MIDDLESEX TERRACE TV CHANNELS

Channel Station

2 CBC - Ottawa

3 Global

4 Sports Net Ontario

5 ABC

6 CBS

7 FOX

8 NBC

9 CMT

10 CTV – London

11 HGTV

12 TCM– Turner Classic Movies

13 CTV - Toronto

Attn: Families/Friends/Staff members– we love it when you bring in your dog or cat to visit with the residents in the home!! To ensure the safety of our residents and staff here, we are re-questing proof of vaccinations of your pet. Please bring in a copy (or Charlene can make a copy) of your pet’s annual vac-cination records. This is part of our Infection Control manage-ment in the home.

March 12th– 9am-1pm we will be holding a Silvert’s Clothing Sale in the Activity Room. Please feel free to come out and do some clothes shopping

March Madness Games and Casino Programs– During the

Month of March we will be holding different programs that

residents can attend and gain points at. These programs in-

clude: Make your Point, Bowling, Darts, Paper Towel Compe-

tition, and Crown n Anchor. On March 31st residents can

“cash in” their points for prizes.

Mark your calendars on June 29th for our Annual Classic Car Show at Middlesex Terrace!

Sunday Church Service - All residents are welcome to attend the services at 2:30pm in the Chapel. Each month different ministers/ lay people from local churches conduct the services. This month the follow-ing ministers/lay people will be running the services. March 1– Harvester Baptist March 8– Salvation Army March 15– Delaware United March 22– Hilk Bakker March 29– United Church

FROM THE DESK OF THE LIFE ENRICHMENT DIRECTOR

Charlene Hillen

RESIDENTS CORNER

FUN FACTS ABOUT MARCH Happy Birthday to everyone celebrating their birthday this month Birthstone— Aquamarine

The birthstone for March is the aquamarine. Its color is pale to medium blue, sometimes with a slight hint of green. The blue aquamarines are the most valuable. The green stones are sometimes changed to blue by heat-ing them in an electric furnace to 842° F (450° C). Aquamarines are found in Siberia, Brazil, Myanmar (also known as Burma), and in parts of the United States. The aquamarine gets its name from the Greek word for sea-water. It was the stone of the sea goddesses, thus its name. Aquamarines were frequently placed in tombs of ancient Egyptian mummies to bribe the gods and guarantee safe passage to the afterlife. In addition, King Solo-mon is said to have worn an aquamarine in his breastplate as one of the 12 holy gemstones. Flower– Daffodil

The daffodil is the birth flower for March. Most flowers are yellow, but yel-low and white, yellow and orange, white and orange, pink, and lime green varieties also exist. They often grow in large clusters, covering lawns and even entire hillsides. The name of the flower is derived from an earlier word, affodell, a variant of asphodel. The reason for the introduction of the initial d is not known, though from at least the 16th century daffadown dilly or daffadowndilly has appeared as a playful synonym of the name. What a “dilly” of a March birth flower.

Some famous people born during this month include: Reggie Bush (football player) – March 2, 1985 Carrie Underwood (singer) – March 10, 1983 Liza Minnelli (entertainer) – March 12, 1946 Georg Ohm (scientist) – March 16, 1789 Bobby Orr (hockey player) – March 20, 1948 Vincent van Gogh (artist) – March 30, 1853 Al Gore (U.S. Vice President) – March 31, 1948

DID YOU KNOW?

BookHut— Middlesex Terrace has a book exchange with the Middlesex County Library six times per year. Large print books, movies and books on tape/CD can be borrowed for any length of time. These items are located in a locked cupboard in the Activity room. If you are interested in borrowing any books or movies please ask an Activity Staff Member for assistance. Resident Use Computer - A computer is located in the Activity room for resident use; it is internet accessible as well as equipped with a touch screen. For assistance with or for more information on the computer please ask an Activity Staff Member. Email - Residents are welcome to receive emails at the following email address middlesexterracenursinghome@outlook.com, if they do not wish to have one of their own. Emails will be printed and handed out like mail. Mail - Mail is delivered to the home in the afternoon and handed out by the Activity Staff each day. Please see the Life Enrichment Director if you have any mail to go out. Hairdresser - Barb, the hairdresser is available on the lower level salon. If you wish to have hair care done please contact Barb directly or speak with a Registered staff member. Newspaper - Middlesex Terrace subscribes to the London Free Press everyday, the paper can be found in the main floor front lounge for all to read. Residents who wish to receive their own paper must contact the London Free Press directly to arrange this. Papers are delivered in the morning by activity staff. Please let activity staff know if you will be receiving or cancelling a paper, so that we can ensure correct distribution of papers.

