Holland Bloorview Kids Rehabilitation Hospital has been under unusual pressure since acute-care hospitals like SickKids exceeded their capacity.
The long-simmering crisis in children’s health care played out in prime time as pediatric leaders scrambled to find space for aBut other, lesser-known aspects of the pediatric system, from rehabilitation services to home care supports, have also been under immense strain, the result of chronic underfunding and years of wear from the COVID-19 pandemic.
Its three in-patient units were operating some days near or above capacity, straining the abilities of staff to care for their medically complex patients. These include children recovering from urgent surgeries for brain tumours or those needing intensive rehab following traumatic injuries, such as from a car crash. Milo-Manson said many have significant developmental disabilities and may not be verbal, while others with complex medical needs may require a ventilator.
To make space, staff had to discharge their own patients back to their homes, sometimes sooner than normal. But staffing shortages in home care and long wait times for mental health and social supports in the community meant that was not easy — and not always possible — for children with complex medical needs.
They were each spending up to three hours a day driving to and from the hospital. And while they were making the best of the long, tiring days, it was getting harder for Allison and Roger to leave their little girl at night.
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