Dining
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A support service that provides a nutritious meal at a central location on prearranged days. It may include social activities and transportation.
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Comparing Residential Care Services - *Reference Chart
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For a comparison of retirement homes, long term care facilities and supportive housing.
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Complex Continuing Care
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Complex Continuing Care is a higher level of care than what is provided by Long-Term Care Centres and other nursing facilities. Generally, residents require 24-hour nursing care and access to complex medical and diagnostic services not offered elsewhere. Residents may have physical, cognitive or behavioural conditions that limit their ability to live independently in the community.
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Crisis Intervention
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Service that provides support and crisis intervention in critical situations to vulnerable and at-risk individuals, including persons with dementia and/or their caregivers. The goal of the service is to stabilize the crisis situation, and to begin to develop a plan for the longer term.
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Day Hospital
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A day program intended to assess and/or treat individuals through attendance at a specialized hospital unit. Attendance ranges in time. Transportation and meals may be provided. Not specific to dementia. Fees may apply.
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Dementia Specific Counseling
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This service provides supportive or therapeutic counseling, education, information and referral to both the person with dementia and their caregiver at all stages of the disease, from before diagnosis to the late stage. Issues such as getting diagnosis, understanding dementia, immediate and future care of the person with dementia as well as family coping may be discussed.
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Dental Services
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Programs that specialize in mouth care including the prevention, diagnosis and treatment of diseases of the teeth and gums.
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Departure and Tracking Alarms
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Departure alarm is a device that alerts a caregiver or family member when an individual attempts to leave the house on his/her own. A tracking device allows a caregiver to locate someone who has left the house.
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Dietary Services
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Dietitians complete a nutrition assessment and provide a personalized nutrition care plan, assess progress and recommend changes as required.
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Driving Assessments
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Driving assessments to determine an individuals medical fitness to drive.
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Early Onset Services
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Services geared to individuals diagnosed with dementia before the age of 65 or their families.
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Education and Training for Professionals
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Educational training and support on dementia specific topics open to professionals in the community who are working with persons with dementia and or their caregivers. Fees may be applicable. This does not include internal staff training.
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Education for Caregivers
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This service provides caregivers/ family members with information and education on dementia that will assist them in their understanding of the disease progression and ways of improving coping strategies, as well as information on support services and future care planning. Includes workshop, lectures and other forms of educational programming.
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Education for Persons with Dementia
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This service provides information, education on dementia that will assist persons diagnosed with dementia in their understanding of the diagnosis, disease progression and future care. This includes workshops, lectures and other educational programming.
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Education for the Public
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Information sessions on dementia, that are open to members of the general public.
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Elder Abuse Services
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Any action or inaction by any person which causes harm or threatens to cause harm to an older adult.
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Family Physicians
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Normally the first point of contact with the health care system. Focus on prevention, early detection and treatment of general health care problems through regular physical examination. For diagnosis and treatment of specific conditions, family physicians may refer patients to a specialist.
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Financial Planning
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Private or not for profit agencies that may aid individuals in planning for their financial future. Services are provided by bankers, financial consultants or lawyers. These services may include help with creating Power of Attorney for Property documents.
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Financial Resources
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Agencies that may provide or assist with financial support or services for persons with dementia.
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Footcare Services
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A service that arranges for a person, trained in basic or advanced foot care, to care for the feet of an individual who is unable to do so himself/herself. Service may include trimming toenails, monitoring the condition of feet, bathing and massaging feet. May include the service of a chiropodist or podiatrist. Fees may apply.
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Friendly Visiting
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A one-to-one support service that provides a volunteer to visit an isolated senior, physically disabled adult, or person with dementia, on a regular basis. The visits are generally made to the client's home but the volunteer may also do shopping for the client, take the client on a shopping trip, banking or to a social or cultural event.
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Geriatric Medical Assessment
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Evaluates the individual's medical status, using specialized knowledge of the health and illnesses of the elderly.
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Hearing Services
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Programs and support services that specialize in assessment and management of hearing disorders.
