Implementing and sustaining evidence-based practices in long-term care.

Stroke

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    This 8-page guide, from Advance Care Planning in Canada – Speak up, helps you know and exercise your rights in preparing for a time when you may be unable to make decisions about your care.
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    This 20-page guide from Advance Care Planning in Canada – Speak up, helps you know and exercise your rights in preparing for a time when you may be unable to make decisions about your care.
     
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    This BP Blogger presents credible bite-size pieces of information on dispellings myths related to stroke including prevention, transient ischemic attacks (TIAs), response to signs and symptoms of a stroke, and prevalence of stroke in long-term care.

    Regional Geriatric Program Central. (April-May 2010). BP Blogger - Stroke 1: Myth Busting Issue, 5(2). Retrieved from http://www.tostroke.com/wp-content/uploads/2012/12/BP-Blogger_Volume-5_Issue-2.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This BP Blogger presents credible bite-size pieces of information on dispellings myths related to stroke including managing a clenched fist, oral care, dysphagia and wheelchair seating.

    Regional Geriatric Program Central. (Fall 2010). BP Blogger - Stroke 2: Myth busting issue, 5(4). Retrieved from: https://admin.rgpc.ca/uploads/documents/BP%20Blogger%20-%20Stroke%202%20Issue.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This BP Blogger presents credible bite-size pieces of information that dispels stroke and exercise myths.

    Regional Geriatric Program Central and SHRTN Library Services. (Fall 2011). BP Blogger: Myth Busting: Stroke 3 Exercise Issue, 6(2). Retrieved from https://www.tostroke.com/wp-content/uploads/2012/12/BP-Blogger_Volume-6_Issue-2.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This BP Blogger presents credible bite-size pieces of information on dispellings myths related to depression after a stroke. The focus is on how to recognize and help residents with stroke who are suffering from depression.

    Regional Geriatric Program Central and SHRTN Library Services. (Spring 2012). BP Blogger - Stroke 4: Myth busting: Depression issue, 7(1). Retrieved from https://www.tostroke.com/wp-content/uploads/2012/12/BP-Blogger_Volume-7_Issue-1.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This BP Blogger presents credible bite-size pieces of information on dispellings myths related to perception problems after a stroke.

    Regional Geriatric Program Central. (Summer 2014). BP Blogger - Myth busting: Stroke 5: Perception issue, 9(1). Retrieved from http://cesnstroke.ca/professional/wp-content/uploads/sites/2/2015/07/BP-Blogger-Stroke-5-Summer-2014.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This BP Blogger presents credible bite-size pieces of information on dispellings myths related to behaviour changes after a stroke.

    Regional Geriatric Program Central. (Fall 2016). BP Blogger - Stroke 6: Myth busting, behaviours issue, 10(1). Retrieved from http://cesnstroke.ca/professional/wp-content/uploads/sites/2/2017/01/BP-Blogger-Stroke-6-Late-Fall-2016_FINAL.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This Canadian Stroke Best Practices site offers a variety of webinars about stroke, resumption of activities and strategies. Included are assessment videos for neurological scale and vascular cognitive assessment.

    Heart and Stroke Foundation of Canada Canadian Stroke Best Practices. (n.d.) Webinars. Retrieved from https://www.strokebestpractices.ca/resources/webinars 

     

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    March of Dimes 30-page publication on caring for a stroke survivor.

    March of Dimes. (n.d.). Caregivers guide to stroke recovery (2nd ed). Retrieved from https://afterstroke.marchofdimes.ca/information-resources/Documents/AfterStroke_CareGiverguide_final_.pdf

     

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    CorHealth Ontario’s Professional Stroke Education Inventory is an online repository of tools, resources and programs that support health care professionals working in stroke care.

    There are many sources of information related to stroke care. This Inventory organizes resources in alphabetical order and each resource is available by clicking on its link.

    CorHealth Ontario. (n.d.). Professional stroke education inventory. Retrieved from https://www.corhealthontario.ca/resources-for-healthcare-planners-&-providers/stroke-general/professional-education-inventory

     

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    This resource provides information on the key components of successful transitions of care for those affected by stroke. The recommendations focus on support, education and skills training for patients, families and caregivers as well as effective discharge planning; interprofessional communication; adaptation in resuming activities of daily living; and transition to long-term care for patients who are unable to return to or remain at home.

    Heart and Stroke Foundation (2016). Managing Stroke Transitions of Care. Retrieved from https://www.strokebestpractices.ca/recommendations/managing-stroke-transitions-of-care/transition-of-patients-to-long-term-care-following-a-stroke

    © 2012 Heart and Stroke Foundation of Canada. All rights reserved. Unauthorized use prohibited.

