Canada-Based Nurse Advocates for Comprehensive Eldercare System in Nigeria

Esther Sydney, a nursing leader based in Canada, has issued a strong call for the establishment of a structured eldercare system in Nigeria. She emphasized that relying solely on goodwill and family support is insufficient to safeguard the well-being of the country’s aging population. Sydney's remarks come as Nigeria faces increasing challenges in providing adequate care for its elderly citizens due to factors such as migration, urbanization, and evolving family dynamics.

Sydney, who serves as the Director of Care at Silverleaf by Optima Living in Alberta, Canada, shared her insights during a recent discussion on eldercare. With over two decades of experience in nursing and healthcare management across Canada and the United States, she highlighted the need for trained caregivers, individualized care plans, and regular quality assessments to enhance the standards of eldercare in Nigeria.

"Eldercare requires a systematic approach, not just goodwill," Sydney stated. She pointed out that effective eldercare hinges on structured processes, including thorough assessments before patient placement, the involvement of trained caregivers, and clear care plans. Additionally, she stressed the importance of regular audits and safe transitions between hospitals, homes, and community care providers.

One of the critical points Sydney raised is the vulnerability of elderly patients during the transition from hospital to home. She noted that many patients may appear medically stable upon discharge but could still face significant risks without proper assessment and support. "Discharge is not the end of care; it is often the most fragile point in the care continuum," she explained. To mitigate these risks, she advocated for structured transition procedures that begin in emergency departments and continue through to home care, ensuring that families and caregivers are well-informed and prepared.

Sydney's experience at the Peter Lougheed Centre in Calgary has provided her with firsthand knowledge of the consequences of inadequate discharge planning. During her tenure, she assessed patients to determine their needs for long-term care or home assistance, underscoring the necessity of continuity in care. "Continuity of care should be embedded in health systems rather than left to the individual efforts of nurses or family members," she asserted.

In addition to advocating for better care systems, Sydney called for increased investment in the training and retention of nurses and caregivers. She believes that workforce stability is crucial for delivering high-quality eldercare. "People are more likely to remain in their positions when they receive proper training, support, and clear expectations," she noted, emphasizing the link between staff continuity and the quality of care provided.

Sydney also addressed the challenges faced by Nigerian-trained nurses who migrate to countries like Canada, the UK, and the US. She encouraged these professionals not to view long-term care as a temporary job but rather as an opportunity to develop essential skills in assessment, decision-making, and leadership. "Understanding the regulatory framework of your practice area is vital for ensuring patient safety," she advised.

On the topic of dementia care, Sydney highlighted the impact of the COVID-19 pandemic, which restricted family visits and led to increased distress among residents. She emphasized that family involvement is integral to the care of individuals with dementia, stating, "Family presence is part of care, not a privilege." She urged care providers to recognize that behavior often communicates underlying needs and emotions.

Finally, Sydney stressed the importance of consistent adherence to licensing, inspection, and accreditation standards in care facilities. She warned that these measures only protect residents when they are actively upheld, not just during inspections. "The welfare of residents relies on daily routines and regular audits of care practices," she concluded.

With her extensive background in nursing and healthcare management, Sydney's call for a structured eldercare system in Nigeria aims to address the pressing needs of the country's aging population and ensure that they receive the care and support they deserve.