All Clinical Resources

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-dementia-and-depression

A presentation on improving continence care developed in 2004 by the IC-5 project with Ontario Women’s Health Council.

This fact sheet from The Canadian Continence Foundation provides an overview of fecal incontinence, lifestyle changes and treatments. Available in a print out version. 

Retrieved from: https://www.canadiancontinence.ca/fecal-incontinence

Appendix H from the RNAO A Proactive Approach to Bladder and Bowel Management in Adults — Fourth Edition is a systematic approach to dealing with constipation and fecal incontinence. 

Registered Nurses’ Association of Ontario (RNAO). A proactive approach to bladder and bowel management in adults. 4th ed. Toronto (ON): RNAO; 2020. (p. 132).

This heart-warming video shows how music can transform the life of a resident with dementia.

Reference: Sundance Film Festival. (2014, January 7) Alive Inside: A Story of Music & Memory Featurette - Documentary HD. Retrieved from https://youtu.be/8HLEr-zP3fc

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.

© Copyrighted. All Rights Reserved MLvanderHorst.

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

© Copyrighted. All Rights Reserved MLvanderHorst.

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

© Copyrighted. All Rights Reserved MLvanderHorst.

Canadian Stroke Best Practices is an online repository of tools, resources and programs that support health care professionals working in stroke care. Reference: Canadian Stroke Best Practices (n.d.). Professional Resources. 

Retrieved from: https://www.strokebestpractices.ca/resources/professional-resources

This open textbook chapter discusses the types of ostomies and ostomy appliances, reviews physical and emotional assessments, provides checklists with steps for changing ostomy and urostomy appliances, with photographs, and discusses safety considerations. Included is a video on evidence-based research on ostomy care and a video on illiostomy and urostomy care.

Web Address or Source: https://opentextbc.ca/clinicalskills/chapter/10-6-ostomies/  

If you are an instructor who is using this book for a course, please let us know. For more information about this project, please contact opentext@bccampus.ca.

Disclaimer The field of health care is constantly changing and evolving. Procedures and policies in schools and health care agencies will change in accordance with research and practice. This resource will require updates to remain in accordance with these changes, but the authors do not assume responsibility for these updates. Health care professionals must ensure that they have a strong foundation of knowledge in medical conditions and surgical procedures related to clinical skills and techniques before using this resource to guide their practice. Health care professionals should always put agency policy above the information in this resource and be mindful of their own safety and the safety of others. Any health care professional using this resource should do so in the appropriate environment and under the supervision of other relevant health care professionals, in accordance with their governing professional body and within their scope of practice. It is the responsibility of any health care professionals using this book to take all appropriate safety precautions and to determine best practice unique to the patient and the context of the situation. The authors do not assume responsibility for any injury or damage to persons or property pertaining to the use of the material and information in this resource.

This appendix outlines considerations, tips and resources to support effective communication when addressing issues of abuse and neglect of older adults.

Registered Nurses’ Association of Ontario. (2014). Appendix F of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. pp 103-104. http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults.pdf

A comprehensive list of physical, emotional and other factors that contribute to urinary continence. Registered Nurses’ Association of Ontario (RNAO). A proactive approach to bladder and bowel management in adults. 4th ed. Toronto (ON): RNAO; 2020.

This resource describes the variety of abuse and neglect that can occur and will assist homes in planning a comprehensive education program.

Registered Nurses’ Association of Ontario. (2014). Appendix D of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 97-99.rnao.ca/sites/rnao-ca/fi..._Adults_English_WEB.pdf

Learn more about living with dementia in these videos from Teepa Snow. She has used multi-modal therapies to support people living with dementia and their caregivers. You will find links to the following videos:

• Dementia 101
• Teepa's GEMS
• Brain Changes
• Challenging Behaviours
• Meaingful Activities, and
• Music

You can also visit the website http://teepasnow.com/

Refrence: Video Links for Tips from Teepa, 2016. Retrieved from http://teepasnow.com/resources/teepa-tips-videos/

Developed by Registered Dietitians, this short, easy to read document provides definitions related to ostomies and provides a nutritional guide for the first 6 – 8 weeks after ostomy surgery as well as for after 6 – 8 weeks. It includes foods that may be problematic for people living with ostomies.

Reference: Eating Well after Ostomy Surgery. Jan 2013. Alberta Health Services. Retrieved from: http://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-eating-well-after-ostomy-surgery.pdf  

Copyright: This handout may not be reproduced without permission for non-profit education purposes. This handout may not be changed without written permission from NutritionResources@albertahealthservices.ca 

© Alberta Health Services (Jan 2013) D) Reference:

RNAO clinical BPGs included education recommendations directed to those responsible for the academic and in-service education of nursing students, nurses and the interprofessional team. These recommendations outlined core content and training strategies required for entry-level health programs, continued education and professional development.

