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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Abbey Pain Scale

The Abbey Pain Scale is an instrument designed to assist in the assessment of pain in patients who are unable to clearly articulate their needs, for example, patients with dementia, cognition or communication issues. The scale does not differentiate between distress and pain, so measuring the effectiveness of pain-relieving interventions is essential.

Abbey, J; De Bellis, A; Piller, N; Esterman, A; Giles, L; Parker, D and Lowcay, B. Funded by the JH & JD Gunn Medical Research Foundation 1998 – 2002. This document may be reproduced with this acknowledgment retained.

Retrieved from: https://www1.health.gov.au/internet/publications/publishing.nsf/Content/triageqrg~triageqrg-pain~triageqrg-abbey

 

 

 

 

Abbey Pain Scale
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Behavioural Supports Ontario - (DOS) Dementia Observation System©

The BSO-DOS© is an observational tool that helps to identify patterns of behaviour for care planning purposes. It is based on the former DOS. Simple registration is required to access this free tool. A user guide and resource manual are available.

Behavioural Supports Ontario. (2019). Behavioural Supports Ontario - Dementia Observation System. Retrieved from https://brainxchange.ca/BSODOS

 

Behavioural Supports Ontario- (DOS) Dementia Observation System©
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ABC (Antecedent, Behaviour, Consequences) Charting Template - RNAO Appendix L

This template is helpful in identifying and altering the antecedent and consequences to change behaviour.

Registered Nurses’ Association of Ontario. (2012). Appendix L of Promoting Safety: Alternative Approaches to the Use of Restraints. Toronto, Canada: Author.  (p. 113). Retrieved from https://rnao.ca/sites/rnao-ca/files/Promoting_Safety_-_Alternative_Appro...

Source: Omelan, C. (2006). CME: Approach to Managing Behavioural Disturbances in Dementia. Canadian Family Physician, February, 52, p. 193 Reprinted with permission from the Canadian Family Physician

PDF icon ABC Charting Template - Appendix L.pdf
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brainXchange - Website

Canadian Dementia Resource and Knowledge Exchange (CDRAKE) and Alzheimer Knowledge Exchange (AKE) have amalgamated to create this new hub of dementia resources. Contained within are links to Behaviour Support Ontario (BSO), Psychogeriatric Resource Consultants (PRC) and many resources pertinent to dementia and responsive behaviours.

Home brainXchange

Point-of-Care Staff Work Practice Assessment (OSACH 2006) - RNAO Appendix D-9

This list of suggestions helps staff provide an approach to minimize responsive behaviours.

Registered Nurses’ Association of Ontario. (2009). Appendix D-9 of Preventing and Managing Violence in the Workplace. Toronto, ON, Canada: Author. pp.  118. Retrieved from http://rnao.ca/bpg/guidelines/preventing-and-managing-violence-workplace.  This work is funded by the Ontario Ministry of Health and Long-Term Care.

OSACH Website: www.osach.ca/

PDF icon Point-of-Care Staff Work Practice Assessment (OSACH 2006)

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