These educational resources were developed collaboratively by Algonquin College and the Bruyère Centre for Learning, Research and Innovation in Long-Term Care. The development of these materials was supported with funding from the Government of Ontario through the Bruyère Centre for Learning, Research and Innovation in Long-Term Care. The views expressed in these resources are the views of the authors and do not necessarily reflect those of the Province.

 

 

Bruyère CLRI has partnered with a team of researchers whose aim is to develop and share deprescribing approaches with health care providers and the public.  A range of new tools that long-term care providers, residents, and families can use are now available on the website deprescribing.org

 

In certain cases, especially as people get older or more ill, the use of some medication can cause more harm than good.  Deprescribing is an important, feasible, innovation to ensure medication efficacy, reduce harms, and mitigate polypharmacy. It involves reducing doses or stopping medications which may no longer be needed or may be causing harm, in partnership with a health care provider. Optimizing medication through targeted deprescribing is a vital part of managing chronic conditions, avoiding adverse effects, and improving outcomes.

 

Click on the links below for tools (including infographics and short videos) to help patients and providers participate in deprescribing:

 

There is growing awareness around the importance of oral care for overall health. Long-term care (LTC) residents are particularly vulnerable to several risk factors for poor oral health that can lead to oral bacterial disease, bad breath, mouth sores, and pneumonia. It can also be difficult for many residents to access a traditional dental office due to transportation, physical, and financial limitations. Improving access to oral care resources within a residence is one way to reduce oral health care barriers.

Establishing partnerships with the dental hygiene community can bring oral health expertise on-site. Dental hygienists in Ontario are independent health care providers whose scope of practice includes the assessment of teeth and oral tissues as well as the provision of oral health promotion and care. This brochure describes a partnership between Ottawa’s Saint-Louis Residence (SLR) LTC home and the dental hygiene program at La Cité college.

For a copy of our full report, Partnerships for Oral Health in LTC: A scoping review of the literature focusing on dental hygiene students and alternative models of dental hygiene partnerships, please contact us at info@clri-ltc.ca.

 

Simulation can be used as a learning tool in healthcare settings; it can offer healthcare professionals an opportunity to learn in an immersive, realistic care environment to further develop knowledge, skills, and enhance quality of care. Simulation activities can range from 3D technology that creates virtual realities to low-tech, hand-made, inexpensive supplies and our imagination.

Bruyère CLRI developed a series of simulation activities (available in English and French) to cultivate empathy in long-term care staff. Empathy goes beyond sympathy, which places us at a distance and drives disconnection.  Empathy requires that we internalize the feelings of another, and come from a place of compassion and authenticity; empathy drives interpersonal connection. So how might we teach empathy for LTC staff? Through a series of simulation activities, participants will have the opportunity to experience – for a moment – some of the challenges our residents may face as a result of their health status. Debriefing engages participants in a discussion on how to disrupt fears about disability, aging, and illness that may arise from this type of experiential learning.

 

Hosted by The Bruyère CLRI, Dr. Daniel Kobewka, Assistant Professor at The University of Ottawa, presented a webinar entitled From Long-Term Care to Acute Care Hospital. High Quality Care or “Avoidable Transfer?, on March 22, 2017.

 

Hosted by The Bruyère CLRI, Ruth Richardson, Hospice Palliative Care Nurse Educator at Algonquin College, presented a webinar on Understanding The Hospice Palliative Care Approach to Inform Communication at End-of-Life in Long-Term Care, on February 28, 2017.

Screen shot of SOS Gaming App

The Baycrest CLRI team along with 2015 summer interns created and trialed a card game called Trigger Match that stimulates team discussion and enhances specific team skills regarding the care of persons with responsive behaviours.

The resources in this toolkit were developed using a quality improvement approach and are meant to foster player and facilitator awareness and insight into working together to find care solutions for long-term care residents with responsive behaviours related to dementia.

