Preventing Pressure Injuries

Pressure injuries can happen anywhere on the body where there is pressure or rubbing (commonly occurring over the bony area of the body. i.e. hips, buttocks, shoulders, elbows, knees …

What is a pressure injury? Pressure injuries are sometimes called bedsores or pressure ulcers. A pressure injury happens when you sit or lie on one spot too long. When you skin is pressed against bone the blood supply is cut off and damage to the skin and tissue occurs.

Who gets pressure injuries? You are at risk if you: Have already had a pressure injury. Sit in a wheelchair or lie in bed for a long time. Have lack of feeling from a spinal cord injury or stroke. Have poor circulation. Have problems with memory. Do not eat well. Do not change your sitting or lying position. Have fragile skin, swelling or bruising. Have wet skin from sweat, urine or stool. Are over or under weight.

What am I looking for? Check your skin every day. You may need a mirror or someone to help you. Look at areas where pressure injuries can form or where you have had a pressure injury. Look for areas that are red, bruised, blistered or open. Injured skin may feel hot, achy or itchy. Injured skin may feel swollen or tender. There may be fluid weeping from the injured skin.

What do I do if I think I have a pressure injury? The red, purple or maroon area, blister or break in the skin shows skin damage has occurred.

Do Not Ignore the injury, report it to your care team.

Try to stay off the area. Think about what may have caused the injury and fix or remove if possible.

Our Occupational Therapist is trained to help you with a plan to stop pressure injuries. They may: Show you special cushions, mattresses and other items you can use to decrease pressure. Hit make sure your wheel chair firs properly to decrease pressure points. They may even suggest better footwear.

Your Care – Palliative Care Approach – Long Term Care

Some residents are transferred to Emergency Rooms in acute care hospitals during an unanticipated crisis in their final stages of life. This can cause unnecessary suffering and distress and the care that a resident receives may not reflect their needs, values and preferences for care and treatment in their last phase of life. An example of suffering our residents may experience in the Emergency Room, is Delirium, a sudden onset of confusion due to the change in environment and staff, bright lights, excessive noise, unfamiliar medication administration, etc.

A ‘Palliative Approach’ is described as a person-centered approach to care guided by the understanding that the person is on a progressive life-limiting illness trajectory. Communication related to the resident and their family’s evolving understanding, personal preferences, and goals of care is understood as essential. Therefore, a palliative approach acknowledges the likelihood of gradual transition, emphasizing quality of life considerations during the active treatment phase. It recognizes that treatment goals will evolve from seeking a cure, to control of disease and complications, maintaining physical comfort and quality of life, and ultimately to symptom control.

Evidence shows that persons who receive a palliative approach suffer less, are physically capable for longer; are better able to interact with others for longer, may survive 25% longer, and family members are less likely to experience depression after their loved one has died.

How does Menno Place incorporate the Palliative Approach in Providing Care?

Conversations begin during move-in, as to what the understanding of the current condition/disease process and how it might change over time. At care conferences, discussion occurs with families/residents to determine what the goals of care are, based on the “frailty scale” and what the resident would/could have preferred as treatment while their condition declines. Ongoing conversations occur between families and/or residents and the entire team (Chaplains, Nursing, Recreation, Social Workers, etc.) as their condition declines, regarding goals of care. Ultimately, the goal is to provide quality comfort and palliative care at Menno Place.

Palliative Care at Menno Place is excellent, supported by the entire team. Chaplains and their volunteers visit and remain vigil if this is what the families/resident prefer. The nursing team provides excellent care to ensure comfort remains the priority for you at this time.

Personal Help Button /Emergency Response – Assited Living

If you have an emergency or need help, push the Personal Help Button that is provided to you.

There is a wall mounted emergency button located in the bedroom of each apartment as well.

The telephone system is activated when the button is pushed, and the care staff on duty will respond to see what help you need.

The pendant will not work if you are on the phone at the same time as you push the pendant.

If your phone is off the hook, the pendant will not work.

Assisted Living – Welcome

We are pleased that you have chosen to make your new home with us.

This handbook will give you general contact numbers and information about Assisted Living at Menno Place.

If you have any questions, please call reception at 604-851-4004.

Assisted living is intended for people who are able to select and direct the personal assistance services they need.

The care principals of assisted living – choice, privacy, independence, individuality, dignity, and respect – derive from a recognition that adults, even when they need support and assistance in daily life, retain the ability and right to manage their own lives.

Assisted living enables residents to maintain their privacy by living independently in their own lockable personal space within the residence.

Residents maintain dignity by making choices about their daily activities, based on personal preferences and lifestyle. When required, staff provide the assistance that is least intrusive and support residents to live as independently as possible.

Safety – Living Independently – Apartments

It is important to remember that Pavilion, Terrace West & Primrose Gardens are not health care buildings, nor nursing homes.

Independent living means you are not under constant supervision or observation and assistance is not always available.

The design of each building may entail some risks, not unlike experienced in any property where there is not constant supervision or observation.

Ideas, Compliments, Concerns Process – Long Term Care

If there are concerns or questions about the care you or your family members are receiving, please speak directly with a member of the Care Team.

At Menno Place, we have an open door policy and encourage communication of concerns or compliments as they arise.

