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Policies and Standards

Policies and Standards

Salem Home strives to be an innovative leader in the delivery of Long Term Care.  We provide a living environment for the residents, and a work environment for the staff, compatible with the overall mission at Salem Home and promotes relationships at all levels.  We succeed in creating this environment by being committed to our core values of compassion, dignity, excellence and faith and by implementing policies and standards.

Policies set the foundation for the delivery of safe and effective quality care, and offer guidelines to help everyone understand roles, responsibilities and decisions.

Standards ensure consistency, expectations, and conditions for practice, while also providing a benchmark for quality measurement and improvement.

 

Medical Assistance in Dying (M.A.i.D.)

In 2017, Manitoba Government passed a policy that permits Medical Assistance in Dying.  Since legalization, Manitoba Health, Seniors and Active Living along with health care providers have worked to create a balance between residents’ rights to access medical assistance in dying and health care providers’ rights to religious freedom.

Salem Home’s Statement of Beliefs and Convictions Regarding the Sanctity of Life

  1. We believe that all life originates as a creative expression of God.
  2. We believe that all human life is sacred from the moment of conception until the day we die.
  3. We believe that God has the ultimate authority and determinative power in regards to the time of our conception and birth, and our death.
  4. We recognize that pain and suffering can be a very real and ongoing condition for some people. Medical knowledge should be used to provide remediation and comfort.
  5. We believe that using medical means to intentionally hasten death is not ethically or morally appropriate, whether determined by the individual, or others involved in their care, or collaboratively.
(Genesis 1: 26, 27, 28; Genesis 2:7, 22; Genesis 9:6; Genesis 27:2; Deuteronomy 32:39; Joshua 1:5; Job 14:5; Job 27:2-4; Job 33:4; Psalm 8:3-6; Psalm 90:1 – 12; Psalm 139:14,16,17; Isaiah 40:31; Isaiah 64:8; Jeremiah 1:5; Micah 6:8; Matthew 5:3-7; Matthew 25:40; Matthew 28:16-20; John 11:4; Acts 17:24,25; Romans 5:5; Romans 8:28; Romans 14:18; I Corinthians 3:16, 17; I Corinthians 6:19-20; I Corinthians 11:7; I Corinthians 15:54; II Corinthians 4:17; Galatians 2:20; Ephesians 2:8-10; Philippians 1:21; Philippians 3:20; Hebrews 2:14, 15; Hebrews 9:27; Hebrews 13:5, 14; James 3:9; Revelation 1:8; Revelation 21:4)

As a result, of these beliefs and convictions, Salem Home will not provide MAID services in its personal care home.

It will however, reaffirm its commitment to provide quality palliative and end-of-life care, as well as compassionate support for dying persons and their families through all stages of life including:

    1. Providing and honoring resident self-determination through the use of advance care planning, goals of care designation, and/or personal directives, including the role of substitute decision-makers/agents acting on behalf of the resident;
    2. Offering quality palliative and end-of-life care that addresses physical, psychological and spiritual needs to residents who are dying and their families;
    3. Delivering effective and timely pain and symptom management by health care professionals who are knowledgeable in pain and symptom management to lessen pain and suffering.
    4. Should a resident or family member of a resident of Salem Home inquire about the availability of MAiD, the Director of Resident Care Services of Salem Home will provide the individual with contact information relating to the MAiD team and/or Health Links-info Sante in a timely manner.
    5. Salem Home, in a non-discriminatory manner, will uphold its duty for care and will NOT abandon any resident in its facility.

If you require a copy of Salem Home’s MAiD policy, contact us

 

Residents’ Rights and Responsibilities:

I have chosen Salem Home to be my home.  Even though my mind or body may not be well, I enjoy the same rights as other residents.

If/When I am not able to speak or make my own choices; my health care representative, family or staff will ensure that my rights are honored.  If my choices affect me poorly, I have the right for you to try to convince me to change my mind in a gentle manner.

My rights are to be respected.