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    This is a link to webinar series on thirteen different oral health topics that can be used for staff education. These include topics on oral health such as: diabetes, dementia, dry mouth, stroke, palliative care, bad breath, care planning, infection control, dentures, 2-toothbrush technique, tools, and oral assessment (OHAT).

    Terry Kirkpatrick. (2013).  Oral health care. [Video series].  Retrieved on October 8, 2013 from http://www.youtube.com/user/TerryKirkpatrick1/videos?sort=dd&live_view=500&flow=list&view=0.

     Sponsored by the Seniors Health Knowledge Network's Oral Health Community of Practice.  

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    A presentation on the impacts of stroke on pain with interventions and a case study. Developed by the Ontario Central South Regional Stroke Program.

    Van der Horst, ML. (2007). Pain and Stroke [PowerPoint Slides]. Central South Regional Stroke Program

     

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    A 30 minute presentation for LTC is a collaboration between the RNAO LTC Best Practice Co-ordinators Deirdre Boyle and Shaila Aranha; and the Regional Stroke Rehabilitation and Community Coordinator, Eileen Britt, from the Central South Regional Stroke Network.

    This is part one of a four part Stroke Education series to support LTC staff in their fall prevention and management program. The objectives are to:

    • Identify risk factors for falls for residents with Stroke.
    • Understand the relationship between fall prevention and management, pain management, reducing and supporting behaviors, and preventing pressure injuries in residents with Stroke.
    • Discuss the importance of an inter-professional team approach in Stroke Care.
    • Understand how to Integrate evidence-based resources in planning and improving care for residents with Stroke.
    Aranha,S., Boyle, D., & Britt, E. (2019). Reducing the risk for falls in residents with stroke: Putting best practices into practise in the care of residents with stroke [PowerPoint presentation]. 

     

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    A 30 minute presentation for LTC is a collaboration between the RNAO LTC Best Practice Co-ordinators Deirdre Boyle and Shaila Aranha; and the Regional Stroke Rehabilitation and Community Coordinator, Eileen Britt, from the Central South Regional Stroke Network.

    This is part two of the four part Stroke Education series to support LTC staff to:

    • Assess pain,  for residents with Stroke.
    • Understand the relationship between pain assessment and management, fall prevention and management,  reducing and supporting behaviors, and  preventing pressure injuries in residents with Stroke.
    •  Discuss the importance of an inter-professional team approach in Stroke Care.
    • Understand how to Integrate evidence-based resources in planning and improving care for residents with Stroke.

    Aranha, S., Boyle, D., & Britt, E. (2019). Minimizing and managing pain for residents with stroke: Putting best practices into practise in the care of residents with stroke. [PowerPoint Presentation]. 

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    A 30 minute presentation for LTC is a collaboration between the RNAO LTC Best Practice Co-ordinators Deirdre Boyle and Shaila Aranha; and the Regional Stroke Rehabilitation and Community Coordinator, Eileen Britt, from the Central South Regional Stroke Network.

    This is part three of the four part Stroke Education series to support LTC staff to:

    • Identify risk factors to prevent responsive behaviours for residents with Stroke.
    • Understand the relationship between reducing and supporting behaviors, pain assessment and management, falls prevention and management and preventing pressure injuries in residents with Stroke.  
    • Discuss the importance of an inter-professional team approach in Stroke Care.
    • Understand how to Integrate evidence-based resources in planning and improving care for residents with Stroke.

    Aranha, S., Boyle, D., & Britt, E. (2019). Reducing and supporting behaviours in residents with stroke: Putting best practices into practise in the care of residents with stroke. [PowerPoint Presentation]. 

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    A 30 minute presentation for LTC is a collaboration between the RNAO LTC Best Practice Co-ordinators Deirdre Boyle and Shaila Aranha; and the Regional Stroke Rehabilitation and Community Coordinator, Eileen Britt, from the Central South Regional Stroke Network.

    This is part four of the four part Stroke Education series to support LTC staff to:

    • Identify risk factors to prevent responsive behaviours for residents with Stroke.
    • Understand the relationship between reducing and supporting behaviors, pain assessment and management, falls prevention and management and preventing pressure injuries in residents with Stroke.  
    • Discuss the importance of an inter-professional team approach in Stroke Care.
    • Understand how to Integrate evidence-based resources in planning and improving care for residents with Stroke.

