In NURSING homes against their will

En CHSLD contre son gré

Thérèse Bélanger, 92 years old, suffering from various health problems related to his age, including ostéites and dementia. “But it has a certain clarity, it is not in another world, she is with us”, says one of his daughters, Nicole Sévigny.

On 23 November, the Centre for integrated health and social services (CISSS) of Chaudière-Appalaches has been forced to get in a CHSLD, under police escort, against his will and that of his daughter, who looked after them since 2006 with the help of the CLSC. As of yesterday, Ms. Bélanger ate, walked, and smiled, she withered away now quickly, dénutrie and weakened by the morphine.

A widow since 2003, Thérèse Bélanger lived alone in his residence in Charny, until his daughter Nicole left Montreal to move in with her, in 2006. “I took in hand the situation,” pharmacomédicale, tells Nicole Sévigny, who has a friend, a pharmacist and another doctor.

Prior to his arrival in a CHSLD, Ms. Bélanger was taking medication to thin his blood and slow his heart, cortisone, and a pump for his bronchi. It is also neat since a few years for ostéites, which have earned him several stays in the hospital in 2010 (osteitis is an inflammation of the bone tissue, often caused by a bacterial infection).

Thérèse Bélanger has started to receive home care by the CLSC, there is a little less than 10 years. At the beginning, the nurses were especially make bandages for his wounds, says his daughter. The state of Ms. Belanger began to require more care from the end of last August, after she had been hospitalized for a problem of thrush mouth.

“We then had to put in a day [care related to the lift and to the hygiene of the morning]. The CLSC was a shortage of staff and had hired a private company. The upgrade had to be done at 9am, but they came rather to 11am, 11.30 am, sometimes noon. So I did it often myself, the upgrade,” explains Nicole Sévigny, adding that his mother also had the right to “put” night, but that she had not had this help, that three times, because of lack of personnel. “But, but, but this was not necessary, I could wash it and fold it myself,” said Ms. Sevigny.

On 25 October, the staff of the CLSC has held that Thérèse Bélanger was “very unwell” and that she had to be hospitalized. “In the hospital, we performed various x-rays, which turned up nothing,” said his daughter. Ms. Bélanger has, however, stayed at the Hotel-Dieu of Lévis to be evaluated. It was necessary to set a slight problem of dehydration and rebalance the sodium levels in the blood, ” said Ms. Sevigny.

Morphine and CHSLD

During this hospitalization, the CLSC would have made it clear to Ms. Sevigny that her mother “expensive” in home care, that it “exceeded the budget”. Thérèse Bélanger had two nursing care per week to his wounds, “in the day” seven days a week (with a duration of approximately 30 minutes each) and 45 minutes of housework twice a week. “I have had meetings with the CLSC and the hospital staff. They wanted to place my mother in a CHSLD. I didn’t agree,” said Nicole Sévigny.

“The 31st of October, his geriatrician came to see me in the house and she told me that my mother was cooperating well, and that the Tylenol worked well to control the pain. […] The next day, I found that my mother was not there at all. I was not able to eat. On 2 November, I noticed that my mother was on the dilaudid. I did not understand. One came to tell me that the Tylenol worked!” said Ms. Sevigny.

Nicole Sévigny told the doctor of her mother’s family, who allegedly told him that”in the hospital, we give dilaudid, and then it is said that the person rating CHSLD”. “He wanted me to resume at the house.”

November 8, Ms. Sévigny has had another meeting with the representatives of the CLSC, social workers of the hospital and the geriatrician. “They wanted to send in a CHSLD. I had a lot of trouble. It was agreed that I the way for the weekend, provided that one or two all the time at home. I went to rent a wheelchair as a precaution, and the output from 10 to 12 November”, she says.

On Sunday, his sister went to make commissions, while his mother slept. “I was accused of not having followed the recommendations. But I was there, and my mother was sleeping!” According to Ms. Sevigny, the end of the week would be “great past”. “She was good, she ate, she walked.” On 13 November, the hospital had announced to Ms. Sevigny that she could resume her mother at home. But it seems that it was blocking the CLSC”. On the 15th, she learned that her mother would not leave her, that she was in a CHSLD. “I released it anyway, against medical advice.”

The CLSC continued to follow Thérèse Bélanger at home. On the 21st of November, he sent him a bed (single) electric to facilitate the task of nurses. “That night, I did not lying in the electric bed, but in her bed, a double bed. It was transported in the morning in the electric bed for wound care,” says Ms. Sevigny, in which the CLSCS were also asked to use a back brace to move her mother. “But it just hurts more than anything else. I preferred me without it, I knew how to go about it.”

Visit of the bailiff

On 22 November, the CLSC has been criticized Nicole Sévigny not to have followed the recommendations. In the evening, he sent a bailiff. “I had to report to the court the next day. I could not believe my eyes!” That evening, Nicole Sévigny said to have folded his mother in his electric bed, “an old bed with a flag of France”. “At 5 in the morning, she was crying and she was screaming. She was not in her bed, her legs hanging down. She was used to a double bed…”

The Court has ordered the placement of Therese Belanger in CHLSD on the 23rd of November. She was sent by ambulance, under police escort, the CHSLD de Sainte-Croix de Lotbinière, 50 miles from her home. Since that day, his condition continues to deteriorate. “The doctor has stopped all drugs, even cortisone she was taking since the year 2000, because the nurses were not able to give them to him. But there are ways to give them to him! I was able to. Let’s just not rush. At the hospital, a nurse had found the trick of the drug in the orange juice, and it worked. But they don’t have the time at the CHSLD”, laments Ms. Sévigny.

Then she ate well and walked just before his arrival at the CHSLD Thérèse Bélanger, who receives morphine four times a day, does not work and stops eating almost. “I have the impression that they do not have the time to deal with it. When she was home, it was one-to-one…” Ms. Sevigny believes that the CLSC was “in the crosshairs”. “He peered across everything I did, blamed me full of little things. […]

Yes, the household, it was expected, I was first and foremost to my mother, and the household, it should come after.”

The CISSS defends

The CISSS Chaudière-Appalaches, we do not want to comment on the specific case of Thérèse Bélanger for reasons of confidentiality. The spokesperson, Mireille Gaudreau, ensures, however, that “when an order of care is requested, it is ever of cheerfulness of heart, but because we judge that it is necessary to ensure the safety and security of the person”.

“There are reports that are made by different professionals to the folder. And the judge assesses whether the accommodation is required or not. It is always made in the best interests of the person,” insists Ms. Gaudreau.



The minister of Health, Danielle McCann, has asked all the institutions to “meet the needs” in the area of home care, she announced Wednesday in a media scrum.

The directive has been sent to the centres integrated academic health and social services (CIUSSS) and the centers integrated health and social services (CISSS) in the wake of revelations by The Press about cuts in home care in CIUSSS of the North-of-the-Island-of-Montreal.

According to the daily, the establishment would have explained that her finances were in the red and that the budget for home support was being bashed.

Not only the government Legault cancel these cuts CIUSSS of the North-of-the-island-of-Montreal, but “there will be no more cuts” in the care home, said Wednesday the minister Danielle McCann. According to her, “the care must be predominantly in the home”.

“We are going to accompany the establishments. Instead that people stay in the hospital or go to institutions […], when it is possible, we think it is much better to stay at home,” said the minister of Health in the media scrum.

If schools have spent their budget for the home care, but that there are still pressing needs, “what we said is:” you open in relation to these requests, you meet the requirements,” stressed the minister McCann, in which the government says it is ready to pay the bill. With Patricia Cloutier

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