COUNCILS IN THE HOME

ALL residents are welcome and encouraged to attend the following meetings held monthly. RESIDENT COUNCIL - The purpose being to freely voice any concerns or suggestions in regards to decisions and tasks which affect your everyday life within the home. The meetings encourage regular communication as a group between Residents, the Administrator, and Staff. This meeting is chaired by the Life Enrichment Director unless a resident wishes to take over this position. FOOD COMMITTEE - This meeting follows Residents Council and allows the Nutrition Manager to communicate with residents as a group for such things as input into menus, snacks and special events. All Menus are reviewed and approved by this group before they are put into place. Those residents who are unable to attend the monthly meetings can pass their items for the council to the Life Enrichment Director or a fellow resident. FAMILY COUNCIL Family council is a great opportunity for family/friends of their loved one to come together and share ideas/suggestions and find out more how the home runs. It is a not a huge time commitment– we meet approx 2-3 x a year. At this time we are looking for new members, please contact Char-lene Hillen if you are interested in being apart of this. Meeting minutes for both Resident Council/Food Committee and Family Council are located in binders across from both Nursing Stations.

FROM THE DESK OF THE ADMINISTRATOR— Jan Shkilnyk

Happy March everyone…the months just fly by…PLEASE NOTE THERE HAVE BEEN CHANGES WITH OUR DOOR CODES. FAMILY AND FRIENDS– IF YOU ARE HAVING DIFFICULTY ACCESSING OUR LOCKED AREAS, PLEASE SEE A STAFF MEMBER TO ASSIST YOU. According to the Long term care Act that took effect July 2010-- The nursing home must insure the following; 1. All doors leading to stairways and the outside of the home must be, i. kept closed and locked, ii. equipped with a door access control system that is kept on at all times, and iii. equipped with an audible door alarm that allows calls to be cancelled only at the point of activation and, A. is connected to the resident-staff communication and response system, or B. is connected to an audio visual enunciator that is connected to the nurses’ station nearest to the door and has a manual reset switch at each door. 2. All doors leading to non-residential areas must be equipped with locks to restrict unsupervised access to those areas by residents. 3. Any locks on bedrooms, washrooms, toilet or shower rooms must be designed and maintained so they can be readily released from the outside in an emergency. 4. All alarms for doors leading to the outside must be connected to a back-up power supply, unless the home is not served by a generator, in which case the staff of the home shall monitor the doors leading to the outside in accordance with the proce-dures set out in the home’s emergency plans.

“In seed-time learn, in harvest teach, in winter enjoy. ~William Blake”

Jan

“There is a fountain of youth: it is in your mind, your talents and the crea-tivity you bring to your life and lives of the people you love. When you learn to tap this source, you will truly have defeated age.”

Sophia Loren

Thank you to all the residents for the warm welcome I have received.

Please note my door is open to meet with anyone to chat or express con-

cerns.

March is Epilepsy month - March 26 wear purple in support of those who supper from Epilepsy. (From Wikipedia)

Epilepsy is a group of neurological disorders characterized by epileptic seizures. Epi-leptic seizures are episodes that can vary from brief and nearly undetectable to long periods of vigorous shaking. In epilepsy, seizures tend to recur, and have no immedi-ate underlying cause while seizures that occur due to a specific cause are not deemed to represent epilepsy. The cause of most cases of epilepsy is unknown, although some people develop epi-lepsy as the result of brain injury, stroke, brain tumor, and drug and alcohol misuse. Genetic mutations are linked to a small proportion of the disease. Epileptic seizures are the result of excessive and abnormal cortical nerve cell activity in the brain. The diagnosis typically involves ruling out other conditions that might cause similar symp-toms such as fainting. Additionally, making the diagnosis involves determining if any other cause of seizures is present such as alcohol withdrawal or electrolyte problems. This may be done by imaging the brain and performing blood tests. Epilepsy can of-ten be confirmed with an electroencephalogram (EEG) but a normal test does not rule out the condition. The most common type (60%) of seizures are convulsive. Of these, one-third begin as generalized seizures from the start, affecting both hemispheres of the brain. Two-thirds begin as partial seizures (which affect one hemisphere of the brain) which may then progress to generalized seizures. The remaining 40% of seizures are non-convulsive. An example of this type is the absence seizure, which presents as a de-creased level of consciousness and usually lasts about 10 seconds.

