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A front page article in the Toronto Star last week caught my eye, and left me feeling disappointed. The title read: “Please don’t trust me with your life… I’m a personal support worker and you have no idea how underqualified I am.”

The article goes on to talk about how there are some  courses available in the GTA that do not provide adequate training for students becoming PSW’s. Didn’t seem to mention much about the courses that do.

My first thought went to the director of the PSW program at Durham College, I fired off an email and soon had a reply. She had already written to the editor of the paper expressing her position on their story. Durham College offered me MORE than adequate training to enter my field and works closely with the Lakeridge Health Corporation to ensure training is up to date and  any necessary additions to the program are made.

How do we fix this? How do we ensure that PSW’s entering the workforce have the necessary training to provide SAFE and Holistic care for those in need? How do we monitor the care provided by PSW’s?

REGULATION.

What is regulation? It’s a means of streamlining education, tracking and recording workplace incidents, holding PSW’s accountable for their actions and ensuring the care provided by PSW’s is professional and safe. Our nurses are regulated under the College of Nurses. Why aren’t our PSW’s?

Many of those working in the field have been doing so for a long time. If we were to be regulated this would mean additional training and education, certification, money spent. Some feel it is not a necessary step to ensuring quality of care, some may feel their job security would be threatened.

What if a PSW is not providing quality care? They may abuse a client, lose their job and then move onto the next position with no record of the abuse following them to their new employer. Scary thought?

What if a PSW’s training becomes out dated? There is no method in place that requires training to be up to date except for those implemented by the employer.

Regulation would force employers to hire only those qualified, it would ensure punishment for those providing unsafe care, streamline education, ensure up to date training, provide a means of tracking behavior… and most importantly: Ensure the safety of all those receiving care from a PSW.

 

I may only be a PSW but please trust me with your life,  I have the training and the tools to provide you with safe, quality care. I am educated, intelligent, compassionate and I want to say the same for ALL those who call themselves PSW. Help us push for REGULATION.

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I want to begin this entry with a brief but in my opinion accurate excerpt from an article. I have included the link so you may view the entire entry.

Glenn Smith, Ph.D.

http://www.mayoclinic.com/health/sundowning/HQ01463

“The term “sundowning” refers to a state of confusion at the end of the day and into the night. Sundowning isn’t a disease, but a symptom that often occurs in people with dementia, such as Alzheimer’s disease. The cause isn’t known. But factors that may aggravate late-day confusion include:
fatigue, Low lighting, Increased shadows.
When sundowning occurs in a care facility, it may be related to the flurry of activity during staff shift changes. Staff arriving and leaving may cue some people with Alzheimer’s to want to go home or to check on their children — or other behaviors that were appropriate in the late afternoon in their past. It may help to occupy their time during that period.

In the setting I work in, Sundowning is a common behavior.  In many cases the patients were busy people, working people with children or homes and meals to be taken care of. Because they experienced a transition in their daily activities in the evening for so many years, they seem to feel a need for a change of scenery, or feel an urgency to exit even now.

Many times the behaviors can be diverted by finding out from the patient what is they feel they need to be doing and finding an appropriate diversion. For example I find with one patient if I extend an invite to stay for dinner, explaining we would love to have the company, more times than not the patient “chooses to stay” because it is the polite thing to do! In many cases all you can do is try to distract the patient, some will respond to being re-oriented to their surroundings explaining that they are home, that there is no need for them to leave. Unfortunately not every patient will respond to re-orientation. Sometimes walking them to a different area of the floor can be enough of a change to relieve their distress, or creating a daily routine; you may need to be very creative in finding ways to de-escalate. Knowing a little about your patients day-to-day life prior to their diagnosis can help you to find triggers, what did they do for a living?  Did they have children?  What was their role at home?

Because the exact cause of Sundowning is not known, and because of the complexity of each patient, managing the behaviors associated with Sundowning can be difficult. If you can find what triggers each patient has, remain in routine and learn about your patients history, you have a few essential tools to get you started.