Carole A. Estabrooks, PhD, RN
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Latest articles
Conditions and diseases

Canada's primary health care crisis has garnered news headlines and political attention, but an equally alarming crisis is ongoing in long-term care (LTC). More than five years after COVID-19's deadly sweep through LTC homes, exposing long-standing deficiencies in funding, infrastructure,…
Canada’s primary health care crisis has garnered news headlines and political attention, but an equally alarming crisis is ongoing in long-term care (LTC). More than five years after COVID-19’s deadly sweep through LTC homes, exposing long-standing deficiencies in funding, infrastructure, infection control, staffing and working conditions, many problems remain, driving a critical staffing shortage, burning out workers and impacting resident care. With the need for LTC …
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The burnout crisis in long-term care
Conditions and diseases

The COVID-19 pandemic wreaked havoc on long-term care in Canada. During the first two waves in 2020, over 80 percent of all Canadian COVID-19 deaths happened in long-term care homes. While vaccination and policy changes have helped to reduce the…
The COVID-19 pandemic wreaked havoc on long-term care in Canada. During the first two waves in 2020, over 80 percent of all Canadian COVID-19 deaths happened in long-term care homes. While vaccination and policy changes have helped to reduce the number of deaths, long-term care homes are still experiencing COVID-19 outbreaks and severe staffing shortages.
The people who provide front-line care to our most vulnerable seniors in long-term care have experienced …
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Care aides in long-term care were traumatized during COVID-19
Health policy

Canada needs trauma-informed aged care, training, and strategies in long-term care homes across the country. "Trauma" is a heavy word, but it's the right word. "Trauma" describes what has been happening in long-term care facilities across Canada during the pandemic,…
Canada needs trauma-informed aged care, training, and strategies in long-term care homes across the country.
“Trauma” is a heavy word, but it’s the right word.
“Trauma” describes what has been happening in long-term care facilities across Canada during the pandemic, where the majority of COVID-19 deaths have occurred and where highly restrictive visitor policies and short staffing have meant extreme isolation and deprivation for the residents who live there.
But there are often …
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We need trauma-informed care in long-term care homes
Conditions and diseases

Everything seemed to have changed in dementia care. It had become a policy priority and public and professional attitudes and understanding were improving, as were services and care. And then COVID-19 happened -- a profound shock to the system that…
Everything seemed to have changed in dementia care. It had become a policy priority and public and professional attitudes and understanding were improving, as were services and care. And then COVID-19 happened — a profound shock to the system that showed underneath, especially for the particularly vulnerable population living in long-term care homes, little had really changed.
Seventy percent of all COVID-19 deaths in Canada have
…
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Dementia: Everything has changed, nothing has changed
Conditions and diseases

It’s been almost a year since nursing home workers began fighting on the front lines of COVID-19. They’ve witnessed and experienced extreme trauma. They’ve seen seniors they care for suffer in fear and loneliness during prolonged and repeated lockdowns. They’ve…
It’s been almost a year since nursing home workers began fighting on the front lines of COVID-19. They’ve witnessed and experienced extreme trauma. They’ve seen seniors they care for suffer in fear and loneliness during prolonged and repeated lockdowns. They’ve seen residents fall catastrophically ill and too many of them die.
More than 17,000 seniors are dead from COVID-19 in Canada;
…
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Nursing home workers at catastrophic levels of burnout and trauma
Conditions and diseases

Most Canadians are familiar with nursing homes or long-term care facilities that provide 24-hour care to seniors who are no longer able to care for themselves independently – but we don’t spend a lot of time thinking about them. Given…
Most Canadians are familiar with nursing homes or long-term care facilities that provide 24-hour care to seniors who are no longer able to care for themselves independently – but we don’t spend a lot of time thinking about them. Given our rapidly aging population, and the likelihood that someone we love, or maybe even ourselves, will be living there one day, maybe we should.
What might surprise
…
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Our seniors deserve better. It’s time we all paid more attention.
Health policy

Many of us have moms and dads or older friends and relatives in nursing home facilities and care very much about their well-being and the supports they receive. But who’s caring for the care aides who do the bulk of…
Many of us have moms and dads or older friends and relatives in nursing home facilities and care very much about their well-being and the supports they receive. But who’s caring for the care aides who do the bulk of the frontline work in nursing homes? Their welfare is almost entirely overlooked in the health system. And it turns out, the health of the care aide affects the …
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Who is caring for the care workers?
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