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

Memorial Service– We will be holding a Memorial Service in the home to celebrate the lives of our residents that have passed away from June to September this year. We welcome all residents, family and staff members to attend. Remembrance Day Service– November 11th at 10:30am– We will be holding a service in the lower dining room lead by our Chaplain Paul Knauer. All are welcome to attend. CHRISTMAS IS UPON US!!!..... This year we are asking resi-dent’s Family and Friends to please bring in a wrapped and labeled gift for your loved one to open on Christmas Morning. Please drop your gift off to the Life Enrichment Department by Wednesday, December 17th.

A FRIENDLY REMINDER: On Admission, or anytime you have new clothes, or bring in new clothes for a loved one: Please make sure that it gets labeled by our Laundry Department before it is worn! Please have nursing team members bring to our Laundry Room. Thank-you! When visiting your loved one, we ask that you use caution when entering and exiting the home. Please seek a staff member first before assisting a resident out of the home. For resident’s safety staff members need to know the whereabouts of each resident. 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 following ministers/lay people will be running the services. November 2– Harvester Baptist November 9– TBA November 16– Hilk Bakker November23– Harvester Baptist November 30– Harvester Baptist

FROM THE DESK OF THE LIFE ENRICHMENT

DIRECTOR- Charlene Van Bilsen

RESIDENTS CORNER

FUN FACTS ABOUT SEPTEMBER Happy Birthday to everyone celebrating their birthday this month Birthstone— Topaz Topaz, the birthstone for November, derived its name from the island of Topazios in the Red Sea. A topaz is most commonly found in shades of yellow. However, you will have no difficulty matching a topaz with your favorite dress, for it also comes in shades of blue, pink, red, orange, green, brown, and even black. Pure topaz is a col-orless stone. It has been noted that Cleopatra was especially fond of yellow topaz be-cause it reminded her of honey. The lore, magic, and romance of the topaz goes back many thousands of years. Ancient Greeks associated topaz with strength. During the Middle Ages, topaz was believed to act as a guardian angel and was said to make its wearer invisible in times of emergency. Renaissance Europeans believed topaz could break magic spells.

Flower– Chrysanthemum The month of November is fortunate to have chrysanthemum for its flower. These beautiful blooms, more commonly called tansies or mums, generally signify optimism and cheerfulness, but they can have different meanings depending on their color. For example, red signifies love, white signifies truth, and yellow is the color for unrequited love. In China, this flower is so respected that it was once legal to grow them only in the gardens of the nobility. The Chinese believe that if one wipes his mouth with the petals of the chrysanthemum after drinking wine and then gives the flower to his betrothed, faithfulness and lasting love are ensured. Chrysanthemums have been brewed into teas and made into wines to cure fevers and increase longevity for centuries in Asian countries. In North Ameri-can tradition, mums are a friendship flower and a lovely gift for expressing your appre-ciation for your tried-and-true pals.

Some famous people born during this month include:

Jenny McCarthy (model) – Nov. 1 1972 Gordon Ramsay (chef) – Nov. 8, 1966 Richard Burton (actor) – Nov. 10, 1925

Nadia Comaneci (gymnast) – Nov. 12, 1961 Claude Monet (artist) – Nov. 14, 1840

Petula Clark (entertainer) – Nov. 15, 1932 Jamie Lee Curtis (actress) – Nov. 22, 1958 Louisa May Alcott (author) – Nov. 29, 1832

Dick Clark (entertainer) – Nov. 30, 1929 Jimi Hendrix (musician) – Nov. 27, 1942

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 4 x a year. Next meeting will be in the new year. Me e t i n g m i n u t e s f o r b o t h Re s i d e n t C ou n c i l / Fo od Committee and Family Council are located in binders across from both Nursing Stations.

FROM THE DESK OF THE ADMINISTRATOR— Jan Shkilnyk

Elevator update: The plans for the elevator replacement have

been sent to the Ministry of Health, the Building Inspector and the

Fire Marshall. We are now awaiting approval. It was decided to

change the actual type of elevator and this has contributed to the de-

lay in starting. The operational plan has been reviewed and there will

be little impact to the residents day to day routine. I will continue to

keep you up to date as things happen.

