Resource Audience Type: Social Workers

Deprescribing.org

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:

  1. 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.
  2. 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.
  3. Prescribers in every health care setting will document reasons for use, goals and timelines for each medication.
  4. All members of the health care team will participate in conversations about deprescribing.

The Bruyère Deprescribing Research Team is a partner of Ontario CLRI at Bruyère. For more information about how these behaviours were identified, read the Deprescribing in LTC report.

Additional resources and tools for optimizing medication use in older adults
  1. Five evidence-based guidelines that help health care providers make informed assessments of a resident’s medication and explore possibilities for non-drug treatments.
  2. “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
  3. 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)
Author/Source

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.


Supported by:

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End-of-Life Planning and Care Needs of LGBTQI2S Older Adults

About this Resource

The Crossing the Rainbow Bridge resource was created by Egale Canada Human Rights Trust in partnership with the National Seniors Advisory Committee, Maureen Aslin of End of Life Planning Canada, and LGBTQI2S+ community members for LGBTQI2S+ community members. It provides information on how LGBTQI2S+ older adults in Ontario can plan for legal matters and end-of-life care, access guidance for asserting these wishes through legal documents in preparing for end of life, and available resources and supports.

Creating Authentic Spaces Toolkit

About this Toolkit

The Creating Authentic Spaces toolkit is part of The 519’s efforts to challenge transphobia and to foster environments that are inclusive of gender identity and gender expression. People who identify as trans often experience barriers to accessing necessary services due to discrimination or harassment based on their gender identity and gender expression.

This toolkit explores the experiences and challenges faced by trans people and supports organizations and individuals to develop approaches to fostering a trans inclusive environment. The toolkit also highlights the small and larger steps individuals can take personally and within their organizations to create more inclusive spaces and services for trans people. Creating Authentic Spaces info sheets, posters and workshops are also listed on this webpage.

Specialized Units in Long-Term Care Homes

Meeting the Future Need Through Specialization in Long-Term Care Homes

On January 28, 2016, the Ontario Centres for Learning, Research and Innovation in Long-Term Care (CLRI) hosted a webinar that presents the most current context for specialized units in Ontario, why select long-term care (LTC) homes sought designation, and how these units fit into the continuum of care.

Specialized units are a unique service arrangement for Ontario’s LTC homes to expand the role they can play in the continuum of care. This webinar recording is based on an applied research project that conducted a multi-stakeholder consultation to learn about the experiences of LTC homes running designated specialized units or specialized programs. Consultation feedback on areas such as other client sub-populations that could benefit from new specialized units will help to provide a systems planning perspective.

Presenters

Amy Porteous, Vice President of Public Affairs and Planning, provides leadership and oversight for Bruyère’s planning process, partnership development, cultivation of external relations and communications. Mrs. Porteous has a Masters in Health Administration from the University of Ottawa.

Zsofia Orosz, Manager of the Ontario CLRI at Bruyère, has a Masters in Health Administration from the Telfer School of Management, University of Ottawa.

Webinar Recording


Supported by:

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Summer Student Internships

The Ontario CLRI at Baycrest offers summer fellowships for students in the health professions to help encourage Ontario’s future geriatric leaders. Applications for our 2022 virtual summer internship are now closed and will re-open in February 2023.