Resource Topic: Medication

Tools to Boost Vaccine Confidence in LTC Teams

Getting vaccinated is critical to protecting yourself, your loved ones and our most vulnerable Ontarians from COVID-19. Each person vaccinated brings us one step closer to eliminating COVID-19 from our long-term care homes and our communities.

That’s why we’re working to build vaccine confidence — and where you come in. People are more likely to listen to someone they know and trust. You can help boost vaccination rates by engaging with your colleagues and community on vaccine safety.


Jump to… ProTect Framework | Why You Should Get the Vaccine Videos  | Multilingual Library of Vaccine Information

ECHO Care of the Elderly for LTC: COVID-19

Project ECHO Care of the Elderly is a telehealth, case-based learning program run by Baycrest and North East Specialized Geriatric Centre (NESGC) to enhance the quality of care to LTC residents by improving the knowledge and skills of their primary care providers. This session focuses on building resiliency in LTC team members during COVID-19.

These are unprecedented times that put extra pressure on LTC homes and team members. These recorded sessions will help those working in LTC build resiliency and strengthen their LTC teams.


Watch the Recordings

Polypharmacy and Deprescribing

This module will help improve your understanding of polypharmacy and provide you with an approach for deprescribing. You will learn how polypharmacy develops over time, as well as how to recognize common drug-induced symptoms and prescribing cascades. Throughout the module, you will apply an approach for deprescribing to a fictional case.

Start the Module Here 

 

Deprescribing.org

Online tools for optimizing seniors’ medication use

Deprescribing is the planned and supervised process of reducing or stopping a medication that may be causing harm or no longer be of benefit.

The Bruyère Deprescribing Guidelines Research Team, a partner of Ontario CLRI, have created bilingual tools and resources to help health-care professionals and residents make shared decisions on whether or not a medication is still the right fit:

  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. Pamphlets that empower residents to engage in their health care. These pamphlets provide key questions residents can ask their care team about their medications and explain deprescribing in plain language.

Evidence

Studies on the making of the guidelines and algorithms have been published in Canadian Family Physician. The studies detail the process of gathering evidence and consulting primary care professionals for developing, reviewing and endorsing the guidelines. 

Kevin Pottie, Wade Thompson, Simon Davies, Jean Grenier, Cheryl A. Sadowski, Vivian Welch, Anne Holbrook, Cynthia Boyd, Robert Swenson, Andy Ma and Barbara Farrell

Canadian Family Physician May 2018, 64 (5) 339-351;

Lise M. Bjerre, Barbara Farrell, Matthew Hogel, Lyla Graham, Geneviève Lemay, Lisa McCarthy, Lalitha Raman-Wilms, Carlos Rojas-Fernandez, Samir Sinha, Wade Thompson, Vivian Welch and Andrew Wiens

Canadian Family Physician January 2018, 64 (1) 17-27;

Barbara Farrell, Cody Black, Wade Thompson, Lisa McCarthy, Carlos Rojas-Fernandez, Heather Lochnan, Salima Shamji, Ross Upshur, Manon Bouchard and Vivian Welch

Canadian Family Physician November 2017, 63 (11) 832-843;

Barbara Farrell, Kevin Pottie, Wade Thompson, Taline Boghossian, Lisa Pizzola, Farah Joy Rashid, Carlos Rojas-Fernandez, Kate Walsh, Vivian Welch and Paul Moayyedi

Canadian Family Physician May 2017, 63 (5) 354-364;

Author/Source

Deprescribing.org was created by Dr. Barbara Farrell and Dr. Cara Tannenbaum a pharmacist and physician respectively who are concerned with the rising use of medications in the aging population.

The development of the algorithms was supported by the Ontario Pharmacy Research Collaboration (OPEN) and the Canadian Institutes of Health Research (CIHR).

Links

Deprescribing.org Website 

Visit to learn more about deprescribing tools and resources.

Webinar – Shared Decision Making

This webinar highlights common elements of the deprescribing process and demonstrate approaches to engaging patients through shared decision-making.

Webinar – The Role of Community Pharmacists in Deprescribing

This webinar highlights research that explores how pharmacists practicing in community settings can embrace their roles as key partners in deprescribing as one strategy for tackling the global problem of medication-related harm.

Webinar – Alternative Supports for Deprescribing from Antidepressants

This webinar discusses how major depression can be difficult to treat, and how clinicians can sometimes feel constrained in choices of how to treat it (i.e., medications vs talk therapy). Other modalities with strong supporting evidence are presented along with suggestions on how these can be integrated into a deprescribing decision tree.

Article – What’s In Your Medicine Cabinet?

This article originally appeared in AdvantAge Ontario and discusses deprescribing for LTC homes.


Supported by:

Bruyere Logo Deprescribing Logo

GeriMedRisk

GeriMedRisk is an interdisciplinary telemedicine consultation and education service for doctors, nurse practitioners and pharmacists in Ontario. Using telephone and eConsult, clinicians receive a coordinated response to questions regarding optimizing medications, mental health and comorbidities in older adult patients from a team of geriatric specialists and pharmacists. GeriMedRisk is a not-for-profit service for clinicians.