Can your nurses manage BiPAP, suction, or tracheostomy care?

Yes. Our RNs are experienced in non-invasive ventilation (BiPAP/AVAPS), oral and tracheal suctioning, tracheostomy care including tube changes per physician orders, and ventilator management for clients who progress to invasive ventilation. We coordinate with HSC respirology and the equipment vendor.

Do you coordinate with the ALS Society of Manitoba and the Motor Neuron Disease Clinic?

Yes. The MND Clinic at Deer Lodge Centre (2109 Portage Ave) is the hub for multidisciplinary ALS care in Manitoba, and we work as an extension of that team — implementing recommendations from respirology, PT, OT, SLP, and the dietitian, and reporting home observations back to the clinic. We also work alongside the ALS Society of Manitoba (1717 Dublin Ave), sharing care plans so there is no duplication and advocating for loan equipment as clients progress.

How do you handle communication with clients who cannot speak?

With patience and the right tools. We support eye-gaze devices (Tobii, PCEye), letter boards, text-to-speech apps, and low-tech communication systems. Caregivers are specifically trained not to rush, not to finish sentences, and not to default to yes/no when the client has more to say.

Can you provide PEG tube feeding?

Yes. Our RNs administer bolus and continuous PEG feeds, medication via tube, site care and cleaning, and pump operation. We monitor for tube complications (dislodgement, site infection, clogs) and coordinate with the gastroenterology or ALS clinic team.

How do you handle end-of-life with ALS?

Most ALS deaths at home are respiratory — either progression to respiratory failure or elective withdrawal of ventilation. Our palliative-trained nurses manage symptom control (dyspnea, anxiety, secretions), support the family through the process, and coordinate with the palliative physician. The same team that provided daily care stays through the end; nothing is more disruptive than new faces at that moment.

Is ALS care covered by any funding programs?

Yes, multiple sources. WRHA Home Care provides hours that scale with condition progression. The ALS Society of Manitoba loans equipment. Manitoba Blue Cross and private insurance cover additional hours. We can also support Self and Family Managed Care (SFMC) arrangements. Our Care Navigator walks families through coverage on the first free consultation.

204-837-7463

ALS Home Care in Winnipeg

Specialised Support. Every Stage.

ALS changes faster than any other neurodegenerative condition we care for — what worked last month may not work this month, and care plans have to evolve with it. Our nurse-led team specialises in the progressive support ALS clients and families need, from early mobility and communication aids through to respiratory support and end-of-life care, coordinating closely with the ALS Society of Manitoba and the HSC neurology team.

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Our Approach

Stage-Matched Care Plans

ALS progression is not linear. Our Nursing Director re-assesses every 30-60 days so hours, equipment, and caregiver skill mix evolve with the disease — not six months behind it.

Mobility & Transfer Expertise

Proper transfer technique prevents the shoulder and back injuries that ALS clients (and untrained caregivers) commonly sustain. We use slide sheets, Hoyer lifts, and transfer boards properly.

Respiratory Support

For clients on BiPAP or eventual tracheostomy ventilation, our nurses manage equipment, suction, and secretion management per the respirology plan.

Communication Aids

We support clients using eye-gaze technology, letter boards, text-to-speech devices, and low-tech communication systems — and take the time to let clients communicate at their pace.

Family Respite

ALS caregiving is physically and emotionally exhausting. Structured respite (daytime, overnight, weekend) is not optional for family sustainability — it is essential.

What Your Family Gains

Safe transfers

Proper technique prevents the shoulder dislocations and skin tears that untrained caregivers routinely cause.

Communication respected

Time given for eye-gaze or letter-board communication — never spoken over or rushed.

Family sustained

Structured respite prevents the caregiver burnout that ends home care for most ALS families.

Stage-matched support

Care plan evolves with the disease — not stuck six months behind the decline.

ALS Care in Winnipeg

ALS affects roughly 100-150 Manitobans at any given time, with the Motor Neuron Disease Clinic at Deer Lodge Centre (2109 Portage Ave) serving as the provincial multidisciplinary hub — neurology, respirology, PT, OT, SLP, dietitian, and social work under one roof. The disease progresses faster than most neurological conditions (typical life expectancy from diagnosis is 2-5 years), and care needs change rapidly. Families are often caught between the ALS Society of Manitoba's equipment loan program (1717 Dublin Ave), WRHA Home Care hours that cannot scale fast enough, and their own exhaustion.

Our team specialises in the operational reality of ALS care at home. Caregivers are trained in proper transfer technique (slide sheets, Hoyer lifts, transfer boards), respiratory equipment management (BiPAP, cough assist, suction, tracheostomy care where applicable), PEG tube feeding, and the communication patience required when clients use eye-gaze or letter-board systems.

We coordinate directly with the Deer Lodge MND Clinic team, implementing recommendations from respirology, PT/OT/SLP, and the dietitian — and reporting changes we observe at home back to the clinic between appointments. We also coordinate with the ALS Society of Manitoba's Client Service Coordinators, equipment loan program, and community palliative services as the disease progresses.

Respite is survival

ALS caregiving consumes families. Without structured respite — at least 1-2 overnights per week, plus regular daytime breaks — primary caregivers burn out, and home care becomes unsustainable. Our ALS care plans include respite hours from the start, not as an afterthought.

The equipment lifecycle

Wheelchair, BiPAP, hospital bed, Hoyer lift, feeding pump, suction machine, eye-gaze device — the equipment stack grows quickly. Our nurses coordinate with the ALS Society of Manitoba loan program and private vendors to stage equipment before it's urgently needed, not after a crisis.

Services We Provide

Skilled Nursing

Respiratory support, PEG tube feeding, medication administration, symptom management

Personal Care

Transfers, bathing, dressing, grooming, oral care, skin integrity

Mobility Assistance

Hoyer lift transfers, wheelchair positioning, pressure relief, passive range of motion

Respite Care

Day, overnight, and 24/7 coverage so primary caregivers can sustain

Care Coordination

ALS Society liaison, HSC neurology communication, equipment vendor coordination

Nurse-Led, Doctor-Supported Care

Every care plan is developed by registered nurses and backed by our Medical Director.

"With physician support, our dedicated team of nurses and caregivers brings confidence to families knowing a doctor is always guiding the care."

Dr. Ian Burron Medical Director

0% Client Retention

Families stay with us. After five years, 98% of our clients remain with Prime.

0+ Families Served

We've helped over two thousand Winnipeg families navigate this journey.

Elite, Experienced & Fully Insured Caregivers

Every caregiver is background-checked, trained, experienced, and fully insured. We send professionals who chose this work because they care.

Background Checked Fully Trained Insured

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Common Questions

ALS Home Care Across Winnipeg & Manitoba

We provide als home care across Winnipeg neighbourhoods and surrounding communities.

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