FROM THE DESK OF THE DIRECTOR OF NURSING– Pam Bovan

Partial seizures are often preceded by certain experiences, known as an aura. These may include sensory (visual, hearing or smell), psychic, autonomic, or motor phe-nomena. Jerking activity may start in a specific muscle group and spread to sur-rounding muscle groups in which case it is known as a Jacksonian march. Automa-tisms may occur; these are non-consciously generated activities and mostly simple repetitive movements like smacking of the lips or more complex activities such as at-tempts to pick something up. There are six main types of generalized seizures: tonic-clonic, tonic, clonic, myo-clonic, absence, and atonic seizures. They all involve loss of consciousness and typi-cally happen without warning. Tonic-clonic seizures present with a contraction of the limbs followed by their exten-sion along with arching of the back which lasts 10–30 seconds (the tonic phase). A cry may be heard due to contraction of the chest muscles. This is then followed by a shaking of the limbs in unison (clonic phase). Tonic seizures produce constant con-tractions of the muscles. A person often turns blue as breathing is stopped. In clonic seizures there is shaking of the limbs in unison. After the shaking has stopped it may take 10–30 minutes for the person to return to normal; this period is called the "postictal state" or "postictal phase". Loss of bowel or bladder control may occur dur-ing a seizure. The tongue may be bitten at either the tip or on the sides during a sei-zure. In tonic-clonic seizure, bites to the sides are more common. Tongue bites are also relatively common in psychogenic non-epileptic seizures. Myoclonic seizures involve spasms of muscles in either a few areas or all over. Ab-sence seizures can be subtle with only a slight turn of the head or eye blinking. The person does not fall over and returns to normal right after it ends. Atonic seizures involve the loss of muscle activity for greater than one second. This typically occurs on both sides of the body. About 6% of those with epilepsy have seizures that are often triggered by specific events and are known as reflex seizures. Those with reflex epilepsy have seizures that are only triggered by specific stimuli. Common triggers include flashing lights and sudden noises. In certain types of epilepsy, seizures happen more often during sleep, and in other types they occur almost only when sleeping

FROM THE DESK OF THE NURSE MANAGER– Diane Wolfe

There are many infection challenges when it comes to the residents in our home.

Our residents are often immunocompromised which means that staff are challenged with keeping them healthy and minimizing the spread of infec-tions, plus maintaining a clean, comfortable home like environment. Rou-tine cleaning is a big part in helping maintain a healthy and comfortable environment as well as mimimizing the spread of infections. We have re-cently changed our cleaning solutions that now have a shorter kill time on surfaces and this is part of the ongoing changes to prevent infections in the home. The spreading of infection is one of the biggest challenges in the home. Residents live in close quarters, and intermingle with both staff and other residents on a daily basis making transmission of infections like norovirus, and influenza quite easy. This can quickly (as we can attest) lead to an out-break. Guidelines for an outbreak are communicated to us from the Middle-sex Public health unit. When a resident gets ill with an infection that could potentially spread to others, we isolate them in their room until their sypmtoms resolve or they are no longer considered infectious. This can be stressful for the residents, but with lots of reassurance, they usually will comply. Sometimes however they do not and this becomes more of an is-sue. Last month we had an enteric outbreak (vomiting, diarrhea) on the third floor. All measures i.e. isolating residents, extra cleaning staff wiping down busy traffic areas etc, helped to contain the virus to the third floor When visiting watch for the signage that is posted at the entrance doors, on ill residents doors etc.

Please remember that this is the residents home, we do not close the

home when an illness is present. We recommend that you visit your loved

one only, and that you wash your hands prior to the visit as well as after.

FROM THE DESK OF THE NUTRITIONAL MANAGER– Eileen Murray

National Nutrition Month Shop Smart — Get the Facts on Food Labels

Become a smart shopper by reading food labels to find out more about the foods you eat. The Nutrition Facts panel found on most food labels will help you: • Find out which foods are good sources of fiber, calcium, iron, and vita-min C • Compare similar foods to find out which one is lower in fat and calories • Search for low-sodium foods • Look for foods that are low in saturated fat and trans fats A Quick Guide to Reading the Nutrition Facts Label Start with the Serving Size • Look here for both the serving size (the amount for one serving), and the number of servings in the package. • Remember to check your portion size to the serving size listed on the la-bel. If the label serving size is one cup, and you eat two cups, you are getting twice the calories, fat and other nutrients listed on the label. Check Out the Total Calories and Fat Find out how many calories are in a single serving and the number of cal-ories from fat. It’s smart to cut back on calories and fat if you are watch-ing your weight! Let the Percent Daily Values Be Your Guide Use percent Daily Values (DV) to help you evaluate how a particular food fits into your daily meal plan: • Daily Values are average levels of nutrients for a person eating 2,000 calories a day. A food item with a 5% DV means 5% of the amount of fat that a person consuming 2,000 calories a day would eat. • Remember: percent DV are for the entire day — not just for one meal or snack. • You may need more or less than 2,000 calories per day. For some nutri-ents you may need more or less than 100% DV.

