Resource Type: Report

Ontario eConsult Program

eConsult is a secure web-based tool that allows physicians and nurse practitioners timely access to specialist advice for all patients and often eliminates the need for an in-person specialist visit. The Ontario CLRI is collaborating with the Ontario eConsult Program team to support the integration of its services into long-term care homes across Ontario.

The Ontario eConsult Program is led by the Ontario eConsult Centre of Excellence (eConsult COE), housed at The Ottawa Hospital in partnership with the Bruyère Research Institute. Delivery partners are the Ontario Telemedicine Network (OTN), OntarioMD, and eHealth Ontario, with the support of the Ministries of Health and Long-Term Care.

Alzheimer’s Disease and Related Dementias in Indigenous Populations in Canada: Prevalence and Risk Factors

About the Report

Alzheimer’s disease and related dementias are recognized as an emerging health issue in Indigenous communities. Indigenous elders are considered to be among Canada’s most vulnerable citizens because they often face complex health issues stemming from socio-economic marginalization and a legacy of colonialism in addition to barriers in accessing health care. They have higher rates of many of the risk factors for dementia. As a result, the rates of Alzheimer’s disease and related dementias (ADRDs) are expected to increase more rapidly among Indigenous elders compared to non-Indigenous older adults. Despite this recognition, relatively little is known about ADRDs among Indigenous peoples in Canada.

This paper summarizes what is known about the prevalence of ADRDs, the challenges associated with diagnosing dementias, and the risk factors associated with the development of dementias in Indigenous populations. The paper highlights several knowledge gaps with respect to the prevalence of various forms of dementia among different groups of Indigenous peoples, as well as differences in the way dementias present in Indigenous communities. The paper concludes by highlighting the need for integrated multi-sectoral approaches to address socio-economic equities and health disparities as preventative measures for ADRDs.

Copyright: 2018 National Collaborating Centre for Aboriginal Health (NCCAH).  This publication was funded by the NCCAH and made possible through a financial contribution from the Public Health Agency of Canada.

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:

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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.