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Home Healthcare Equipment Services
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Health care equipment for clients convalescing at home, including walkers, wheelchairs, commodes, crutches, bath seats, etc.
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Home Maintenance Programs
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A support service that arranges for an individual worker or company to undertake a home maintenance and/or repair job when the job is beyond the consumer's capability to undertake or arrange. The job may be undertaken regularly, occasionally or once only.
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Home Safety Assessment and Counselling
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A service that assesses the potential physical dangers faced by people with memory and cognitive deficits living alone or with family. Solutions to these potential dangers are proposed and/or arranged.
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Homeless People Services
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Services for individuals living in shelters, hostels or outside.
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Homemaking / Home Help / Home Care / In Home Services
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A support service provided in the home by trained personnel who assist with routine non-personal household activities such as: light house cleaning; laundry; ironing; mending; shopping; banking; paying bills; planning menus; preparing meals; caring for children; supervision; assisting a person with any of the above activities; providing prescribed equipment, supplies or other goods.
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Homes for the Aged
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Refer to Long Term Care Facilities
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Information and Referral
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A service that links the individual to appropriate services. Most community agencies provide this service to their clients or to individuals who call for assistance.
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Legal Services
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Agencies providing legal advice, consultation or representation. Service fees may apply. Please refer to each organization for specific information.
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Long Term Care Facilities
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A residential setting for individuals who need higher levels of daily personal care then can met in the community or who require the availability of 24-hour nursing care or supervision. Long term care facilities are often referred to as nursing homes or homes for the aged. All long term care facilities are licensed and regulated by the Ministry of Health and Long Term Care. Application for admission to a long term care facility is through the local CCAC.
For a short description of all the Long Term Care Homes in Simcoe County visit http://www.ccac-ont.ca/Content.aspx?EnterpriseID=12&LanguageID=1&MenuID=25 .
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Meals on Wheels
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A volunteer-driven support service that delivers a meal to an individual to meet their nutritional requirements. Meals may be frozen or fresh. Fees apply.
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Medical Response Alarms and Support Services (or Telephone Reassurance)
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Medical response alarms provide an emergency response if the user is in need of medical assistance. Individuals need to have the cognitive ability to sound the alarm for it to be an appropriate device.
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Metis Support Services
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Support for any persons designated as Metis
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Multi-Disciplinary Treatment Services
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Treatment by more than one health professional. Nurses, physicians, pharmacists, nutritionists, psychologists, occupational therapists, social workers and physiotherapists are frequently involved.
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Nursing Homes
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Refer to Long Term Care Facilities, http://dementia.cm3.ca/ltcf.lasso for further information
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Nursing Services
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"The scope of nursing practice includes promotion of health, maintenance and restoration of health, prevention of illness and disability, alleviation of suffering, and ensuring a peaceful death when life can no longer be sustained." Canadian Nurses Association, 1980
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Occupational Therapy
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The practice of occupational therapy is the assessment of function and adaptive behaviour, and the treatment and prevention of disorders which affect function or adaptive behaviour to develop, maintain, rehabilitate or augment function in the areas of self care, productivity and leisure.
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Palliative Care / Hospice
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Programs that may provide a full range of palliative and supportive services for terminally-ill people who are in the final stages of illness and for their families. Services may include medical care, pain and symptom management, home nurse visitation, case management, counselling, and bereavement services for the patient and members of the family. A hospice may be a freestanding facility, a unit in a hospital or other institution, or a program of a hospital, agency or institution. Programs vary between organizations.
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Personal Care Services at Home
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Support services which promote independent living through assistance with personal care activities such as: personal hygiene (washing and bathing), mouth care, hair care, preventative skin care, routine hand or foot care; transferring or positioning into chairs, vehicles or beds; dressing and undressing; assistance with eating; assistance with toileting; escorting to appointments. Personal care is provided by personnel with specialized training, who can assist clients with their activities, or help to ensure their safety while they complete the activities themselves.
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Physiotherapy
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The practice of physiotherapy is the assessment of physical function and the treatment, rehabilitation, and prevention of physical dysfunction, injury or pain to develop, maintain, rehabilitate or augment function or to relieve pain.
