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Long-Term Care and Home Community Care

Mandate

The mandate of the Mnaamodzawin Long Term Care/Home and Community Care Program is to ensure  accessible and appropriate health services.  Program staff work with communities to coordinate, meet the needs and improve the health and well-being of our First Nations.
 
Mnaamodzawin Health Services presently services six (6) member First Nation communities of UCCM, these are:
  • M’Chigeeng First Nation
  • Aundeck Omni Kaning
  • Sheguiandah First Nation
  • Sheshegwaning First Nation
  • Whitefish River First Nation
  • Zhiibaahaasing First Nation

Community Health and Home Care Program Manager

Coordinates and supervises the development, implementation, monitoring and evaluation of specific clinical and/or community health promotion programs and services.

Responsible for the following programs and services:

  • Provincially funded Ministry of Health Long Term Care for nursing and home care, personal support care and personal support coordinators (seniors drop in centres).  Northern Diabetes Initiative and Healthy Babies Healthy Children program.
  • Federally funded programs with the Health Transfer Agreement through First Nation Inuit Health Branch inclusive of Community Health Nurses, Diabetes Nurse Specialist, Community Home Based Care (nurse), and local First Nations staff (ie; Community Health Representatives) in collaboration with other Regional Management Staff.

Assessment and Referral Coordinator

  • Coordinates the development, implementation, monitoring and evaluation of the home care clinical nursing and personal care services.
  • Assess clients and determines needs
  • In collaboration with the client and family, develop a plan of care to address needs
  • Coordinate and monitor plan of care until the clients goals are met
  • Determines eligibility, provides ongoing assessment and planning, linking, coordination and authorization of services and resources for clients referred to Mnaamodzawin Health Services Home Care Program

Registered Nurses

  • On a scheduled basis, nurses are available to provide services in the client’s home.  Some responsibilities include: 
  • Client case coordination with first Nation health team and family.
  • Teaching proper procedures for insulin injections.
  • Monitoring and/or administering prescribed medication.
  • Teach and monitor blood glucose levels.
  • Monitor blood pressure.
  • Foot Care
  • Dressing changes.

Personal Support Worker Coordinators

Coordinates and provides care contributing to the quality of life of individuals who live at home by promoting their independence; dignity, social, emotional and physical well-being; mobility; personal appearance, comfort and safety so that they may remain and participate in their community.
 
Programs and services include: Diners’ Club, Generic Transportation, Personal Care and Homemaking.  Works collaboratively with other health care providers, Registered Nurses, Assessment Referral Coordinator and participates in case conferences.  Provides written and verbal reports to the Mnaamodzawin Long Term Care Program, maintains client care records and tracking data for purposes of reporting.

Personal Support

This program provides health services with the intent to promote independent living.  Services may include: 
  • Personal Care (I .e. bathing, hair care etc.)
  • Meal Preparation according to Care Plan.
  • Escort when physical assistance is required.
To download our Long-Term Care and Home Community Care referral form (in PDF format), please click here.