Complete Toolkit: Trigger Match Toolkit

To access archived OTN hosted webcasts on-demand:

  1. Click on ‘watch‘ in the below list or
  2. Go to:  http://webcast.otn.ca/, click on “Public” under “Archived Events” and type “Baycrest” or the TSM # into the “Search” area

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Oct. 23, 2014
“Non-Pharmacological Management of Responsive Behaviours: The Necessity of Interdisciplinary Collaboration & Coaching”
Jacqueline Lyn, MSW RSW Clinician Leader, Community Behavioural Support Outreach Team
TSM # 38376993
Watch | 56 Minutes 22 Seconds

 

Nov. 20, 2014
“Consent & Capacity 101: Focus on Long-Term Care Homes in Ontario”
Carole Cohen, MDCM Physician & Professor, Departments of Psychiatry, Sunnybrook Health Sciences Centre & University of Toronto
TSM # 38949339
Watch | 55 Minutes 28 Seconds

 

Dec. 18, 2014
“Emerging Best Practices in Interprofessional Collaboration: Applying SBAR to Reporting of Responsive Behaviours”
Jennifer Reguindin MScN, RN, GNC(c), Baycrest Centre for Learning, Research & Innovation in Long-Term Care; Rodea Casem MN RN CPMHN(C), Baycrest Centre for Learning, Research & Innovation in Long-Term Care; Shoshana Helfenbaum MSW, RSW, Baycrest Centre for Learning, Research & Innovation in Long-Term Care and; Baycrest Transitional Behavioural Support Unit/LTC Behavioural Support Outreach Team
TSM # 38950885
Watch | 54 Minutes 53 Seconds

 

Jan. 15, 2015
“Long -Term Care Behavioural Outreach Team RN-PSW Dyads – Capacity Building: One Referral at a Time”
Rodea Casem MN RN CPMHN(C); Michelle Dumdum RN, BScN; Emy Almeida PSW; Bevora Matthews PSW; and Veronica Downer PSW, Baycrest Long-Term Care Behavioural Outreach Team
TSM # 38960693
Watch | 54 Minutes 13 Seconds

 

Feb. 19, 2015
“Putting Person-Centred Care into Practice: Creating “Culture Change” in Working with People Living with Dementia”
Mary Schulz MSW, RSW, Director, Information, Support Services & Education Alzheimer Society of Canada
TSM # 38960741
Watch | 58 Minutes 13 Seconds

 

March 19, 2015
“Understanding the Trajectory & Triggers of Responsive Behaviours in Long-Term Care: Importance of Health Administration Data”
Annie Robitaille, PhD, Researcher, Adult Day Program, Baycrest & Adjunct Professor, University of Ottawa
TSM # 38960781
Watch | 39 Minutes 43 Seconds

 

April 16, 2015
“Keep Calm and Care On: Short-Term Behavioural Support Services in Long-Term Care Homes”
Bethany Kopel, M.Ads, BCBA; Christina Palmer, RPN; Scott McKay, MSW, RSW of LOFT Behavioural Support Services
TSM # 38960825
Watch | 56 Minutes 7 Seconds

 

May 21, 2015
“Pain in Persons with Dementia: Significance & Detection”
Dr. Jiska Cohen-Mansfield
TSM # 38960865
Watch | 59 Minutes 15 Seconds

 

Nov. 19, 2015
“Managing the Behavioural Difficulties that can Accompany Amnesia Following Acquired Brain Injury”
Brandy Callahan, PhD, CPsych, Psychologist, Neuropsychology & Cognitive Health, Baycrest
TSM # 49562837
Watch | 52 Minutes 54 Seconds

 

Dec. 17, 2015
“Applied Behaviour Analysis: The Best Kept Secret in Human Services”
Bethany Kopel, M.Ads, BCBA, Coordinator, ABA Services, Centre for Behaviour Health Sciences, Mackenzie Health
TSM # 50824701
Watch 48 Minutes 43 Seconds

 

Feb. 18, 2016
“Interventions Targeting Reversible Dementia in Down Syndrome”
Brandy Callahan, PhD, CPsych, Psychologist, Neuropsychology & Cognitive Health, Baycrest
TSM # 52819899
Watch | 48 Minutes 54 Seconds

 

March 17, 2016
“Intimacy and Dementia Care: Too Close or Not Close Enough?”
Sylvia Davidson, Manager/Professional Practice Chief, Occupational Therapy, Baycrest; Julia Rice, Behavioural Neurology, Occupational Therapy, Baycrest
TSM # 52820359
Watch | 57 Minutes 7 Seconds

 

April 21, 2016
“Frontotemporal Dementia (FTD), or Maybe Not!”
Uri Wolf, MD, FRCPC
TSM # 52820529
Watch | 54 Minutes 2 Seconds

 