FROM THE DESK OF The Manager of Resident/ Community Services- Shelby Bentley

PHONE 519-660-3555 TO SCHEDULE HOUSE CALL

2015 Fee Guide

DENTAL*Our prices are less than dentist office fees*

DENTAL HYGIENE New Patient Assessment $75

Dental Exam of Previous Patient $26.01

Scaling per 15 minute unit $52.01

Polish per 8 minute unit $15.05

Fluoride $20.06

Cleaning of Dentures $50 (if included with treatment, $22.29)

Referral Services Free

DENTURE Consultation with Dentur ist $90 WAIVED IF TREATMENT STARTED

Labelling and polishing per denture $50 FREE WITH TREATMENT

Reline per denture (includes 3 months aftercare) $350-650 (soft liner)

Repairs $140 and up

Additions $180 and up

New complete (including 3 months of aftercare) $1300-1600 approx per denture

OPTICAL Optical Exam/Testing/Consultation $65 COST NOT COVERED BY OHIP

booked on regularly scheduled clinic day (TOTAL FEE $65 + $47 TO OHIP)

Emergency Optical Exam/Testing $140 COST NOT COVERED BY OHIP

booked on a non clinic day (TOTAL FEE $140 + $47 TO OHIP)

Glasses and Contact Lenses $120 and up

Repairs $40 and up

AUDIOLOGY Audiology Exam/Testing/Consultation $100

Hearing Aids $3000 and up approx

minus subsidy + insurance

Batteries $6 for 6 pack

Repairs Often covered by warranty

New partial (including 3 months of aftercare) $1300-1600 approx per denture

Natural Smiles, sight and sound will come to the home to offer the services listed. If you are interested in receiving any of the services please complete a consent form which is located at the Nursing Station or contact Shelby Bentley

for more information

From the Desk of Social Worker Noorjhan Ravji

Social Work Week: March 2 - 8 Social Work Week (SWW) is celebrated annually across Canada during the month of March. Activities that occur during this time highlight the role and contri-bution of the profession in providing services to the public. Each year a theme is selected that reflects the ideals and values of social workers. 2015 Theme: Social Workers: Mobilizing Strengths in Individuals & Com-munities. This theme was selected to highlight the significant role that so-cial workers play in helping people improve the quality of their lives and achieve their goals. Understanding and utilizing strength and resiliency are essential to-wards improving emotional health and well-being. Social workers recognize that people are experts about their own lives, and that the changes that they and their communities seek may take many forms. Essentially, so-cial workers help peo-ple find solutions that are tailored to meet their unique needs and concerns. Social Work Week pro-vides an opportunity each year for social workers to promote and celebrate their pro-fession and the life-changing work that they champion in every community. Mobilizing strengths is a major tenet of social work practice and helps to empower indi-viduals and communi-ties to overcome obsta-cles and achieve their goals!

DISCOVERING THE CULTURE OF IRELAND:

Geography- Ireland is situated in the Atlantic Ocean and separated from Great Britain by the Irish Sea. Half the size of Arkansas, it occupies the entire island except for the six counties that make up Northern Ireland. Ireland resembles a basin—a central plain rimmed with mountains, except in

the Dublin region. The mountains are low, with the highest peak, Carrantuohill in County Kerry, rising to 3,415 ft (1,041 m). The principal river is the Shannon, which begins in the north-central area, flows south and southwest for about 240 mi (386 km), and empties into the Atlantic

Demographics- The population of the island is currently approximately six million, with approximately 4.2 million living in the Republic and 1.8 million living in Northern Ireland. The island of Ireland enjoys a rich diversity of ethnic groups and cultures.

Climate- The climate is mild and temperate (showers can occur any time of the year).

Summer temperatures range 15-25 degrees Celsius (60-75 Fahrenheit). Spring and

autumn temperatures average around 10+ degrees Celsius (50+ Fahrenheit). Winter

is 0 to 10 degrees Celsius (30 to 50 Fahrenheit).

Blarney Castle- Blarney Castle is one of Ireland's oldest and most historic castles. An ancient stronghold of the MacCarthys, Lords of Muskerry and one of the strongest fortresses in Munster, its walls are eighteen feet thick in places. The famous Blarney Stone is embedded in the Battlements.

GOVERNMENT & ECONOMY- The government of Ireland consists of an elected parliament, which makes the laws, and a president, who is head of state. The head of the government is the Taoiseach (pronounced tee-shuck), which means "chief." The Taoiseach is the leader of the political party with the most parliament members. For most of its history, Ireland's economy has been based on farming and agriculture. But since the late 1950s, government efforts to attract business have turned the country from one of Europe's poorest nations to its second wealthiest. The amazing turnaround earned Ireland the nick-name "Celtic Tiger."

WE NEED YOU !!!!

Middlesex Terrace is looking for Volunteers of all ages to assist with various programming such as socials, outings, meal clubs, special events, one to one visits and decorating of the home. The volunteer opportunities at Middlesex are endless and are geared towards each volunteer’s interests, talents and availability. Your time be it a few hours a week or month can have a meaningful impact on the lives of a senior living in Long Term Care.

Join the Middlesex Terrace Team Today! For more information please contact myself, Shelby Bentley by phone 519-652-3483 or email sbentley@middlesexterrace.ca