end of life care with people experiencing homelessness abe oudshoorn, rn, phd assistant professor,...
TRANSCRIPT
End of Life Care With People Experiencing Homelessness
Abe Oudshoorn, RN, PhDAssistant Professor, School of Nursing, Western University
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Where are the homeless?
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Who are the Homeless?
• 66% mental health challenges• 33% addictions
• But, causes of homelessness are as many as the number of people experiencing homelessness
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How many are homeless?
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Why are they Homeless?
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How is their health?
LHSC Emergency
St Joseph’s Urgent Care
Health Zone
CMHA – Access Team
CCAC
London Crisis Pregnancy Centre
Youth Action Centre
Middlesex London Health Unit
At’ Lhosa
Regional HIV/AIDSConnection
London Public Library
Addiction Services of Thames Valley
EMSMen’s Mission
Street Scape
Centre of HopeWithdrawal Management
Chiropractors@COH
Centre of Hope Family Health Team
Women’s Community House
DOCS – Dental Outreach
Bethesda Centre EMDC
LHSC Women’s Health
St Leonard’s
My sister’sPlace Salvation Army-
Mobilizing Hope
Pharmacies
Methadone Clinics
LIHCQuinton Warner
WotchSOAHC
Regional Support Associates
Infectious Disease Care
John Gordon HomeDale Brain Injury Service
CAS
RMHCWhat health care do they access?
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Is their health care appropriate?
• ED• Walk-in clinic• CHC
• Home care?
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What is this costing us?
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Behavioural Barriers?
• Or policy barriers?
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What constitutes ‘palliative’?
• “life-threatening illness”, “serious illness”
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Pain and addiction
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Treatment solutions
• People, most often, will die how they lived.
• Harm reduction• Mental health support• Behavioural considerations
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Structural Solutions
• Medical respite– Shelter based?– Hospital based?– Hospice based?– Stand alone?– CHC based?
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Functional Example
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Questions