Home care - People with a loss of autonomy

CISSS de la Montérégie-Ouest

The CISSS de la Montérégie-Ouest provides several services to help people with a loss of autonomy stay at home for as long as possible. A needs assessment is required and is periodically reviewed.

Click here for a list of facilities that offer this service. 


Personalized home care services

People with a loss of autonomy have access to services tailored to their needs:

  • Nursing and medical care in collaboration with your doctor;
  • Rehabilitation services: occupational therapy, physiotherapy, nutrition, respiratory therapy;
  • Psychosocial services;
  • Personal hygiene care;
  • Assistance with activities of daily living;
  • Personal assistance;
  • Specialized equipment needs;
  • Support for loved ones, respite care, emergency respite in the event of a breakdown in social support, day centre, temporary housing;
  • Application for housing in an intermediate resource or a long-term care centre (CHSLD).

Accessing home care services

Call the intake desk for home care for seniors or people with a loss of autonomy at your local CLSC. Consult the Our facilities section to find your local CLSC. 

Requests can be made by:

  • the user themselves;
  • a loved one;
  • a doctor or other healthcare professional;
  • any person concerned about the user’s living conditions.

A medical prescription is required for certain services.


Home care and services 

Nursing care

Continuous preventive, curative and palliative nursing care offered in conjunction with treatments begun at a hospital or medical clinic. 
We value collaboration with the user and their family in order to provide services that are best suited to the user’s needs.

Care provided: 

  • Assessment and identification of your health needs;
  • Professional interventions: 
    • administration of medications;
    • dressings;
    • blood draws;
    • wound care;
    • continence care (bladder or bowel);
    • diabetes care;
    • urinary catheter care;
    • feeding tube care;
    • support for diagnostic services;
    • health monitoring;
    • follow-up of insulin therapy, ostomy, and tracheotomy teaching;
    • 24/7 on-call service;
    • injectable treatments;
  • palliative care;
  • end-of-life care;
  • teaching you and your loved ones the care required for your condition.

As soon as you can leave your house, you will be referred to the nursing clinic at your local CLSC.

Medical care

A doctor provides at-home medical follow-up for people with a severe loss of autonomy who do not have a family doctor.
Priority is given to palliative care patients and to people with a severe loss of autonomy.

  • This is not an emergency service.

Rehabilitation services

These services are intended to improve, restore or preserve users’ functional capacity. They also help with the development of compensatory skills and with adapting the person’s living environment to promote optimal functioning.

Occupational therapy

This service is for people who have problems with their daily functioning at home.

  • Assessment of functional capacities;
  • Assessment of motor and cognitive skills;
  • Optimization of functional autonomy and safety at home;
  • Assistive devices;
  • Advice on positions in bed, in the wheelchair, and during transfers;
  • Adapting the home environment.

Respiratory therapy

This service is for people with chronic obstructive or restrictive pulmonary diseases (emphysema, asthma, pulmonary fibrosis, etc.), or for people with a disease that could cause breathing problems (sleep apnea, neuromuscular disease, cancer, etc.).

  • Clinical assessment and follow-up;
  • Systematic follow-up of users who require permanent oxygen therapy;
  • Assessment and follow-up of users with respiratory diseases;
  • Teaching;
  • Participation in a multidisciplinary team;
  • Palliative care interventions.

Physiotherapy

This service is for people with orthopedic, neurological, or virus-related problems, or any other condition that affects their mobility or causes pain, who are unable to travel to obtain outpatient services.

  • Assessment and mobility re-education;
  • Personalized exercise program;
  • Improvement of walking skills with the appropriate aids;
  • Pain relief;
  • Assessment and fall prevention.

Nutrition

This service is for people with age-related loss of autonomy who are suffering from a health problem directly related to their nutritional status.

  • Assessment of nutritional status and functional capacities;
  • Development and adjustment of the nutrition intervention plan in collaboration with the user and their family;
  • Teaching;
  • Participation in a multidisciplinary team;
  • Palliative care interventions.

Psychosocial services

The medical care you receive for your physical health condition is a priority, but your social well-being is equally important. Our social workers can help you and your loved ones to maintain or restore the psychosocial balance needed for an acceptable quality of life in your regular living environment.

Psychosocial assistance is available to people experiencing the following situations:

  • Abuse and violence;
  • Physical, psychological and/or financial mistreatment;
  • Need for end-of-life support;
  • Bereavement;
  • Problems staying at home;
  • Conflicts with loved ones;
  • Loneliness and isolation;
  • Need for caregiver support;
  • Need for information and support during the housing process.

Applications are assessed on a priority basis.

Equipment loans

We will loan equipment and technical aids (for a set period of time) to people who need them during their recovery or who have difficulties with their activities of daily living.

The loans are free, depending on your needs and subject to equipment availability.

  • Bath and transfer benches;
  • Oxygen concentrators;
  • Commodes;
  • Hospital beds;
  • Walkers;
  • Raised toilet seats.

Respite and support for caregivers

Various services are available to support and relieve loved ones who are caring for a person with a loss of autonomy.

Home care

Home care services are available to assist people with a loss of autonomy who are dealing with a disability. Certified health and social services assistants visit the person at home to provide help with various tasks.

Personal assistance includes help with personal hygiene, eating, and getting dressed and undressed (morning and evening). Help with household chores includes cooking, laundry, grocery shopping, and other tasks.

Respite and sitting services

To reduce the risk of caregiver burnout, in collaboration with the Alzheimer Society of Suroît and Les Aidants Naturels du Haut-Saint-Laurent, we offer periods of respite/sitting at home.

Day centres also offer respite to caregivers by taking in the person under their care for the day. Different activities are organized to stimulate the memory and maintain the motor skills of people with a loss of autonomy.

Programs

Various programs and services are available to support family members taking care of a person with a loss of autonomy, to give them a break and reduce the risk of burnout and depression:

  • Family support program;
  • Registration at the day centre;
  • Respite program for caregivers in collaboration with your local Alzheimer’s society (at home and at a respite centre). Note that this service is not only for people with Alzheimer’s disease;
  • Temporary housing;
  • Help and support from a heath and social services assistant (HSSA);
  • Direct allocation program (service employment paycheque).

Application for housing in an intermediate resource (IR) or a long-term care centre (CHSLD)

A psychosocial worker can guide the family through the process of obtaining housing in an IR or a CHSLD.

  • Assessment of eligibility;
  • Preparing the file and submitting it to the housing resource access point;
  • Determining the degree of urgency and steps to take during the waiting period.

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dep reperage-questionnaire 2019 (PDF 705.59 KB) (Opens in a new window)

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