Chapter 3 - Workplace Settings

Question 1

Community-Based Settings

Answer 1

• Each setting has different goals and services.
  Support workers provide vital services that enable clients to be as safe, comfortable, dignified and independent as possible
• Current trend within the Canadian health care system is to decrease hospital cost and increase resources in community-based services
• Regardless of where you work, you must be familiar with your scope of practice

Question 2

Home Care

Answer 2

• Support workers have a central role within home care
  Provide personal care
  > Assist with activities of daily living (ADLs)
  > Child care
  > Transportation
  > Home management
• Support workers must follow agency policies and procedures
  > Box 3-1: Issues and Challenges Associated with Working in Home Care (p. 31)
• Support workers may work part-time, full- time, in a community day program, or directly for client

Question 3

Types of Settings

Answer 3

• Long-term Care
• Community
• Day Programs
• Mental Health Homes
• Group Homes
• Retirement Homes

Question 4

Long-term facilities (Specialized Facilities)

Answer 4

(Nursing homes, homes for the aged, long-term care homes, special care homes)
> Provide care for people with a chronic illness
- Persistent (chronic) illness: an ongoing illness, slow or gradual in onset, grows worse over time, no known cure
> Goal is to assist client to cope with the challenges of living with a long-term illness or disability
> Provide a higher level of care than do retirement residences and assisted-living facilities
> 24-hour professional care services to clients who cannot care for themselves at home but do not need hospital care

Question 5

Acute Care (Specialized Facilities)

Answer 5

Provided by hospital for short time, intended to diagnose and treat an immediate health issue

Question 6

Sub-acute Care (Specialized Facilities)

Answer 6

Condition is stable but still needs care, requiring complex equipment and procedures

Question 7

Respite Care (Specialized Facilities)

Answer 7

Temporary care for a high level of support, care and supervision; gives client’s caregiver a break from their duties

Question 8

Rehabilitation (Specialized Facilities)

Answer 8

Therapies and educational programs designed to restore, improve the client’s independence and functional abilities

Question 9

Palliative Care or Hospice Care (Specialized Facilities)

Answer 9

• Both provide end-of-life care
• Provide care for people living with progressive, life-threatening illnesses
• Aim to relieve or reduce uncomfortable symptoms such as pain and suffering, but not to produce a cure
• Hospice provides care for one no longer seeking life-prolonging care; try to make client’s last days as painless, comfortable, and dignified as possible

Question 10

Mental Health services (Specialized Facilities)

Answer 10

• Psychiatric services
  > Devoted to caring for people with mental disorders
  > In-patient and outpatient services are provided
  > Community-based care and support services

Question 11

Residential facility

Answer 11

• Provides living accommodations, care and support services
  > Vary in size and accommodation
  > Comfortable home-like atmosphere

Question 12

Supportive Housing / Assisted living

Answer 12

• Supportive Housing / Assisted living

> Often private apartments; client requires minimal care and support services

Question 13

Group Home

Answer 13

Small number of people with physical or mental disabilities live together and receive supervision, care and support services

Question 14

Retirement Residence

Answer 14

Provides accommodation and supervision for older adults. In some provinces and territories these homes are often privately operated and are not regulated or financed by the government, requiring the resident to pay full cost.