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

Delirium, Dementia and Depression and Responsive Behaviours

The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of ResponsiveBehaviours and Delirium, Dementia and Depression Best Practice Guidelines:

  • Screening for Delirium, Dementia and Depression in the Older Adult
  • Caregiving Strategies for Older Adults with Delirium, Dementia and Depression
  • Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour

Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Program team. Visit this site often to see what's new!

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Conversations about dementia, intimacy and sexuality

This conversation sheet from Alzheimer Canada informs how dementia can affect intimacy and sexuality. Strategies are provided for caregivers. There is also a section to support LGBTQ persons with dementia.

The Alzheimer Society is Canada’s leading health charity for people living with Alzheimer’s disease and other dementias. For more information visit the home page www.alzheimer.ca  

Alzheimer Canada (2018). Conversations about dementia, intimacy and sexuality. Retrieved from https://alzheimer.ca/sites/default/files/files/national/brochures-conversations/conversations_intimacy-and-sexuality.pdf

 

Conversations about dementia, intimacy and sexuality
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Six stratégies éprouvées pour prévenir le délire chez la personne âgée (affiche)

Cette affiche du Regional Geriatric Program de Toronto nous donne 6 stratégies pour prévenir et soutener le délire.

Regional Geriatric Program of Toronto. (n.d.). Six stratégies éprouvées pour prévenir le délire chez la personne âgée. Récupéré de https://www.rgptoronto.ca/wp-content/uploads/2019/01/Delirium-prevention...

© 2019 Regional Geriatric Program of Toronto. All Rights Reserved.

Six stratégies éprouvées pour prévenir le délire chez la personne âgée (affiche)

Six proven strategies to prevent delirium in older adults (poster)

This poster from the Regional Geriatric Program of Toronto reveals 6 strategies to prevent and manage delirium.

Regional Geriatric Program of Toronto. (n.d.). Six proven strategies to prevent delirium in older adults. Retrieved from https://www.rgptoronto.ca/wp-content/uploads/2019/01/Delirium-prevention-PRINT.pdf

© 2019 Regional Geriatric Program of Toronto. All Rights Reserved.

Six proven strategies to prevent delirium in older adults (poster)
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Behavioural Symptoms of Dementia – HQO Quality Standards

This HQO quality standard addresses care for people living with dementia and the specific behaviours of agitation and aggression. Accompanying resources include a Patient and Resident Reference Guide and Recommendations for adoption.

Reference: Health Quality Ontario (2016). Behavioural Symptoms of Dementia. Care for Patients in Hospitals and Residents in Long-Term Care Homes. Retrieved from http://www.hqontario.ca/Evidence-to-Improve-Care/Quality-Standards/View-...

Behavioural Symptoms of Dementia – HQO Quality Standards

Dementia Factsheets - Indigenous Cognitive and Aging Awareness Research Exchange (I-CAARE)

Indigenous Cognitive and Aging Awareness Research Exchange (I-CAARE) offers a number of factsheets, a health wheel and pathway for persons with dementia and their caregivers. The indigenous perspective may provide added support and comfort to families as they journey through dementia.

Reference: Indigenous Cognitive and Aging Awareness Research Exchange (2023). Dementia Factsheets. Retrieved from: https://www.i-caare.ca/factsheets 

©  2023 ICARE

Dementia Factsheets - Indigenous Cognitive and Aging Awareness Research Exchange (I-CAARE)
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Alzheimer Canada: Resources for Health Care Professionals

This Alzheimer Canada website section provides resources for health care professionals on the following topics: Ambiguous Grief and Loss, Pain, End of Life and Culture Change

Retrieved from http://www.alzheimer.ca/en/We-can-help/Resources/For-health-care-profess...

2017 Alzheimer Society of Canada. All rights reserved.

Alzheimer Canada: Resources for Health Care Professionals

Finding Your Way - Alzheimer Society Ontario

Alzheimer Society Ontario's Finding Your Way® helps people living with dementia, their families, caregivers and communities to recognize the risk of going missing, be prepared for incidents of going missing, and ensure that people with dementia can live safely in the community. At this link you will find free On-line Learning about keeping people with dementia safe. You will also find a Living Safely with Dementia Resource Guide and an interactive resource guide. http://findingyourwayontario.ca/ 

Alzheimer Society of Canada (2018). Finding Your Way. http://findingyourwayontario.ca/ 

2018 Alzheimer Society of Canada

Finding Your Way - Alzheimer Society Ontario

3Ds Long-Term Care Case Study and Discussion Guide - RNAO

The case study and its accompanying discussion guide were developed for educational purposes in long-term care homes to promote use of the RNAO Delirium, Dementia, and Depression in Older Adults: Assessment and Care BPG. This resource provides the necessary instructions to hold a facilitated discussion with long-term care staff.  Overall goals of the case study and discussion guide are to:

  • Actively engage participants in discussions about delirium, dementia, and depression
  • Help long-term care staff identify the differences between delirium, dementia, and depression
  • Help long-term care staff become familiar with key resources they can use at the point-of-care to support identification of delirium, dementia, and depression
  • Reinforce best practices for the care of delirium, dementia, depression in older adults

Reference: Registered Nurses’ Association of Ontario. (2017). Delirium, Dementia, and Depression in Older Adults: Assessment and Care. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/assessment-and-care-older-adults-delirium-...

3Ds Long-Term Care Case Study and Discussion Guide - RNAO

Parkinson Canada - Website

The Parkinson Canada website contains several useful resources for LTC including a Guide to the Non-Motor Symptoms of Parkinson's Disease (client and physician versions). These guides cover cognitive dysfunction, dementia, anxiety, depression, delusions and impulse control in Parkinson's disease. Also available is a booklet specific to the LTC sector as well as a medication booklet.

Reference: Parkinson Canada website, retrieved from http://www.parkinson.ca/

Parkinson Canada - Website

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