Nav-CARE is a program being developed through research that is currently available in select communities across Canada.
Communities who choose to participate in the Nav-CARE program first go through a series of steps to determine whether Nav-CARE is a good fit for their organization and community.
If Nav-CARE is a good fit, then experienced volunteers are recruited and offered a two day training in volunteer navigation. These specially-trained volunteers then work with one or two older persons in the home with the goal of providing long term navigation support and companionship.
Communities who choose to participate in the research aspects of Nav-CARE receive some funding support and in turn participate in evaluation of the Nav-CARE outcomes.
The Story of Nav-CARE
Nav-CARE was developed from research conducted in rural palliative care by Dr. Barbara Pesut and Dr. Wendy Duggleby. Through their research they discovered that rural older persons living at home were not receiving the support that they needed, particularly when they were living in the transition between chronic illness and palliative care. They also discovered that there were many resources in rural communities that few people knew about. Indeed, some the greatest barriers for volunteers were the lack of opportunities to become connected to older persons who needed help. This led to the development of Nav-CARE.
Dr. Duggleby developed competencies for navigation in assisting rural older persons while Dr. Pesut trialled nurse/volunteer navigation partnerships in one rural community. Nav-CARE has been developed strategically through a series of research projects over a ten-year period and has now been implemented in 25 sites across Canada. Findings from these projects can be found here. To view a list of our partners click here.
Things that volunteers do:
- Relieve feelings of loneliness, isolation and anxiety
- Talk through important decisions and future plans
- Locate local services and resources to help manage illness
- Book appointments
- Assist in re-engaging in hobbies and other interests such as art classes, reading, baking, and much more
- One on one relationships tailored to specific needs
- Locate local people and resources to help manage day to day needs
- Help older persons get to where they need to go
How does Nav-CARE help?
Older persons living with serious illness often have needs that influence their health, but these needs are not the focus of healthcare. For example, loneliness and social isolation are significant predictors for hospitalization in the later years of life. Older persons must make life changing decisions to accommodate new life realities. Getting around the community can become intensely challenging. All of these things influence how older persons manage their health. Volunteer navigators are trained to help with these needs.