Nursing

Wound Care
Middlesex Terrace has an active Interdisciplinary Wound Prevention and Skin Care Team. The focus of the team is to maintain excellence in skin care, the prevention of skin breakdown and ongoing education of staff, residents and family.

Palliative Care Team
Purpose: To continually reassess and improve palliative care services to residents at Middlesex Terrace. The team serves a wider range than just those who are at end-of-life.

Goal: To educate staff on new developments in palliative care and assist in the implementation within the home. Middlesex Terrace supports staff in taking the Fundamentals of Palliative Care course offered regularly in the community.

Features offered to palliative residents:

• 24/7 available physician
• Medication management at any level ordered by the physician
• Therapeutic surfaces for comfort control
• Drinks, snacks, and meals provided to family members. Families are welcome to stay through the night as rooms can be equipped with a chair that can be converted to a bed.
• Caring and compassionate staff trained in palliative care
• Pastoral Care coordinator available for support and assistance with family concerns
• Music and aromatherapy

P.I.E.C.E.S.
The PIECES approach to care encompasses the following:

• Physical – look at the disease, drugs, disability
• Intellect – look at changes in specific areas of the brain
• Emotional – is there depression, delusions; loss of independence
• Capabilities – focus on what the person can do, not what they cannot do; build on their strengths
• Environment – is the environment noisy, cluttered, etc.?
• Social – life story; likes/dislikes; previous coping skills