It may not always be easy to bring forth concerns. However, in doing so, you will be supported and heard without retaliation.

We value your input on things we can improve.

We also appreciate hearing about what we are doing well, and this can be reflected in the compliment/complaint brochure.

Compliment/complaint brochures are available at the reception areas.

The formal complaint process is posted on the bulletin board at the main entrance of Menno Home/Hospital. The communication structure for families and residents follows.

Learning how to effectively voice a request or a need can be challenging in a large care home because there are many different leaders and staff members. The Communication Structure guides families in expressing issues or questions effectively and efficiently at Menno Home/Hospital.

Here is an overview of that structure:

Step 1: Speak to those directly involved, LPN (Licensed Practical Nurse) / Health Care Aid (HCA)

Step 2: If issue persists, bring issue to Registered Nurse (RN) Lead / LPN Lead / Residential Care Coordinator (RCC) or Life Enrichment Coordinator.

Step 3: If issue continues, discuss with Manager of Care.

Step 4: If issue remains unresolved, address with Director of Care (DOC) / Executive Director of Care Services (EDCS) / Chief Executive Officer (CEO). Simple arrange your appointment through Reception.

Step 5:  If you or your family members are dissatisfied with the resolution of your concern, you may contact the Patient Care Quality Office (PCQO) of Fraser Health to register your complaint at:
Mail:    11762 Laity, 4th Floor Maple Ridge, BC V2X 5A3
Phone: 1-800-880-8823 or Fax: 604-463-1888

Fire Safety – Long Term care

Fire safety regulations are closely adhered to in the annual inspection and testing of fire alarms, sprinklers, and other life safety systems.

All our buildings are equipped with sprinklers and electronically-monitored heat and smoke detectors, fire extinguishers are also strategically positioned throughout the building.

Open flames such as candles are not permitted in the building

We schedule regular fire drills and staff training sessions to ensure the staff members know what to do.

In the event of a fire drill or a fire, move away from any doorway and await instructions from staff.  

If you discover a fire, please activate the nearest fire alarm pull station (there is an alarm at every exit) and report the location of the fire to a staff member.

Visitors are asked to remain at the resident’s side in the event of a fire alarm or drill.

You will be advised of any other action including an orderly evacuation if needed.

Infection Control – Long Term Care

You are encouraged to have yearly flu shots. We also believe that “clean hands are caring hands” and ask that you and your family use the hand hygiene products (gels/foam) installed throughout the building.

We ask your family members and visitors to remain at home until symptom free for 48 hours if they have a cold or other acute respiratory illness, or are experiencing symptoms of diarrhea or vomiting related to a viral infection.

As in most care homes, you are more susceptible to illnesses due to compromised immune systems.

At Menno Place, we strive to prevent outbreaks in the community from spreading throughout our care home. As visitors, we ask that you take the following precautions to help prevent the spread of illness:

  • Wash hands diligently using soap and water for at least 15-20 seconds, immediately before and after resident contact.
  • Use the hand sanitizer found on units upon entering the Home and upon leaving.
  • Cough/sneeze into your sleeve, not into the air or hand.
  • Do not visit if you or your family members are ill.
  • Do not visit if you have a cold or flu.
  • In the event of an influenza/gastroenteritis outbreak, please contact the nurse for visiting guidelines.
  • If outbreak is in progress, adhere to signage/posters (visit only one resident).
  • COVID Restrictions are adhered to as per current Ministry of Health orders.
  • Get an annual flu shot. Get Vaccinated.
  • If you are unable to have a flu shot, a face mask must be worn and will be provided to you, at the entrance.
  • This is only for flu season – Dec 1st – April 1st typically.
  • Have a shot for pneumonia prevention and a booster once in 5 years.

Safety – Family Safety at Menno Place – Long Term Care

  • Be an active member of the health care team by participating in Care Conference
  • Inform the nurse of the resident’s medication history
  • Wash your hands
  • Observe safety standards and policies
  • Report hazards to management
  • Some residents are at risk to exit the building on their own.  Be vigilant when leaving the building, ensuring no one accompanies you

Safety – Least Restraint Policy Long Term Care

A restraint is anything that restricts a person’s movement or access to his or her own body. (e.g., bed rails, seatbelts, tilted recliner chair).

We have a practice of least restraint to promote autonomy and your rights for freedom of choice and movement while balancing the need for safety. An example of this could be a seat-belt used while in a wheelchair, or side-rails up while in bed.

Family & Staff Working Together.

You and/or your family members will be invited to discuss safety issues with your health care provider.

Information about past lifestyles and routines will help the care team understand and plan your care.

Providing a safe environment with the greatest amount of freedom is an important goal.

By working together we can minimize the risk of injuries and maximize dignity and independence.

How Does the Care Team Practice Least Restraint?

The care team will help you promote dignity and independence and reduce the chance of injuries by:

  • Assessing the risk of falling
  • Providing a care plan to promote a safe environment to reduce the chance of injuries
  • Discussing the best care to provide safety & comfort

What will be used to reduce injuries?

  • Assistance in toileting
  • Proper positioning for comfort
  • Hip protectors/Lap belts/Table tops
  • Bed in lowest position
  • Hi-Low beds/Fall out mats
  • Nonskid/slip socks