{"id":16203,"date":"2023-04-21T14:16:20","date_gmt":"2023-04-21T18:16:20","guid":{"rendered":"https:\/\/ssaquebec.ca\/en\/news\/improving-the-trajectory-of-seniors-in-the-transition-from-home-to-residential-care-ruisss-universite-laval-activates-the-patients-program\/"},"modified":"2026-02-26T10:08:54","modified_gmt":"2026-02-26T14:08:54","slug":"improving-the-trajectory-of-seniors-in-the-transition-from-home-to-residential-care-ruisss-universite-laval-activates-the-patients-program","status":"publish","type":"post","link":"https:\/\/ssaquebec.ca\/en\/news\/improving-the-trajectory-of-seniors-in-the-transition-from-home-to-residential-care-ruisss-universite-laval-activates-the-patients-program\/","title":{"rendered":"Improving the pathway of seniors in the transition from home to residential care: RUISSS Universit\u00e9 Laval activates the PATIenTS program"},"content":{"rendered":"\n

As part of the PATIenTS program, the RUISSS Universit\u00e9 Laval SSA team launched its project Sur le chemin du mieux-\u00eatre selon la trajectoire de vie: Soutien \u00e0 la personnalisation des soins et services dans la transition entre le domicile et l’h\u00e9bergement pour les personnes a\u00een\u00e9es de la C\u00f4te-Nord.<\/em> In the ministerial health plan 2022, the quality of care and services offered to seniors, in partnership with these people and their loved ones, is one of the main priorities, while linking home support policies with the long-term care accommodation policy.<\/p>\n\n\n\n

\n
Download the final report (in French)<\/a><\/div>\n<\/div>\n\n\n\n

<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
<\/div>\n\n\n\n
\"\"<\/figure>
\n

During RUISSS Universit\u00e9 Laval’s most recent strategic planning tour, support for seniors was also identified as a priority, particularly in remote areas.<\/p>\n<\/div><\/div>\n\n\n\n

The Centre int\u00e9gr\u00e9 de sant\u00e9 et de services sociaux (CISSS) de la C\u00f4te-Nord has made a commitment to implement the accommodation policy of the Minist\u00e8re de la Sant\u00e9 et des Services sociaux du Qu\u00e9bec.<\/p>\n\n\n\n

The Par-A\u00een\u00e9s project team, consisting of Maude Laberge, Marie-Soleil Hardy, Camille Savoie<\/strong>, Fanny Leblanc, Louise Bertrand<\/strong> and Manon Cody<\/strong>, will ensure that the project has an impact on the fivefold objective while meeting the needs and aspirations of the community.<\/p>\n\n\n\n

The project team’s diverse scientific expertise includes the organization and optimization of care and services for the elderly, service management, sociology related to aging, digital health, ethics, health economics, patient engagement, evaluation of care trajectories, qualitative and quantitative approaches, work environment and caregiver burnout, participatory research, Indigenous health and secure care, nursing practice, interprofessional collaboration and shared decision-making. The Direction du Soutien \u00e0 l’Autonomie et aux Personnes Ag\u00e9es (SAPA) as well as several other stakeholders within the Centre int\u00e9gr\u00e9 de sant\u00e9 et de services sociaux (CISSS) de la C\u00f4te-Nord were actively involved.<\/p>\n\n\n\n

Pathway of seniors in the transition from home to residential care<\/strong><\/h3>\n\n\n\n

The pathway begins when the senior declares a loss of autonomy and the project is part of the continuum that leads to the residential setting in the regional context of the Centres int\u00e9gr\u00e9s de sant\u00e9 et de services sociaux (CISSS) de la C\u00f4te-Nord.<\/p>\n\n\n\n

\"\"<\/figure>
\n

In the current trajectory, the senior’s “life story” is realized upon arrival in the new living environment, not upon departure from home or even before.<\/p>\n<\/div><\/div>\n\n\n\n

Based on the data that will be collected, the SSA-RUISSS Universit\u00e9 Laval project team and stakeholders will identify improvements to be made in the trajectory that involves the transition to residential care in order to provide an optimized approach to the use of the “life story”. This will improve the experience of seniors during their stay in a residential setting.<\/p>\n\n\n\n

Current “high level” pathway<\/h3>\n\n\n\n
\"\"
From: Institut national d\u2019excellence en sant\u00e9 et en services sociaux (INESSS). \u00c9valuation du continuum de soins et services aux a\u00een\u00e9s. Perspectives pour l\u2019\u00e9volution de la mesure. Report written by Mich\u00e8le Archambault, Bernard Candas, Maria Fortino and Marie-H\u00e9l\u00e8ne Raymond. Qu\u00e9bec, QC : INESSS; 2019. 170p.<\/figcaption><\/figure>\n\n\n\n

In this PATIenTS project, an improved pathway is proposed: one in which the “life history” of seniors is taken into account before their arrival in a residential setting to ensure a personalized welcome that will remain continuous in the new living environment. The approach will promote the well-being of seniors and, as a result, the patient experience. It will allow professional health staff and staff working with seniors to provide more humane care. This is consistent with the fact that if time is taken to get to know the person before they arrive and staff have optimized tools to collect and use the “life story” (a ministerial request), the reception will be personalized, which will lessen the shock of the transition to the residential setting and enhance quality of life afterwards.<\/p>\n\n\n\n

Issue<\/h3><\/h3>\n\n\n\n

As indicated in the Health Plan released by the MSSS in 2022, the aging of the population is occurring more rapidly in Qu\u00e9bec and in rural areas, which translates into a growing demand for accommodation.<\/p>\n\n\n\n

This observation raises questions about the optimal way to welcome people aged 65 and over who are in a situation of loss of autonomy and to offer them a living environment that promotes their well-being.<\/p>\n\n\n\n

Objective<\/h3><\/h3>\n\n\n\n

In order to solve this problem, the team’s objective is to personalize the approach offered to seniors who are transiting to a long-term care facility by promoting the integration of their life history.<\/p>\n\n\n\n

Methodology<\/h3><\/h3>\n\n\n\n

The team adopts a design deploying a mixed-methods participatory research approach in support of continuous quality improvement (CQI) to address the quintuple aim.<\/p>\n\n\n

\n