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.
Education Toolkit: How to Screen Older Adults for Delirium using the Confusion Assessment Method (CAM)
This toolkit is designed as a health professions education resource for educators seeking to teach healthcare staff and students on using the CAM to screen older adults for delirium in long-term care. The content of this education places specific emphasis on how to recognize signs and symptoms of delirium, when and how to screen for delirium using the CAM, and strategies to promote safety and wellness in people with delirium. 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.
This toolkit and videos support educators in creating experiential learning experiences to foster empathy and an improved understanding of the physical changes and social bias often experienced by older adults living with frailty.
Simulation is the imitation or emulation of some real thing, state of affairs or process. It is a methodology to help achieve educational goals. The most powerful and efficacious simulations are conducted based on strong educational principles, run by expert facilitators and within the context of the objectives of a curriculum. Simulation used for healthcare encompasses a range of activities that share a broad, similar purpose: to improve the safety, effectiveness and efficiency of healthcare services.
Experiential learning to enhance empathy and knowledge of frail aging.
DIY Frail Aging Simulation Suit Video This videos supports long-term care educators in creating experiential learning experiences to foster empathy and an improved understanding of the physical changes and social bias often experienced by older adults living with frailty.
Excellence in Resident-Centred Care (ERCC) is a Conestoga College certificate program designed for Personal Support Workers (PSWs) and other team member’s to build practical skills using a person-centred approach, developed in partnership with Schlegel-UW Research Institute of Aging.
ERCC uses a train-the-trainer model to build capacity within long-term care (LTC) homes. Select team members complete the ERCC Trainer Course to become Trainers and deliver the ERCC Team Member Course to fellow team members within their LTC home. The education is delivered by Conestoga College, and features online registration and online course components delivered through the easy-to-use eConestoga platform. A Conestoga College certificate is earned through completion of the course.
The goal of ERCC is to support better care and better outcomes for residents in LTC, but it also benefits LTC team members and LTC homes. ERCC has been shown to increase PSW and other team member’s self-confidence, job satisfaction and improve team morale.
Five features make this course unique:
Practical care skills are taught within a resident-centred framework
Visually enhanced learning objects bring course content to life
Highly interactive course content allows students to directly apply new knowledge and skills their practice
Course delivery uses a peer-led-train-the-trainer model where PSWs are certified to deliver the modules to their fellow team members
Graduates receive a certificate from Conestoga College
Organizations that train 70% or more of their PSW team receive special recognition and a certificate.
About the Modules
ERCC is made up of 15 modules that represent salient topics identified in consultation with the LTC home sector. All 15 modules are covered in the ERCC Trainer Course and 7 modules are covered in the ERCC Team Member Course. Modules 1 and 12 are mandatory for team members, and the remaining modules can be selected by the LTC home. The modules include:
1. Person-Centred Care
Review principles of a person-centred approach to care: respect, dignity and choice. Identify strategies to optimize this approach and reinforce the importance of working as a team in long-term care and retirement living.
2. Infection Prevention and Control
Review principles of infection prevention and control and hand hygiene practices. Learn the signs and symptoms of infection and strategies to optimize infection prevention and control.
3. Safety and Mobility
Review principles of safety and mobility. Identify factors influencing resident safety including potential signs of abuse and neglect and strategies for optimizing resident safety and mobility.
4. Oral Care and Skin Integrity
Review principles of oral hygiene and skin integrity and the proper steps for completing an oral and skin assessment. Identify proper techniques for oral and denture care and strategies to optimize skin integrity.
Review the principles of and strategies for optimizing continence and the potential implications of incontinence. Identify some of the signs and symptoms of urinary problems.
6. Nutrition and Hydration
Identify signs and symptoms of malnutrition and dehydration and factors that influence nutrition and hydration. Review the principles of and strategies for supporting nutrition and hydration.
7. Delirium, Dementia and Depression
Review the principles of delirium, dementia and depression and factors that influence behaviours. Identify signs and symptoms of delirium, dementia and depression and strategies for optimizing overall mental well-being.
8. Pain and Comfort
Review the principles of pain assessment and management, factors influencing pain and explore implications of unrelieved pain. Identify strategies for optimizing comfort.
9. Palliative/End-of-Life Care
Review the principles of a palliative approach and discuss quality of life, holistic care and a personal journey. Identify signs of imminent death and strategies to enhance psychosocial support for the dying person and family.
Review the principles of self-care and discuss the concepts of professionalism, leadership and resiliency. Explore strategies for care providers to manage stress and activate healthy coping.
11. Working with Others
Examine factors that influence healthy team dynamics and the potential implications of unhealthy work environments. Review the principles of and strategies to optimize team work and collaboration.
12. Observational Assessment
Review the principles of observational assessment and examine strategies that foster early identification to enhance documentation and communication of potential issues.
13. Dressing and Grooming
Review the concepts of time, support and assistance in relation to dressing and grooming. Explore factors and identify strategies to optimize the dressing and grooming experience.
14. Bathing and Spa Experience
Review the principles of the bathing and spa experience including the concepts of comfort, privacy and vulnerability. Examine factors and identify strategies to optimize the bathing and spa experience.
Review the concepts of rest, fatigue and sleep and principles of sleep hygiene. Explore factors that negatively influence rest and sleep and identify strategies to optimize restful sleep.
Video about ERCC
Between 2017-2020, the Ministry of Health and Ministry of Long-Term Care provided funding for ERCC tuition and backfill to Ontario long-term care homes through the Ontario CLRI PSW Education Fund. Applications are currently closed for the Fund.