1. Individual
1.1. Loss of independence
1.1.1. Individuals desire to retain their previous level of functioning and take part in high risk activities
1.1.2. Feelings of shame or loss resulting in poor mental health and self care
1.1.2.1. Feelings leading to self-isolation resulting in poorer health outcomes
1.2. Pre-exisiting and chronic health conditions
1.2.1. With acute issues such as a stroke, individuals are more likely to live after that with co-morbidities
1.2.2. Or contrastly, those with higher co-morbidities are more likely to have acute situations such as stroke or heart attack
1.3. Income and Location
1.3.1. If a person has low income or lives in a remote area the availability of services decreases
2. Family/Friends
2.1. Expectations of care-giving
2.1.1. Historically families prov. care, but d/t necessity of full-time work and dual incomes, no ability to care give
2.2. Multi-generational care needs
2.2.1. D/t living longer, children are being expected to take care of their parents and their own children, and sometimes grand-children
2.2.2. Family members as "support people" when LHIN care is needed, even if unable to provide adequate supports
3. Community
3.1. Community programming and medical supports
3.1.1. Waitlists for supports are long, especially those which are publicly funded
3.1.2. High demand resulting in strict inclusionary and exclusionary criterias, cutting people off from services
3.2. LTC and RH wait lists
3.2.1. Long wait lists meaning people are forced to wait in home, in hospital, or with family and with inadequate supports, despite LHIN services
3.2.2. Specific criterias to be met within LTC or RH and while waiting, people's state can deteriorate and make them ineligible.
3.2.3. Subsidized beds within LTC or RH are far fewer and therefore have longer wait lists
4. Political
4.1. LHIN and CCAC services
4.1.1. Restructuring and re-zoning
4.1.2. "Home First" Policy
4.1.3. Equipment rental- 2 pieces for 1 month, and then large costs associated
4.2. Bed pressures within acute care
4.2.1. Discharge focused care to create more bed movement resulting in early discharge to potentially inappropriate locations
4.2.2. Care needs not being immediately met resulting in complications