Recently our management team attended a workshop at the London

Middlesex Public Health Unit. The Health Unit is responsible for the

enforcement of the Tobacco Control Act. From time to time the

health unit inspectors do stop by the home to ensure that residents

are smoking 9 m from the building. Residents in other homes have

been charged and fined by the inspector for not being in compliance

with this. The other issue that came up is that the nursing home can

be fined for the purchase of contra band cigarettes from the local na-

tive reserve. Please note that if you buy cigarettes for a friend or

family here at Middlesex Terrace you are not allowed to supply their

cigarettes from the reserve. If you have any questions about this do

not hesitate to contact me. The home does have the right to not dis-

pense cigarettes known to be purchased illegally.

Jan

FROM THE DESK OF THE DIRECTOR OF NURSING– Arlene MacDonald

Chronic Obstructive Lung DiseaseChronic Obstructive Lung DiseaseChronic Obstructive Lung DiseaseChronic Obstructive Lung Disease

Chronic obstructive Lung Disease or COPD is a group of lung diseases. The 2 most common are emphysema and chronic bronchitis. Chronic bronchitis is an inflammation of the lining of the tubes leading to the lungs. Emphysema is characterized by damage to the small air sacs (alveoli) in the lungs. This damage cannot be reversed, but there are treat-ments that can help control the symptoms and make breathing easier. Symptoms of COPD can include shortness of breath, wheezing, chest tightness, chronic cough that produces clear, white, yellow or greenish spu-tum; blueness around the lips and fingernail beds; lack of energy. These symptoms usually appear gradually over time. At times symptoms can flare up and become worse for a period of time. The main cause of COPD is smoking and about 20% of smokers will de-velop COPD. Testing done to confirm COPD includes pulmonary function tests, chest x-rays, CT scan, arterial blood gas analysis. Treatment includes drugs such as bronchodilators. Some examples are ventolin, atrovent, spiriva. Inhaled steroids to help reduce the inflammation in the bronchial tubes. Some examples are flovent, and pulmicort. Some inhalers are made of a combination of both bronchodilator and steroid. These include advair and symbicort. For moderate to severe acute symp-toms oral steroids such as prednisone are used. With proper medical attention and care people with COPD can continue to live their lives, feel better and slow the damage to their lungs.

Information obtained from the Mayo Clinic website.

FROM THE DESK OF THE NURSE MANAGER– Diane Wolfe

Vaccination against this season’s

influenza is well underway around the

country.

Influenza is a highly contagious and

potentially life threatening disease

spread between people through sneez-

ing, coughing, and touching contami-

nated surfaces.

It causes nearly 2,500 deaths, and

18,000 hospitalizations per year.

Healthcare workers are at risk of

transmitting the virus to vulnerable

residents.

VaccinationVaccinationVaccinationVaccination

Is up to 90% effective in preventing

influenza in healthy people

It can take up to 14 days after vacci-

nation to develop full protection from

the disease.

INFECTION PREVENTION—

THE RESPONSIBILITY IS IN

YOUR HANDS

As always, please do not visit your loved ones

when you are ill

Can I still get the flu even

if I have been vacci-

nated?

It is possible to contract the flu de-spite having received the vaccination.

Reasons for this may include

-You came in contact with the vi-

rus prior to the vaccination or

during the 14 days needed to

build up immunity

-Exposure to a different strain of

influenza not covered in the

current years vaccine.

-The protection provided by the

vaccines can vary according to

ones age and overall health

The vaccine contains inactivated

or killed influenza virus and

therefore cannot cause influenza

Vaccination Remains Your Best DefenceVaccination Remains Your Best DefenceVaccination Remains Your Best DefenceVaccination Remains Your Best Defence

FROM THE DESK OF THE NUTRITIONAL MANAGER– Eileen Murray

Pleasurable Dining Overview as it relates to the LTCto -Term Care Homes

Act, 2007d Regulation 79/10

Well balanced, nutritious meals are an essential part of our service; the menus are approved by the Registered Dietitian and Resident Food Com-mittee before being put into use. They are updated twice per year in order to take full advantage of seasonal items. All dietary staff have received their Food Handler's Certification and several of the cooks have achieved their Cook's Level 1 Certification or higher. We feature home-style cooking made fresh in the home, and any special dietary or cultural needs can be met. Meals are served in our two dining rooms with supervision and assistance provided as outlined in section 71 (6) of the Regulation states that Meal services must take place in a congregate setting ( dining room) unless a resident’s assessed needs indicate otherwise. Currently we have a few residents that have been grandfathered in and have signed a risk agreement with a registered staff member which has been placed on his /her chart recognizing the risks associated with eating unsupervised and stating that they wish to continue to receive meal trays despite encouragement