Reference: Registered Nurses’ Association of Ontario, (2024). Appendix L of Diabetic foot ulcers: Prevention, assessment and management, Third edition. Toronto, Canada: Author. pp. 121-125.
 

This resource from the CDC (Center for Disease Control and Prevention) National Healthcare Safety Network, is a fact sheet suitable for health care providers which provides a concise overview of urinary tract infections.

Available at: https://www.cdc.gov/nhsn/faqs/faq-uti.html  Last Reviewed: March 19, 2024

This link takes you to the resources that include pain assessment terminology and Power Point presentations.

Reference: Sigma Theta Tau International for the Center for Nursing Excellence in Long Term Care 2013. Pain assessment terminology and narrated power point presentations. Retrieved from http://www.geriatricpain.org

This section of the brainXchange website focuses on health care consent and advance care planning, with many presentations and resources available to help when caring for persons at the end of life.

Reference: Title: brainXchange, Health care consent and advance care planning (2016). This section of the brainXchange website focuses on health care consent and advance care planning, with many presentations and resources available to help when caring for persons at the end of life. Website: http://brainxchange.ca/capacity.aspx

This 25-minute video shows how to demonstrate an approach to oral health assessment in long term care. It is part 1 of the RNAO Long-Term Care Best Practices Program - Oral Health Assessment Series (3 parts)- 2015. Author Ibo MacDonald Retrieved from https://www.youtube.com/watch?v=sgFlgumtbJE&t=419s

This collaboration between LGBT and mainstream organizations examines why the LGBT population face additional obstacles to successful aging. It also looks at what groundwork needs to be in place for these obstacles to be overcome . Copyright © 2015 Movement Advancement Project ©

Reference: LGBT Movement Advancement Project (MAP), & Services and Advocacy for Gay, Lesbian, Bisexual, and Transgender Elders (SAGE). (2010). Improving Lives of the LGBT older adults. Retrieved from https://lgbtmap.org/improving-the-lives-of-lgbt-older-adults

This algorithm looks at a multidisciplinary approach related the management of urinary incontinence in the community or long term care homes. It addresses: presenting symptoms, clinical assessments, presumed etiology, treatment/management and evaluation. This one page tool can be laminated and posted for reference.

Retrieved from: https://static1.squarespace.com/static/65a5be5a40b6451450a341e1/t/662baacdd6ace53530f7fdfd/1714137805738/chart-initial-managemen

© 2001 The Canadian Continence Foundation

A complete toolkit for educational purposes. Composed in 2008 and content uploaded in 2016. Key elements of the CCSMH Late Life Suicide Prevention Toolkit include: • DVD - Suicide Assessment & Prevention for Older Adults: Life Saving Tools for Health Care Providers • CCSMH National Guidelines for Seniors’ Mental Health: The Assessment of Suicide Risk and Prevention of Suicide • Clinician pocket-card • PowerPoint presentation • Facilitator’s Guide with tips for using the Toolkit in a variety of ways

Reference: Canadian Coalition for Seniors’ Mental Health (2008) Late Life Suicide Prevention Toolkit, Facilitators Guide. Available at http://ccsmh.ca/wp-content/uploads/2016/03/FacilitatorsGuide.pdf 

© Canadian Coalition for Seniors’ Mental Health, 2008 In order to meet the educational needs of your learners, some materials in the toolkit may be modified. Please acknowledge that the information was provided by the Canadian Coalition for Seniors’ Mental Health Late Life Suicide Prevention Toolkit.

LTC Series - Personal Support Worker: Practicing Sit to Stands Daily is a two and a half minute Osteoporosis Canada video discusses and demonstrates how to do daily sit to stand exercises for long term care residents.

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).

Pauktuutit Inuit Women of Canada is the national organization that represents all Inuit women in Canada. Pauktuutit has been active in abuse prevention and building capacity to address abuse issues since its inception in 1984. Pauktuutit brought together individuals, agencies and groups who share a common interest in preventing abuse in Inuit communities, to collaborate on the development and implementation of this unique national,community-based strategy.

Reference: Pauktuutit Inuit Women of Canada. (2006). National Strategy to Prevent Abuse in Inuit Communities and Sharing Knowledge, Sharing Wisdom: A Guide to the National Strategy. Ottawa, ON: Author. Retrieved from http://pauktuutit.ca/wp-content/blogs.dir/1/assets/InuitStrategy_e.pdf

This is a link to videos on thirteen oral health topics that can be used for staff education. Series 10 on Oral Health and Stroke July 2012 is specific for care of stroke survivors. It provides information on how oral health issues can cause a stroke, oral health care of stroke survivors and preventing oral disease. The other videos in the series also support education on oral health assessment tool (OHAT), infection control, oral care, halitosis, tooth brushing, denture care, oral care planning.
Reference: Terry Kirkpatrick. (2013). Oral health. [Video series].

Retrieved from: https://www.youtube.com/watch?v=muIm-pT4N0M

The Website contains numerous end-of-life resources for health care professionals.