    Aranha, S., Boyle, D., & Britt, E. (2019). Preventing pressure injuries for residents with stroke: Putting best practices into practise in the care of residents with stroke. [PowerPoint Presentation]. 

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    This Canadian Stroke Best Practices Post-stroke checklist considers common impairments after a stroke and suggests possible referrals.

    Heart and Stroke Foundation of Canada Canadian Stroke Best Practices. (n.d.) Post-stroke checklist. Retrieved from https://www.strokebestpractices.ca/-/media/1-stroke-best-practices/resources/professional-resouces/csbp_post_stroke_checklist_en.ashx

     

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    This presentation shares strategies for managing bladder and bowel problems in stroke survivors. It describes normal bladder and bowel function, urinary incontinence and the effects of stroke on assessment and management of bladder and bowel incontinence. It connects nursing restorative services and incontinence.

    Woodbeck, H., & Edwards, E.  (2011). Promoting bladder and bowel continence with nursing restorative care. [PowerPoint slides]. Retrieved from http://ltctoolkit.rnao.ca/resources/self-learning-and-powerpoint-presentations/promoting-bladder-and-bowel-continence-nursing-
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    This handout describes pain after a stroke.

    American Stroke Association. (2006). Recovery after a stroke: Dealing with pain. Retrieved from https://www.stroke.org/nsafactsheet_pain_2014/ 

     

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    Within Ontario, there are eleven regional stroke networks, which support stroke system integration and best practice implementation at a regional level. For each network, there is a Community and Long-Term Care Coordinator who is involved in supporting hospital and community partners in implementation of stroke best practices.

    Regional Stroke Networks (n.d.). Regional stroke networks [word document]. 
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    This infographic or fact-sheet discusses the symptoms, management strategies, and treatment options related to spasticity.

     American Stroke Association. (n.d.). Spasticity infographic. Retrieved from https://www.stroke.org/spasticity-infographic/

     

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    This presentation outlines the assessment and management of the types of pain experienced following a stroke.

    Central South Regional Stroke Network. (n.d.). Stroke and RNAO best practices: Pain [PowerPoint slides]. Hamilton, ON: Author.

     

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    The Canadian Stroke Best Practices stroke assessment and prevention pocket cards provide a handy reference on: types of strokes, signs, symptoms and associated brain function. 

    Heart and Stroke Foundation of Canada Canadian Stroke Best Practices. (2018) Stroke assessment and prevention pocket cards. Retrieved from https://www.strokebestpractices.ca/-/media/1-stroke-best-practices/resources/professional-resouces/00217csbpstrokeassesspocketguide75x425env6lr.ashx

     

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    This link takes you to resources with tips and information to assist long-term care homes in integrating the stroke care plans into their existing care plan libraries. There are twelve care plans:

    • Activities of Daily Living
    • Behaviour Change
    • Bladder and Bowel Continence
    • Cognition
    • Communication
    • Depression
    • Leisure
    • Mobility, Positioning & Transfers
    • Nutrition, Hydration & Swallowing
    • Pain
    • Perception
    • Skin Care & Hygiene
    CoHealth Ontario. (n.d.). Stroke care plans for long-term care. Retrieved from https://www.corhealthontario.ca/resources-for-healthcare-planners-&-providers/stroke-general/qbp/clinical-tools-&-resources/community-reengagement
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    This resource is written primarily for healthcare providers such as Personal Support Workers, Health Care Aides, Home Care Attendants, Rehabilitation Assistants, and others who are providing paid care, in any setting across the continuum of care, to people who have had a stroke. The focus is on rehabilitation and recovery. The information in this resource is based on the Canadian Stroke Best Practice Recommendations. There is downloadable chapters as well as presentations for educational purposes This resource replaces the HSF resource Tips and Tools for Everyday Living.

    Heart and Stroke Foundation Canadian Stroke Best Practice Committees. (July 2016). Taking Action for Optimal Community and Long-Term Stroke Care: A Resource for Healthcare Providers. Retrieved from https://www.strokebestpractices.ca/-/media/pdf-files/what-we-do/publications/001-16-hsf_f15_tacls_booklet_en_final_linked.ashx

     

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    This Canadian Stroke Best Practices guide is written for adults who have had a stroke and their care partners, family and friends. It helps in understanding stroke, providing strategies, support and resources.

    Heart and Stroke Foundation of Canada Canadian Stroke Best Practices. (2018). Your stroke journey: A guide for people living with stroke (3rd ed.). Retrieved from https://www.strokebestpractices.ca/-/media/1-stroke-best-practices/resources/patient-resources/en-your-stroke-journey-v20.ashx