Since implementation of the Act unless residents have previ-ously signed the risk agreement all residents will receive meals in the dining room (congregate setting) as per section 71. If a resident is demonstrating un-wellness a fluid tray can be of-fered on room service. This ensures all residents are monitored during meals and that staff members assisting residents must be aware of the residents’ diets, spe-cial needs and preferences. MEAL TICKETS At a cost of $5 per person, meal tickets can be purchased from the Die-tary Department. If you would like to book a meal prepared by our Die-tary staff, advance notice of 24 hours is required. Space will be made available for you and your loved one to dine privately. We look forward to sharing meals with you and your loved ones during the Fall Winter Season 2014/15

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

Friendly Reminder

All clothing and belongings must be clearly labeled with the residents name. It is the

resident/family’s responsibility to take all clothing directly to the Charge Nurse to be

sent down to the laundry room for labeling. Please do not leave unmarked items in the

Resident’s room. If you notice your loved ones clothing or belongings are missing please

immediately report this to the charge nurse.

Clothing must be washable, in good repair, clean, seasonally appropriate and must

fit. As there is limited closet space we ask families to adhere and take home off season

clothing. Unsuitable clothing will be returned to the families to take home. CLOTHING

TO AVOID - We strongly suggest you avoid the following clothing items if Middlesex

Terrace will be doing your loved ones laundry: silk, wool, linen and any other delicate

fabrics as we cannot guarantee these will make it through our industrial

machines safely.

Permitted Lengths of Absence

Middlesex Terrace encourages everyone to go on outings with family

and friends. We ask that you notify the Charge Nurse prior to leaving and on your return

so medication can be organized as needed. Please also fill out the Leave of Absence

sheet located at each Nursing Station with the date and time of departure and expected

return. Accommodation charges continue while on leave as per the Admission Agree-

ment. The following is a summary of Ministry regulations in regards to a resident’s leave

of absence:

Casual Leave - 48 hours per week, the week starts on Sunday.

*Please Note: If a casual leave is longer than 48 hours it will be deemed as a Vacation

leave.

Vacation Leave - 21 days in a calendar year is available to residents.

*Please Note: Such leaves must be authorized by the resident’s attending physician.

Medical Leave - 30 days or less for the purpose of continued hospital care.

Psychiatric Leave - 60 days for the purpose of assessment and specialized care in a hos-

pital.

The resident will be discharged once the maximum number of days is met. However, a

new “re-admission” category has been added to the waitlists. This allows residents who

were discharged from a long-term care home due to a medical or psychiatric leave

longer than the permitted time to be readmitted.

FROM THE DESK OF The Social Worker NOORJHAN RAVJI

Valuable Advice for Care Providers from an Alzheimer's Patient

By Jeanne Capp, an early stage Alzheimer's patient • Don't hurry me. Hurrying me tends to make me forget, and then I

tend to get confused • Do not keep asking questions. This frustrates me and makes me feel

like I am being tested • When I forget, either laugh with me or hug me, but please do not try

to make excuses for me. When you do that, it makes me angry and I feel that you do not understand what I am feeling inside.

• When I tell you something "dumb" that I did, please listen and try to understand that what I am really trying to tell you is that I am scared and hurting. I need to be loved and given time to talk about what is happening to me

• When I am silent and unable to sleep, chances are that I am strug-gling with my own fears about how this is going to hurt you as time goes on. I am asking myself what is going to happen to me and how we, as a family, are going to cope and survive

• Try to understand that some days I almost convince myself that there is nothing wrong with me, and then there are days when I have no doubt that my head is not working normally. These latter days are the ones when you are most apt to find me down in spirit. Try to under-stand that I am really finding it difficult to believe that this is really happening to me. The big questions "why?" and "how long?" keep going around in my head.

Compiled by the Lincoln/Greater Nebraska Chapter of the Alzheimer's

Association, 1999

ADD IN FACT SHEETS FROM JAN S.

WE NEED YOU !!!!

Miiddlesex Terrace is looking for Volunteers of all ages to assist with vari-ous 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