'It's all about dignity': At-home health-care program that uses paramedics in B.C. receives glowing reviews
While multiple levels of government scramble to fund and bring solutions to an overwhelmed primary health-care system, BC Emergency Health Services' community paramedicine (CP) program has been quietly working to serve patients in their homes and prevent them from unnecessary trips to busy emergency departments.
The CP program works in partnership with regional health authorities and local care teams in rural and remote communities.
"My role is more proactive medicine," said primary care paramedic Mike Wright. "I am the doctor's eyes and ears."
He's among 167 paramedics in B.C. who've completed training to become a CP since the program was tested in 2015 and rolled out in 2016.
Wright has been practising since 2018, working out of the Lake Cowichan Ambulance station, which covers a large territory including Lake Cowichan, Youbou, and Ditidaht Village.
He visits roughly 28 patients a week who have been referred to him from a primary care provider when they have a potentially life-ending or life-altering disease.
He makes trips to their homes for appointments of 45 minute to one hour – checking their vitals, assessing how they're doing, and helping them navigate a complex health-care system.
"If I see something that is concerning, I'm lucky enough where I can call the doctor right from the house, right beside the patient," he said.
BCEHS' most recent progress report finds there's been a 39 per cent drop in 911 calls made by patients who received community paramedicine services.
Wright estimates that eight times out of 10 he can resolve a medical concern inside the patient's home.
"We keep them in the home longer, which is invariably what they want," he said.
HONOURING TONY’S WISHES
We followed Wright to a pair of patient homes in the late fall.
His first stop was to see 87-year-old Tony Bond, who has since died.
Wright put on his face mask, grabbed a small bag of equipment for medical assessments, and then knocked on his patient's door. Inside, the cancer patient sat on his living room chair for his checkup which included a few basic questions on how he was doing.
"He makes me feel better," said Bond. "It's very nice to think that somebody gives a damn."
Tony Bond is pictured. (CTV News)In a brief interview, he didn’t talk about any discomfort he may have been feeling. Instead, he made a single wish clear.
"I don't want to go to the hospital," he said. "That's the last place on earth I want to go. And I don't want to die there either."
Wright confirms that wish was honoured. Bond died in his home in November, which he had said the CP program would make it easier to do.
"It's all about dignity and respecting what the patient wants while we're providing that level of care to them," said Wright at the time of our fall interview.
Bond wasn't the only one expressing his gratitude.
FRIENDSHIP AND TRUST
Margaret Beldessi said she became connected to the program through her late husband. He was a patient first, then Wright continued caring for Beldessi after her partner died in 2020.
"It's made a big difference," said the 94-year-old. "I don't have any worries."
"If I get up in the morning and something is bothering me, I can just phone Mike," she said.
She said he’s become a good friend and a person she can rely on – which is especially helpful since taking a trip to her doctor isn't easy.
As he wrapped up his visit, Wright reassured her: "You can call me if you need anything."
Margaret Beldessi, a patient with BC Emergency Health Services' community paramedicine program, is shown in her home. (CTV News)
GROWING PROGRAM
In addition to reducing calls to 911, BCEHS's 2022 progress report finds the CP program is also meeting objectives to bridge health-care gaps and stabilize paramedic staffing in rural and remote communities in our province.
The program expanded from 99 to 100 communities this year.
"I think the sky is the limit on this and I think there's a huge need for it," said Wright.
CTVNews.ca Top Stories
'Nonsense:' Doug Ford slams lawsuits filed by Ontario school boards against social media platforms
Premier Doug Ford says that lawsuits launched by four Ontario school boards against a trio of social media platforms are “nonsense” and risk becoming a distraction to the work that really matters.
Several flight attendants from Pakistan have gone missing after landing in Canada
Multiple flight attendants from Pakistan International Airlines have abandoned their jobs and are believed to have sought asylum in Canada in the past year and a half, a spokesperson for the government-owned airline says.
Multiple bridges in Calgary shut down for police incident
Calgary police have shut down a number of bridges into and out of the downtown core as officers deal with a distraught individual.
Tipping is off the table at this Toronto restaurant
A Toronto restaurant introduced a surprising new rule that reduced the cost of a meal and raised the salaries of staff.
King Charles calls for acts of friendship in first public remarks since Kate's cancer diagnosis
King Charles III gave public remarks for Maundy Thursday, addressing the importance of acts of friendship, following his and Catherine, Princess of Wales’ cancer diagnoses.
A dog and a bird formed an unlikely friendship. Their separation has infuriated followers
Peggy is a stout and muscular Staffordshire bull terrier, and Molly is a magpie, an Australian bird best known for swooping on humans during breeding season, not for befriending dogs. But in an emotional video posted online, Peggy’s owners announced that the animals had been separated.
Rainfall warnings of up to 90 mm among weather alerts in effect for 7 provinces
Rainfall warnings of up to 90 millimetres, air quality advisories and other alerts have been issued for seven Canadian provinces, according to the latest forecasts.
Gangs netting up to US$3 trillion a year as Southeast Asia human trafficking becomes a global crisis, Interpol says
Human trafficking-fuelled fraud is exploding in Southeast Asia with organized crime rings raking in close to US$3 trillion in illicit revenue annually, the head of Interpol has said in comments that reveal the huge profits being earned by cartels.
Robotic police dog shot multiple times, credited with avoiding potential bloodshed
A robotic dog named Roscoe is being thanked by state police in Massachusetts for helping avert a tragedy involving a person barricaded in a home.