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Psychiatric Assessment
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An examination (Consisting of a full history and mental status examination) by a psychiatrist or other physician, designed to elicit or identify psychiatric dysfunction, such as anxiety or depression.
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Psychogeriatric Assessment
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Experts in aged care psychiatry who assess and treat individuals over 65 with mental health problems, including depression and dementia.
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Recreation Therapy
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Recreation Therapy is the process of identifying an individual's interest, hobbies, and leisure activities and assisting the person to return to some of those enjoyable pursuits. A Recreation Therapist is trained to identify past and present interests as well as significant life events that would have an impact on the individual's leisure activities. In collaboration with the individual and his/her caregiver, the Recreation Therapist creates a treatment plan that assists the individual in his/her recreational pursuits by adapting previously-enjoyed activities or introducing new ones.
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Resource Centre/ Library
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A resource centre provides information services and resources to the public. The collection has a primary focus on dementia specific materials in many different formats including books, videos, journals, reports and internet resources.
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Respite Care at Home
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A support service in a client's home to provide short term relief for family and friends from their caregiving role, and to help relieve stress placed on family relationships.
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Respite Stay
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Refer to Short Stay Respite http://dementia.cm3.ca/shortTermStay.lasso
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Retirement Homes
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Retirement homes are privately owned rental accommodations for seniors. While services vary between homes, retirement homes usually provide meals, laundry services, recreational activities, assistance with medication, and assistance with baths. Generally, retirement homes are designed for seniors who need minimal to moderate support with activities of daily living activities, however some homes are open to persons with dementia. The Government of Ontario does not subsidize, regulate or monitor standards in retirement homes. Costs vary according to room accommodations, meal plans, services and personal care needs of the resident. Refer to Comparing Residential Care Services chart.
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Short Term Stay / Respite
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Provided in some Long Term Care facilities, short stay is designed to supports clients during recovery from an illness or to provide a respite break for caregivers. These stays are for a short, specified time up to a maximum of 90 days per year. Residents must pay a co-payment daily fee for their accommodation. Application for short term stay is through the CCAC.
Visit http://www.ccacsc.on.ca/facilities/placement_coordination/
for further information.
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Social and Recreational Centres
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Centres that provide social, recreational, health promotion, educational and prevention activities for seniors. While these centres generally cater to well seniors, some have special activities for individuals with mild cognitive impairment.
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Social Work Services
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The practice of Social Work provides specialized professional counselling skills to assist individuals and families who are experiencing stress, losses, or problems resulting from illness or disability.
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Speech and Language Pathology Services
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The practice of speech - language pathology is the assessment of speech and language functions and the treatment and prevention of speech and language dysfunction or disorders to develop, maintain, rehabilitate or augment oral motor or communication function.
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Support Groups for Caregivers
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Programs that offer a facilitated group session in which groups of individuals, couples or families discuss their attitudes, feelings and problems related to their caregiver role. Members of the group attempt to achieve greater self and interpersonal understanding and adjustment and explore solutions to their problems. May be ongoing or time limited.
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Support Groups for Persons with Dementia
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Programs that offer a facilitated group session in which individuals with dementia discuss their attitudes, feelings and problems related to their diagnosis. Members of the group attempt to achieve greater self and interpersonal understanding and adjustment and explore solutions to their problems. May be on going or time limited.
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Supportive Housing Service
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Supportive Housing is a Ministry of Health and Long-Term Care funded program that provides personal support services (available 24 hours a day) and essential homemaking services in selected buildings, seniors residences and congregate housing situations. The program is designed to assist people who need minimal to moderate care to live independently. Refer to Comparing Residential Care chart.
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Telephone Reassurance
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Programs that contact elderly individuals or people who have disabilities by telephone on a regular basis to monitor their well-being and safety, and to reassure them that help is available if and when they need it.
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Transportation Services
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A support service that provides escorted or unescorted transportation to medical appointments, shopping and to various social activities and programs. Services may vary between agencies and fess may apply.
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Vision Services
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Programs and support services that specialize in assessment and management of vision disorders.
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