Some seniors with dementia ‘stuck’ without proper care during COVID

·4 min read

Last August, Christine Mickeloff’s mother left her retirement home in Jarvis with her walker. Before anyone knew it, she was wandering down the highway.

Fortunately, an off-duty worker from the home was driving nearby when she recognized the Leisure Living resident who has dementia. She alerted the home and staff walked her back to safety.

Mickeloff‬‬ says the incident shows how people with dementia — especially those living in retirement homes that are not equipped to offer the same level of care as a long-term-care facility — are falling through the cracks.

“There are people like my mom who are ... stuck in a facility that is not meant to look after (them),” says the Caledonia resident.

Her mother, who Mickeloff didn’t want to name, was already showing signs of dementia when she moved into Leisure Living three years ago. A year later, she was diagnosed and the disease continued to progress. Though she was on the wait list for long-term care, delays from the pandemic meant she wasn’t getting a bed any time soon.

“Mom was forgotten,” Mickeloff said of the wait.

The home says staff tried their best to care for her mother, but were caught in the middle of the resident’s worsening dementia and an absence of supports.

When Leisure Living restricted access during the pandemic, Mickeloff mother’s symptoms worsened. Mickeloff couldn’t visit and there were no group activities to keep her mother engaged. She began to wander more and woke up in the middle of the night to look for her husband.

After the “dangerous” and “scary” highway incident, Kristina Kasza, the home’s director of care, said she immediately contacted Mickeloff and members of the resident’s care team.

“Multiple times, we were told to admit her (to hospital),” said Kasza, but the hospital “kept sending her back.”

“We were put in a rock and a hard place,” she said.

Jane Meadus, staff lawyer at the Advocacy Centre for the Elderly, says the government has left more and more people relying on retirement homes to provide health care in the pandemic.

“They are treating retirement homes almost as quasi-long-term-care homes and as a way for seniors to get care without the government having to pay anything,” she said.

Unlike long-term care, a retirement home doesn’t fall under the health-care sector. Instead, residents pay rent to stay in a home and can purchase care options on top. Mickeloff looked into hiring private care, but says at $37 per hour for 12 hours a day, it was too costly.

“You can’t say to somebody, ‘Well, yeah, you could go to long-term care but there’s no bed, so you’re going to have to pay privately,’ because we have a publicly funded health-care system,” Meadus added, noting that even before COVID-19, hospitals often pressured patients to go to a retirement home instead of waiting for long-term care in order to clear up beds.

While home care can help supplement care in a retirement home, Meadus says it can be “spotty” because there aren’t enough workers.

That means people who can’t afford private care, like Mickeloff’s mother, are left with inadequate care while waiting for a long-term-care bed.

Kasza says the LHIN requested more care for Mickeloff’s mother, but didn’t have enough staff to provide it since COVID-19 prevented workers from going into multiple homes.

“It was just a hot mess,” she said.

Kasza noted the whole home rallied to care for Mickeloff’s mother by alerting staff when they spotted her wandering or helping redirect her.

“Everybody took care of her to the best of their abilities,” she said.

By September, Mickeloff’s mother was on the crisis list, which prioritizes patients for long-term care. But COVID-19 outbreaks and precautions continued to cause delays. On top of that, she was competing with hospital patients also waiting in line.

By January, she was accepted for a bed. She got a COVID-19 test before her move, but days later, the long-term-care home declared an outbreak, postponing her entry for two weeks. Another COVID-19 case was later suspected in the home, again delaying her move.

In February, Mickeloff’s mother finally moved into long-term care, and her daughter says she seems happier. She has access to 24-7 care and staff to keep her stimulated.

Mickeloff says more needs to be done for others in her mother’s shoes, especially with dementia increasing.

“The government’s just not moving fast enough,” she says. “(My mom) got left behind and wasted away while she was waiting.”

Maria Iqbal, Local Journalism Initiative Reporter, The Hamilton Spectator