The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of the following Best Practice Gudielines:
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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Appendix P from the RNAO A Proactive Approach to Bladder and Bowel Management in Adults — Fourth Edition is a list of the major drug groups that can contribute to constipation.
Registered Nurses’ Association of Ontario (RNAO). A proactive approach to bladder and bowel management in adults. 4th ed. Toronto (ON): RNAO; 2020 (p. 146).
Appendix O from the RNAO A Proactive Approach to Bladder and Bowel Management in Adults — Fourth Edition is a comprehensive list of physical, emotional and other factors that contribute to constipation.
Registered Nurses’ Association of Ontario (RNAO). A proactive approach to bladder and bowel management in adults. 4th ed. Toronto (ON): RNAO; 2020. (p.144-145)
Urinary Continence Toolkit was produced by the Regional Geriatric Program of Toronto. It is aimed at older adults and caregivers. It has simple fact sheets and explanations. There is a decision aid for managing urinary incontinence aimed at health care providers.
Regional Geriatric Program of Toronto, (2018). SF7 Toolkit. Retrieved from https://www.rgptoronto.ca/resources/”
Reproduction of these materials is permitted in whole without restriction. If adapting this content, or using in part, RGP must be contacted.
La ligne directrice sur les pratiques exemplaires (LDPE) Une approche proactive de la gestion de la vessie et des intestins chez les adultes Quatrième édition, remplace les LDPE de la RNAO Favoriser la continence par le déclenchement de la miction et Prévention de la constipation chez les personnes âgées - Lignes directrices sur les pratiques, toutes deux mises à jour pour la dernière fois en 2011. Cette LDPE fournit des recommandations fondées sur des preuves pour des stratégies efficaces pour soutenir les adultes (âgés de 18 ans et plus) qui vivent avec l'incontinence urinaire, l'incontinence fécale et/ou la constipation qui amélioreront la qualité des soins et mèneront à des résultats de santé positifs.
Le LDPE comprend des énoncés de bonnes pratiques sur la réalisation d'une évaluation initiale ciblée et des domaines de recommandation qui traitent des éléments suivants : stratégies d'élimination des toilettes, activité physique, apport adéquat de fibres et/ou de liquides, approche interprofessionnelle et protocole intestinal.
Ces LDPE peuvent être utilisées par les infirmières, les membres de l'équipe interprofessionnelle et les soignants dans tout le continuum de soins et dans tous les domaines de pratique tels que l'administration, la clinique, l'éducation, les politiques et la recherche. Les recommandations fondées sur des données probantes de ce LDPE s'appliquent à tous les milieux de pratique où les personnes qui vivent avec une incontinence urinaire, une incontinence fécale et/ou une constipation accèdent à des services.
Registered Nurses' Association of Ontario (2020) Une approche proactive de la gestion de la vessie et des intestins chez les adultes retrieved from Bladder_and_Bowel_Management_FINAL_WEB_FR_LR_0.pdf (rnao.ca)
This bladder and bowel care plan, developed by CorHealth is aimed at people with strokes, but is applicable to residents of long term care. It is one of a series of stroke care plans.
Cor Health (2020) Bladder and Bowel Stroke Care Plans retrieved from Community Reengagement - CorHealth Ontario
This is a comprehensive list of reasons for delirium that need to be considered before assuming that a change in mental status is due to a UTI.
Public Health Ontario (2019).UTI Program (PHO)- Causes of Delirium and Mental Status Changes retrieved from https://www.publichealthontario.ca/-/media/Documents/U/2016/uti-delirium...
© 2022 Ontario Agency for Health Protection and Promotion
This powerpoint presentation aimed at health care providers, describes bladder physiology, classifies and identifies medications that contribute to incontinence and pharmacological treatments used for urinary incontinence. It is also available in french
Alston, Jillian ( 2020) Urinary Incontinence & Medications- Clinician Learning Series. Ontario. Retrieved from https://www.rgptoronto.ca/resource/urinary-incontinence-medications-clin...
This powerpoint presentation for health care providers, shows how to distinguish between the types of urinary incontinence and interventions to treat urinary incontinence. A poster and patient handout are also part of this module which is also available in french.
Spencer, Martha ( 2019) Introduction to Urinary Incontinence- Clinician Learning Series.Ontario. Retrieved from https://www.rgptoronto.ca/resource/introduction-to-urinary-incontinence-...
Ontario Regulation 246/22 was made under the Fixing Long-Term Care Act (FLTCA), 2021 and proclaimed into force to regulate Ontario's long-term care home sector April 11, 2022. Government of Ontario (2022) Ontario Regulation 246/22. Toronto (ON).
Retrieved from https://www.ontario.ca/laws/regulation/r22246#BK65
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:
| 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 |