May 19, 2016
“Sleep Disturbances and Dementia: Assessment and Non-Pharmacological Interventions”
Cara Macanuel, Hon. BA, MSc OT Reg (Ont.) Clinician Leader, Baycrest Community Behaviour Support Outreach Team
TSM # 52820743
Watch | 54 Minutes 45 Seconds

 

June 16, 2016
“Intimacy & Dementia Care – Part 2: Between the Sheets”
Sylvia Davidson, Manager/Professional Practice Chief, Occupational Therapy, Baycrest
Julia Rice, Behavioural Neurology, Occupational Therapy, Baycrest
TSM # 52820854
Watch | 54 Minutes 44 Seconds

 

Oct. 20, 2016
“Supporting Primary Care in The Management of Responsive Behaviours – The role of The Psychogeriatric Resource Consultant to Primary Care”
Stephanie Long-Riley, OT Reg. (Ont), Psychogeriatric Resource Consultant for Primary Care, The Cyril & Dorothy, Joel & Jill Reitman Centre for Alzheimer Support and Training, Mount Sinai
TSM # 61119381
Watch | 48 Minutes 43 Seconds

 

Dec. 15, 2016
“Introduction to Behavioural Support Transition Resource: A New Program Supporting Older Adults with Responsive Behaviours in 5 Toronto Hospitals”
Suzanne Saulnier, Director of Behavioural Support Services and, Scott McKay, Program Director, LOFT Behavioural Support Services
TSM # 63430682
Watch | 55 Minutes 45 Seconds

 

Jan. 19, 2017
“Using tools from the Centre for Effective Practice to improve our care of residents with behavioural and psychological symptoms of dementia”
Sid Feldman MD CCFP (COE) FCFP
Medical Director, Apotex Centre Jewish Home for the Aged, Executive Medical Director Residential Program and Chief, Department of Family and Community Medicine, Baycrest Health Sciences; Associate Professor, Department of Family and Community Medicine, University of Toronto
TSM # 64846276
Watch | 55 Minutes 56 Seconds

 

Feb. 16, 2017
“Play Intervention for Dementia: An SSLD Application”
Ka Tat Tsang, Ph.D. Professor; Factor-Inwentash Chair in Social Work in the Global Community Director, China Project; Faculty of Social Work, University of Toronto
TSM # 65919670
Watch | 48 Minutes 35 Seconds

 

April 20, 2017
“Transitions to LTCH for Older Adults with Nicotine Dependence”
Marilyn White-Campbell, Geriatric Addiction Specialist, CMHA Waterloo Wellington Dufferin
TSM # 68142067
Watch | 54 Minutes 40 Seconds

 

May 18, 2017
Facilitating Transitions: A Collaborative Approach
UHN Behaviour Support Specialists: Sara Gies BSW, MSW, RSW and; Simonne Cumberbatch Bsc. Bio & Psych., Msc. (OT), OT Reg. (Ont.)
TSM # 68143833
Watch | 1 Hour 20 Minutes 5 Seconds

 

 

Ontario Toronto Central LHIN LogoBaycrest CLRI Logo

 

 

 

 

 

 

 

Photo of Dementia Resources From Around The World

The Centre for Education at Baycrest has created an online resource to lessen the complexity, confusion and challenge of locating reliable information about dementia for caregivers and those with concerns about dementia and memory loss.

With these goals in mind, Dr. David Conn, Vice President of Education & Director of the Centre for Education & Knowledge Exchange in Aging at Baycrest, is proud to announce the launch of Dementia Resources from Around the World, which is now accessible online at http://www.baycrest.org/dementiaresources.

This webpage provides access to a selection of the best available senior-friendly web resources on Dementia. It is designed for both individuals experiencing symptoms of the disorder and their caregivers. The selected websites provide information on Dementia including risk factors, sign & symptoms, diagnosis, treatment options, strategies to cope with daily life challenges and available support groups. The information is available in multiple formats (i.e. video, PDF, pamphlets, games) to make it accessible to everyone. The websites included on the site were evaluated to ensure they provide reliable and valid information on Dementia.

Please share this new resource with clients and colleagues. If you have any feedback or suggestions about additional websites that should be included on the site, please contact us.

Thank you to all of the staff members, volunteers and clients who helped to make this project possible and to the Ontario MOHLTC for providing an Alternate Funding Plan (AFP) Innovation Grant.