Resource Audience Type: Leaders & Managers

Mouth Matters

Oral Health Care at Saint-Louis Residence

Oral health of residents should be a priority. The Ontario CLRI partnered with La Cité Collégiale in an effort to increase access to oral care resources for long-term care (LTC) homes.

Many LTC residents find it difficult to access a traditional dental office due to transportation, physical, and financial limitations. In an effort to improve access to oral care in LTC homes, the Ontario CLRI piloted a partnership with a local college’s dental hygiene program to develop a placement program, resources, and tools. The partnership sparked the creation of both an animated video outlining why oral care is important and a publication describing the partnership model, as well as the translation of the Oral Health Assessment Tool.

Background

There is growing awareness around the importance of oral care for overall health. 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. Establishing partnerships with the dental hygiene community can bring oral health expertise on-site.

Links

Mouth Matters Video – An animated video that presents to staff and caregivers why oral care is important.

Oral Health Assessment Tool Translation – The purpose of this initiative was to produce a French translation of the OHAT that is acceptable to users — nurses and dental hygienists — and is conceptually and metrically equivalent to the English version originally developed.

Oral Health Partnership Brochure – This brochure describes a partnership between Ottawa’s Saint-Louis Residence (SLR) LTC home and the dental hygiene program at La Cité Collégiale. For a copy of the full report, please contact info@clri-ltc.ca


Supported by:

Bruyere Logo La Cite Logo

Supporting Diversity of Culture in Long-Term Care Needs Assessment

Description

The Ontario CLRI gathered evidence and experiences from across the province in this needs assessment to help understand the supports and resources needed to address the diversity of residents living in long-term care homes. It was guided by an advisory committee and reflects consultations with multiple stakeholders, a literature review and shared learnings from LTC homes across Ontario.  The results of this needs assessment served as support for the Ontario CLRI to formalize an advisory committee and work plan to identify and develop resources to support LTC homes in addressing and welcoming diversity.

Supporting Indigenous Culture in Ontario’s Long-Term Care Homes: Needs Assessment

Ontario’s Indigenous people have unique cultural requirements that must be supported by health care, including long-term care. This report summarizes the findings from a needs assessment to explore strategies to better support Ontario’s Indigenous people in long-term care homes.

As providers of person-centred care, long-term care homes must recognize and support the culture of their residents. To help the sector learn about the approaches other homes have used, and to understand the types of challenges homes have faced, the Ontario CLRI spent several months gathering evidence and experiences from around the province.

The project team worked closely with multiple stakeholders and advisory groups, and conducted a literature review. Learnings will help guide future work including the development of tools and resources to support Indigenous culture in long-term care, and to scale-up existing, successful practices. The report summarizes the findings of this work.

SOS Seniors Care Game App

Designed to enhance nursing, personal support worker and allied health gerontological specialty knowledge in the early identification and care of older adults living with frailty at risk of acute deterioration.

A Serious Game Kit: Trigger Match

A Game to Foster Team Collaboration in the Care of Persons with Dementia

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

Appendix A: Behaviour Cards

Print a ready-to-cut Behaviour Card Deck.

Appendix B: Trigger Cards & Chance Cards

Ready-to-print Trigger and Chance Card Deck.

Appendix C: Behaviours & Trigger Card Blank Templates

Ready-to-print: List of all the behaviours and triggers in an excel sheet, and blank template for the Behaviour and Trigger Cards.

Appendix D: Trigger Match Pocket Card/Cheat Sheet

Ready-to-print Cheat Sheet is meant to be printed double-sided with 6 slides of page 1 and 6 slides on page 2 on a 8.5 ” x 11” sheet. This produces 6 cheat sheets per page.

Appendix E: Sample Presentation/Handout to Introduce the Game

Ready-to-print sample presentation/handout to introduce the game.

 

Teaching LTC Homes: Current and Future Opportunities

Melissa Donskov, Mary-Lou Van Der Horst, Raquel Meyer

Melissa Donskov, Mary-Lou Vander Horst, Raquel Meyer

The three inaugural Ontario Centres for Learning, Research and Innovation (CLRI) in Long-Term Care (LTC) — Baycrest, Schlelgel, and Bruyère — presented a panel discussion on April 15, 2015 at the OANHSS Annual Conference.

The presenters were: Melissa Donskov (Director of Operations, Bruyère CLRI), Raquel Meyer (Manager, Baycrest CLRI), and Mary-Lou Vander Horst (Director, Schlegel CLRI).

The presentation, “Teaching Long-Term Care Homes: Current and Future Opportunities”, opened with an overview of the history and international experience of teaching long-term care homes.  This was followed by a discussion on the Ontario experience, as well as the goals and structure of the Ontario CLRI Program.

The presenters shared the innovative approaches and projects undertaken by each CLRI, and discussed some of the key elements such as partnerships, internal/external influences, as well as integrating education, research, and quality improvement initiatives into the operational framework of a LTC home. The three speakers also participated in a discussion about the future vision and opportunities for teaching LTC homes; and their potential to foster cultures of learning, inquiry, and innovation across the sector.

Teaching LTC Homes: Current and Future Opportunities
Click on the link above for a copy of the presentation slides.

How to Screen Older Adults for Depression

Education Toolkit: How to Screen Older Adults for Depression using the Patient Health Questionnaire (PHQ)

This toolkit is designed as a health professions educational resource for educators seeking to teach healthcare staff and students on using the Patient Health Questionnaire (PHQ) to screen older adults for depression in long-term care.  The content of this education places specific emphasis on how to recognize signs and symptoms of depression, how depression is different from dementia, when and how to screen for depression using the PHQ-2, strategies to promote safety and wellness in persons with depression. Experiential learning techniques include the use of video simulations (found in Education Toolkit Part 2-3) for participants to practice and receive feedback using the screening forms. Slides, handouts and evaluation materials are also included for adaptation and use by the educator.