1. Culturally Sensitive Practice with Immigrant Seniors in Long Term Care Regina, Saskatchewan Canada Kavita Ram, MSW M. Joanne Durst, MSW Metropolis Conference Vienna, Austria September 2003

2. About Regina, SK w Population: 200,000 w Capital City of Saskatchewan, Canada w Agriculturally based economy w Strong work ethic w Population is Ageing w Regina Qu-Appelle Health Region w Populated by European immigrants

3. About Saskatchewan w 43% of individuals over 65 are British, French and Canadian w 54% of individuals over 65 are of other ethnic origins w 3% of individuals over 65 are of Aboriginal origin

4. Recent trends w Immigrant origin Africa Asia Africa Latin America Caribbean

5. Largest Ethnic Groups in Regina by Senior Age Cohorts w Age 65-75 German Ukrainian Dutch w Age 75+ German Ukrainian Norwegian (Source: 1996 Census, Statistics Canada)

6. Extendicare/Sunset w 152 bed long term care facility w Level 3 and 4 Chronic Care

7. Extendicare/Parkside w Special Care Home (Level 3 & 4) w Affiliate of Regina Qu’Appelle Health Region w 228 Residents w Transition Unit (12-bed) w Special Needs Unit (36-beds) Residents with Dementia

8. Resident Profile w Almost all are over the age of 65 w Average age w Most residents are of European Origin Romanian, German, Ukrainian, Norwegian, Hungarian, French, English, Irish, Scottish, Dutch w 3% are Asian (Chinese) w 1% Aboriginal

9. Community Agencies w The Regina Open Door Society w Immigrant Women’s Association of Regina w Regina Multicultural Association w Native Counseling Services for Aboriginal residents (Regina Qu’Appelle Health Region)

10. Facility Education Programs w Cultural Diversity Training program w Staff are sent to workshops about spiritually and multiculturalism w Caregivers are multicultural and are encouraged to share insights about their own cultural with other

11. Case Studies w 74-year old woman of Greek origin w 87 year old Vietnamese resident w 92 year old client of Greek origin w 77 year old client of Chinese origin

12. Culturally Sensitive Practice w Recognize each person’s unique experience w Thorough Assessment Social History Degree of Acculturation Family Support and Dynamics w Language Use family members to translate Use translators w Knowledge about cultural differences self-determination trust privacy family caregiving responsibilities