  1. I wish to be treated with courtesy and respect and in a way that fully shows my worth and unique person. This is in keeping with Salem Home’s Mission and Values.
  2. I am a person made in the image and likeness of God, with my own unique needs and want to be sheltered, fed, clothed, groomed, and cared for in a manner that meets my needs.
    • If you force me against my will, what kind of harm will you do to me?
    • Will I be afraid or get depressed?
    • Will I get angry or violent?
    • Is there a chance that your treatment will upset me enough that you will give me medicine or put a restraint on my body?
  3. I want to keep and display special items and pictures in my own room. I will keep in mind safety guidelines and others’ rights.  My room and the Home should be clean, meeting safety standards.
    • Will my belongings make my room feel like my home?
    • Will the extra items make it hard for the staff to care for me?
  4. I have the right to appoint a person to receive the facts about my well being, and to make a judgment about my health care, if I am not able to speak for myself. THIS PERSON WILL BE MY HEALTH CARE REPRESENTATIVE.  I, or my representative:
    • have the right to be told about my health status, treatment and outcomes,
    • have the right to give or refuse consent to treatment, and to be told of the effects of giving, or not giving, consent.
    • Have the right to have my health records kept private (as per law).
      • What would I say if I were well?
      • Which of my loved ones can best tell my wishes to you and your wishes to me?
      • Will the benefit of my treatment be more than the burden of going against my will? Even if the answer is yes, please review all the questions before making your choice.
      • If I am in instant/severe danger, you have the right to act on my safety and discuss the issue with the health care team and my family later.
  5. I have the right for staff to care for me in a way that gives me choices, increases my sense of wellness, and gives me a chance to find meaning and purpose in my day to day life.
    • How does the way you care for me add to my life, or, will the care take away from my life?
    • Is there any other way of assisting with my care that may be more pleasing to me?
    • If you consider restraining me, ask:
      • Is my behavior really a health and safety issue for me, or simply annoying and tiresome to the staff?
      • Is my behavior badly affecting the rights of other residents to have a peaceful life?
  6. I have the right to privacy. This includes
    • time alone,
    • to receive family and visitors without meddling.
    • my care to be done in private.
    • to spend time with my spouse in a room that ensures time
    • To share a room with my spouse, if my spouse lives here and it is my wish – if a room exists and my/my spouse’s health is not at risk.
      • Does my care need to be done in a private area, or is it more helpful to me to have it done where I am?
  7. I have the right to have my loved ones with me all the time when my death is near.
    • Will having my loved ones with me during this time give me a peaceful death?
  8. I have the right to continue to be a citizen of my community, to raise concerns or ask for changes without fear of harm. I will follow the steps of communication outlined in the Resident Policy & Information Handbook, and posted in the unit where I live.
    • If you force your choice on me, will I feel less of a person or shamed?
    • Will I feel like I am treated like a child instead of like the adult I am?
  9. I have the right to manage my own finances if able to do so. If I, or my legal representative, has a contract with Salem Home to open a Trust Account on my behalf, we have the right to:
    • Get regular statements of any money that was paid on my behalf.
    • Be assured that my finances are managed solely on my behalf.
  10. I have the right to attend social, cultural, and religious activities that make me who I am. I wish to be made aware of programs and activities at Salem Home.  When possible, I want to enjoy the outdoors.
    • By keeping me aware of the programs offered, I can make a choice about what I wish to attend, or want to be involved in.
    • Which interests add meaning and purpose to my life?
    • Will I be able to keep these interests and keep myself and others safe?

Accreditation Canada

We are accredited through Accreditation Canada. This means we meet nationally developed organizational and care standards as measured against other long term care facilities. In 2003, the Behavior Treatment Unit was recognized by Accreditation Canada as a Best Practice, and 2012, the model of care we have adopted “Relationship Centered Care” was recognized as a Leading Practice.

Manitoba PCH Standards Review

We are also required to meet the Personal Care Home Standards legislated by the Manitoba Government. Standards visits are made by Manitoba Health every two years.

 

 

 

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