Complex Continuing Care
For adults with health care needs greater than can be provided in a personal care home environment
The Complex Continuing Care Program offers comprehensive care for adults with health care needs requiring more professional intervention than can be provided in a personal care home environment.
The Program is designed for patients who require complex continuing care. In order to establish eligibility for the service, patients are reviewed through the regional paneling process. Once eligibility is established, the WRHA Long Term Care Access Centre will advise Riverview Health Centre. The Patient Care Manager of the Chronic Care Program will work with the referring agency and the patient's family to coordinate admission.
For more information on this program, contact the Patient Care Manager at:
Long Term Ventilation
Other Chronic Care
Objectives of the Program
To provide the best quality of life possible for patients through consideration of their physical, cognitive and emotional needs.
To maintain and enhance, when possible, the functional level of the patient's capacities.
To apply the principles of patient focused care through the involvement of patients and family members in care planning and care giving.
Components of the Program
Patients will be assessed and provided with treatment and care by an interdisciplinary team of health professionals. Using their specialized skills and knowledge, professionals will provide treatment and adapt the social and physical environment to meet the functional, emotional and social needs of patients.
Each patient is assigned a Primary Nurse. In collaboration with the patient, their family and other team members, the Primary Nurse coordinates the plan of care for assigned patients. Family members are encouraged to contact the Primary Nurse or Patient Care Manager whenever they have questions or concerns.
About the Unit
The Chronic Care Program is located on 2 West, a 30-bed unit with a mix of private and semi-private rooms. All rooms have their own bathroom. There is a communal dining area and lounge for use by patients and families. Programs and activities are primarily provided on the unit. The Chronic Care Program benefits from an interdisciplinary team consisting of:
- Recreation Facilitator
- Spiritual Care
- Clerical Partner
- Health Care Aides
- Occupational Therapist
- Registered Nurses
- Rehabilitation Assistant
- Respiratory Therapist
- Service Partners
- Social Worker
- Speech Language Pathologist (on consultation)