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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U-FIRST! - Website

U-FIRST! Is a proven and effective approach to working with people with dementia. Through dialogue and a case-based approach, learners will have more confidence in working with people with responsive behaviours. Training is especially designed for people working in community care, acute care and long-term care. For more information visit www.u-first.ca.  Permission to post obtained from Cathy Conway.

Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC)

PACSLAC is a tool to observe and assess both common and subtle pain behaviours. Copyright © Shannon Fuchs-Lacelle and Thomas Hadjistavropoulos. The PACSLAC may not be reproduced without permission. For permission to reproduce the PACSLAC, please contact the copyright holders (Thomas.Hadjistavropoulos@uregina.ca).

Retrieved from http://www.geriatricpain.org/content/Assessment/Impaired/Pages/default.aspx

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Montreal Cognitive Assessment (MoCA)©

A useful tool for assessing early stage dementia.  For more information or feedback on MoCA© contact Dr Z. Nasreddine at info@mocatest.org.

Nasreddine, Z.  (2003). Welcome to the Montreal Cognitive Assessment.   Quebec, QC, Canada: Center for Diagnosis & Research on Alzheimer’s disease.  Retrieved from www.mocatest.org.  Copyright Dr Z. Nasreddine 2003 to 2013 - The Montreal Cognitive Assessment - MoCA© - All rights reserved.

DOLOPLUS-2 Scale – Behavioural Pain Assessment in the Elderly

The DOLOPLUS-2 Scale can be used for people having mild or moderate cognitive impairment and with proxy rating when a person is unable to self-report.

Reference: Registered Nurses Association of Ontario (2013) Appendix M of Assessment and Management of Pain, Third Edition. Toronto, ON, Canada Author p. 95

Used with permission from: Fuchs-Lacelle & Hadistavroplous, 2004; Hadistavropolous et al, 2006: Herr et al, 2011: Lefebvre-Chapiro & the DOLOPLUS Group, 2001: Schofield et al, 2008

Website: http://www.assessmentscales.com/scales/doloplus

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