Copyright: End of Life Curriculum Project, a joint venture of the US Veterans Administration and SUMMIT, Stanford University Medical School

Retrieved from http://palliative.stanford.edu/

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.

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.

This resource from the Canadian Continence Foundation explains pelvic muscle exercises, how they may help with incontinence and how to properly perform them.

Retrieved from: https://static1.squarespace.com/static/65a5be5a40b6451450a341e1/t/662badc92a66f708cd6df4cf/1714138569848/pelvicmuscleexercises.p

The Personality Disorder in Older Adults Capacity Building Package provides evidenced informed educational resources to support capacity building for clinical teams who care for individuals living with personality disorder, and to avoid/reduce compassion fatigue. The educational resources are geared toward point-of-care teams from various sectors. The resources are intended to stimulate critical thinking and enhance practical application strategies.

It meets a growing need in LTC related to the management and provision of care to adults experiencing severe mental illness.

https://brainxchange.ca/BSOPDCBPackage?mc_cid=81807f2d61&mc_eid=13d8e63762

 The BSO website is hosted by brainXchange™.

This is the Behavioural Supports Ontario (BSO) website that supports staff with pledging their commitment to Person and Family Centered. Posters and a report are also available to support adaption of Person and Family Centred Approach.

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

A presentation on causes, risk factors and interventions for dehydration developed by the Committee for the Enhancement of Elder Friendly Environments (CEEFE) Central South Geriatric Program (Ontario).

A systematic approach to encouraging incontinent people to become continent. Registered Nurses’ Association of Ontario (RNAO). A proactive approach to bladder and bowel management in adults. 4th ed. Toronto (ON): RNAO; 2020. 

Alberta Health Services presentation describing different types of restraints. Why restraints are used and possible side effects of restraint use.

Appendix S from the RNAO A Proactive Approach to Bladder and Bowel Management in Adults — Fourth Edition provides systematic approaches to decreasing constipation.

Registered Nurses’ Association of Ontario (RNAO). A proactive approach to bladder and bowel management in adults. 4th ed. Toronto (ON): RNAO; 2020. (p. 150-151).

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

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

A palliative approach in long-term care (LTC) empowers families and staff to provide personalized and high-quality care for LTC residents living with chronic and life-limiting illnesses. This approach provides individuals with a seamless transition from chronic disease management to appropriate end-of-life planning and care. A palliative approach is beneficial at any stage in a chronic illness to maximize comfort and respect a person’s wishes.

https://spaltc.ca/resource-library/?province=ontario

Copyright © 2020 SPA LTC

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. 

This resource describes the variety of theories as to why elder abuse and neglect can occur and will assist homes in planning a comprehensive education program.

Registered Nurses’ Association of Ontario. (2014). Appendix E of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 100-102. http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults.pdf

Ideas to conduct a conference with individuals and families to assist with decision making at end-of-life.

Registered Nurses’ Association of Ontario (2011). Appendix H of End-of-Life Care During the Last Days and Hours. Toronto, ON: Author. pp. 109-110.

The University of Tasmania, Australia, offers a free online course on Understanding Dementia. The course is delivered over 7 week, in order to obtain the most from this course, participants should expect to spend approximately 3 hours per week engaging with the course content and activities. 

This fact sheet is part of Public Health Ontario’s Urinary Tract Infection (UTI) Program. It succinctly describes the evidence for not using dipsticks to diagnose UTI’s. Is suitable for sharing with staff, residents and families.

Reference: Public Health Ontario (PHO). Revised 2019.Urinary Tract Infection (UTI) Program Evidence to Support Discontinuing the Use of Dipsticks to Diagnose a UTI in Residents of Long-Term Care Homes (LTCHs) https://www.publichealthontario.ca/-/media/Documents/U/2016/uti-dipsticks.pdf?sc_lang=en

Webinar Presentation by Vision Nursing Home's Kathleen Waller, BPSO Lead and Charge Nurse An overview of Vision Nursing Home's journey through their BPSO year one candidacy while implementing the Best Practice Guideline on Prevention of Falls and Fall Injuries in the Older Adult. It highlights strategies and processes during implementation and for sustainability, includes challenges and successes, data collection, monitoring and evaluation.

This pamphlet has an algorithm to help decide on whether and to whom to report elder abuse, as well as elder abuse resources in Ontario. This is one of a suite of resources from Elder Abuse Ontario in the Helping Seniors section of their website.

Web Source: Elder Abuse Ontario. 2015. What To Do If You Suspect Elder Abuse. http://www.elderabuseontario.com/what-is-elder-abuse/help-for-seniors/educational-materials-for-seniors/

Reference: Elder Abuse Ontario. 2015. What To Do If You Suspect Elder Abuse. Accessed Feb. 2, 2017 at file:///C:/Users/sumani/Downloads/What-To-Do-If-You-Suspect-Elder-Abuse-2016.pdf