Home Health & Geriatrics
Providing health care and support services for people who have acute, chronic, palliative or rehabilitative health care needs, offered in the home or community.
We provide short term and long term services. Our teams include nurses, physiotherapists, occupational therapists, case managers and an extensive team of health-care professionals (including mental health clinicians, family and social support consultants, social workers, speech language pathologists and nutritionists) work together to support people in the community.
- Vancouver Central Intake
- Vancouver Community has a centralized intake team that offers the public and care professionals a centralized call referral line. This number provides easy access to community health services under the Adult and Older Adult program (link) in Vancouver. People can speak with a registered nurse, who then links them to the appropriate program or community service.
- Transition Services Team (TST)
- TST provides in-hospital resource utilization support, case management and discharge coordination within the seven hospitals managed by the three health authorities in Vancouver: Vancouver Coastal Health, Providence Health Care, and Provincial Health Services Authority-B.C. Cancer Agency. Aligning with the philosophy that Home is Best, TST works to ensure clients are in the right location to receive the right care at the right time.
- Specific Services
- Acquired Brain Injury: Helps people who have suffered brain injury due to trauma, stroke, brain tumor, aneurysm or other causes.
- Health Services for Community Living: Helps adults with developmental disabilities access health services. It also provides their caregivers and families with support and training.
- Adult Day Services: Helps adults with disability and seniors through supportive community group programs.
- Home Care Nursing: provides professional nursing care in clients’ homes or in the community including education and referrals to other services.
- Ambulatory Home Care Nursing Clinics: Provide a broad range of services to people who require nursing treatment and education in self-care management.
- Home Health Equipment and Supplies: helps clients access equipment such as walkers, bath seats, wheelchairs or lifts, for short-term or long-term use.
- Home Support: Provides support for clients and their caregivers in daily living activities including bathing, dressing, exercising, medication administration and more.
- Caregiver Support: Provides support to caregivers in dealing with the emotional and physical demands of caring for a friend or relative.
- Community Nutritional Counseling: Offers nutritional support to people with a wide variety of health conditions.
- Occupational and Physical Therapy: Provides clients and their family with support to improve their functional and physical abilities. This includes recommendations for home set-up to make it safer and easier for clients to manage at home.
- Case Management: Develops a care plan with clients and their families that will meet the client’s health care needs in the community and arranges for services offered by both VCH and private providers.
- Convalescent Care: Provides short-term home support to people who have been in hospital and no longer require acute hospital care but need more time to recover.
- Rehab and Resource Team: Provides active rehab for adults with disabilities in VCH through a community-based, interdisciplinary rehab team.
- Supported Housing for People with Disabilities: Provides a range of housing and support options for people with disabilities, which may include group homes, family care homes or supported apartments.
Examples of Research and Evaluation Priorities
- Best practices for elder care with complex physical, mental health or substance abuse disorders.
- Cost effectiveness of new program implementation and on client-centered care
- Impact of not implementing best practices.
- Issues around client transition from Acute to Community care.
- Chronic disease management using community intervention.
- Health belief models and culture and managing personal health and chronic disease.
- Impact of clients using community health services instead of primary care physicians.
- Migration patterns, acute and chronic disorders, Downtown Eastside second generation women and youth with complex needs.
- Impact of consolidated services on clients and staff.
- Best practice and current state for high needs individuals.
- Management of alcohol dependency in the community.
- Utilization /over-utilization of Emergency Department by clients.
- Contracted professionals working with professional personnel and peer workers e.g. residential care.
- Environmental barriers for the elderly to remain in their homes.
Current and Past Research and Evaluation Projects
- A number of local and multi-centered research initiatives (self-reported health survey in frail elders, Catalyst project based at McMaster, Frail elder registry, etc.) including Decision Support on administrative data for the STAT Centre and Home VIVE
- How’s Your Health self-reported health survey, Tapestry (a multi-centred project out of McMaster using technology for enhancing communications between clients and their care team), a caregiver stress survey.
- The Slow and Silent Death of Health Promotion in Community Health Nursing
- Case Management: Improving Services for Complex clients within Home Health
- Organization Culture in Home Care Nursing Practice - An Ethnography
- Wound Care Decision-Making of Nurses
Questions? We can help. Contact our Community Research Facilitator