This eLearning series is designed to refresh or develop team members’ communication skills to provide quality palliative care and end-of-life care in long-term care (LTC) homes. The three courses in the series include interactive case scenarios that reflect the unique setting and context of care delivery in LTC homes.
Three self-paced courses around 20 minutes in length each.
- Communicating about Hospice Palliative Care
- Coping with Grief
- Building Relationships
This series serves as an introduction to the more comprehensive All-In Palliative Care: The Team Approach to LTC training program. It teaches all interprofessional team members how to recognize palliative care myths, recognize and accommodate the needs of those in mourning, and practice their end-of-life communication skills.
About the Courses
Clicking any of the links below will open our eLearning Hub.
The rapid rise and severity of COVID-19 cases in long-term care (LTC) has led to the urgent redeployment of health professionals to LTC environments. The Ontario COVID-19 Education Task Force (powered by Michener Institute of Education at UHN), in partnership with the Ontario Centres for Learning, Research and Innovation in Long-Term Care (CLRI) and the Baycrest Centre for Education, developed an LTC section on covidcarelearning.ca, an online learning management system to support upskilling for health-care workers being redeployed for COVID-19 care.
Please share this resource with incoming team members who are new to the LTC environment. These materials facilitate redeployment to a team-based model of care quickly and safely in LTC homes, and support team members to bridge their knowledge from current practice to the requirements to care for COVID-19 and other residents.
Quality care and safety in LTC depend on teams that are proactive, reflective, and collaborative. Team Essentials program is based on leading practices; experiential, team-based learning and interprofessional competencies are integrated into the program in order to encourage discovery, critical thinking, communication, and solution-focused team responses.
All long-term care homes in Ontario are governed by the Long-Term Care Homes Act (LTCHA), 2007. The Ontario Residents’ Bill of Rights is embedded in the LTCHA and accompanying Regulations (O. Reg. 79/10). The requirements in the LTCHA ensure that residents of these homes receive safe, consistent, and high-quality resident-centered care in settings where residents feel at home, are treated with respect, and have the supports and services they need for their health and well-being. The Ontario Association of Residents’ Councils review and promote the Residents’ Bill of Rights.
In 2019, with support from the Ontario CLRI at the Schlegel-UW Research Institute for Aging, the Residents’ Bill of Rights was translated into 16 different languages. These translations will better support homes serving residents of diverse cultural backgrounds, and help to educate residents, team members and other stakeholders about the Residents’ Bill of Rights.
Baycrest Behavioural Support Rounds are open to all health professionals and students and provide a learning forum to review leading practices in assessing and managing personal expressions, as demonstrated by individuals who live with dementia.
Accessible through Zoom, these rounds are co-sponsored by the Baycrest Toronto Central – LHIN Behaviour Support for Seniors Program and the Ontario Centres for Learning, Research and Innovation in Long-Term Care at Baycrest.
A framework and tools for encouraging discussions about deprescribing
Older adults living in long-term care (LTC) homes often take many medications each day – sometimes this is not necessary and can even be harmful. Deprescribing is the planned and supervised process of reducing doses or stopping medications.
Decisions about medications for residents are best made when people work together with their health-care providers. Everyone in an LTC resident’s care team can help make medication-related care safe and effective.
The Bruyère Deprescribing Research Team worked with stakeholders across Ontario’s LTC sector to identify four behaviours and develop supporting tools that help deprescribing become a part of the culture of care. Click on the links in each behaviour to access tools such as process guides, infographics, cue cards and videos:
- People living in LTC homes and their families/caregivers will participate in shared decision-making to establish and monitor goals of care with respect to medication use while taking into consideration effectiveness, safety and non-drug alternatives.
- All healthcare providers and personnel will observe for signs and symptoms in the people they care for and report changes as a result of medication adjustments, or changes that might prompt a deprescribing review.
- Prescribers in every health care setting will document reasons for use, goals and timelines for each medication.
- All members of the health care team will participate in conversations about deprescribing.
Additional resources and tools for optimizing medication use in older adults
- Five evidence-based guidelines that help health care providers make informed assessments of a resident’s medication and explore possibilities for non-drug treatments.
- “Talking about Medications” workshops that can be offered to residents, caregivers and staff to help people have discussions about medication decisions. “Talking About Medications” Materials – Deprescribing.org
- The Canadian Deprescribing Network raises public awareness about deprescribing and provides resources to address safe drug and non-drug approaches. Do I still need this medication? Is deprescribing for you? (deprescribingnetwork.ca)
Deprescribing.org houses deprescribing guidelines and other resources developed by Dr. Barbara Farrell and Dr. Lisa McCarthy’s research team at the Bruyere Research Institute (Ottawa). Barbara and Lisa are pharmacists who work with older people and are concerned about the risks associated with medications in this population.
To learn more about their work visit deprescribing.org.