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

Stroke

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    This is a comprehensive guide for caregivers caring for a stroke survivor by March of Dimes program, Stroke Recovery Canada. It provides information and tips on stroke recovery for caregivers.

    Reference: March of Dimes. (n.d.). Stroke Recovery Canada. Caregivers guide to stroke recovery (2nd ed). Retrieved from SRC_Caregiver-s_Guide_to_Stroke_Recovery.pdf 
     


     

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    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.

    Regional Geriatric Program Central. (April-May 2010). BP Blogger - Stroke 1: Myth Busting Issue, 5(2). Retrieved from http://www.tostroke.com/wp-content/uploads/2012/12/BP-Blogger_Volume-5_Issue-2.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This BP Blogger presents credible bite-size pieces of information on dispellings myths related to stroke including managing a clenched fist, oral care, dysphagia and wheelchair seating.

    Regional Geriatric Program Central. (Fall 2010). BP Blogger - Stroke 2: Myth busting issue, 5(4). Retrieved from: https://admin.rgpc.ca/uploads/documents/BP%20Blogger%20-%20Stroke%202%20Issue.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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

    Regional Geriatric Program Central and SHRTN Library Services. (Fall 2011). BP Blogger: Myth Busting: Stroke 3 Exercise Issue, 6(2). Retrieved from https://www.tostroke.com/wp-content/uploads/2012/12/BP-Blogger_Volume-6_Issue-2.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This BP Blogger presents credible bite-size pieces of information on dispellings myths related to depression after a stroke. The focus is on how to recognize and help residents with stroke who are suffering from depression.

    Regional Geriatric Program Central and SHRTN Library Services. (Spring 2012). BP Blogger - Stroke 4: Myth busting: Depression issue, 7(1). Retrieved from https://www.tostroke.com/wp-content/uploads/2012/12/BP-Blogger_Volume-7_Issue-1.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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

    Regional Geriatric Program Central. (Summer 2014). BP Blogger - Myth busting: Stroke 5: Perception issue, 9(1). Retrieved from http://cesnstroke.ca/professional/wp-content/uploads/sites/2/2015/07/BP-Blogger-Stroke-5-Summer-2014.pdf

    © Copyrighted. All Rights Reserved MLvanderHorst.

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    This Canadian Stroke Best Practices site offers a variety of webinars about stroke, resumption of activities and strategies. Included are assessment videos for neurological scale and vascular cognitive assessment.

    Heart and Stroke Foundation of Canada Canadian Stroke Best Practices. (n.d.) Webinars. Retrieved from https://www.strokebestpractices.ca/resources/webinars 

     

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    CorHealth Ontario’s Professional Stroke Education Inventory is an online repository of tools, resources and programs that support health care professionals working in stroke care.

    There are many sources of information related to stroke care. This Inventory organizes resources in alphabetical order and each resource is available by clicking on its link.

    CorHealth Ontario. (n.d.). Professional stroke education inventory. Retrieved from https://www.corhealthontario.ca/resources-for-healthcare-planners-&-providers/stroke-general/professional-education-inventory

     

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    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/results?search_query=terry+kirkpatrick+oral+health+

     

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    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.
    Aranha,S., Boyle, D., & Britt, E. (2019). Reducing the risk for falls in residents with stroke: Putting best practices into practise in the care of residents with stroke [PowerPoint presentation]. 

     

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    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 two of the four part Stroke Education series to support LTC staff to:

    • Assess pain,  for residents with Stroke.
    • Understand the relationship between pain assessment and management, fall prevention and 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.

    Aranha, S., Boyle, D., & Britt, E. (2019). Minimizing and managing pain for residents with stroke: Putting best practices into practise in the care of residents with stroke. [PowerPoint Presentation]. 

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    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.

    Aranha, S., Boyle, D., & Britt, E. (2019). Reducing and supporting behaviours in residents with stroke: Putting best practices into practise in the care of residents with stroke. [PowerPoint Presentation]. 

  • Show description [+]

    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 four 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.

    Aranha, S., Boyle, D., & Britt, E. (2019). Preventing pressure injuries for residents with stroke: Putting best practices into practise in the care of residents with stroke. [PowerPoint Presentation]. 

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

    Heart and Stroke Foundation of Canada Canadian Stroke Best Practices. (n.d.) Post-stroke checklist. Retrieved from https://www.strokebestpractices.ca/-/media/1-stroke-best-practices/resources/professional-resouces/csbp_post_stroke_checklist_en.ashx

     

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    This presentation shares strategies for managing bladder and bowel problems in stroke survivors. It describes normal bladder and bowel function, urinary incontinence and the effects of stroke on assessment and management of bladder and bowel incontinence. It connects nursing restorative services and incontinence.

    Woodbeck, H., & Edwards, E.  (2011). Promoting bladder and bowel continence with nursing restorative care. [PowerPoint slides]. Retrieved from http://ltctoolkit.rnao.ca/resources/self-learning-and-powerpoint-presentations/promoting-bladder-and-bowel-continence-nursing-
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    Within Ontario, there are eleven regional stroke networks, which support stroke system integration and best practice implementation at a regional level. For each network, there is a Community and Long-Term Care Coordinator who is involved in supporting hospital and community partners in implementation of stroke best practices.

    Regional Stroke Networks (n.d.). Regional stroke networks [word document]. 
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    This presentation outlines the assessment and management of the types of pain experienced following a stroke.

    Central South Regional Stroke Network. (n.d.). Stroke and RNAO best practices: Pain [PowerPoint slides]. Hamilton, ON: Author.

     

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    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. 

    Heart and Stroke Foundation of Canada Canadian Stroke Best Practices. (2018) Stroke assessment and prevention pocket cards. Retrieved from https://www.strokebestpractices.ca/-/media/1-stroke-best-practices/resources/professional-resouces/00217csbpstrokeassesspocketguide75x425env6lr.ashx

     

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    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:

    • Activities of Daily Living
    • Behaviour Change
    • Bladder and Bowel Continence
    • Cognition
    • Communication
    • Depression
    • Leisure
    • Mobility, Positioning & Transfers
    • Nutrition, Hydration & Swallowing
    • Pain
    • Perception
    • Skin Care & Hygiene
    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
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    This resource includes the key components of successful transitions to long-term care after a stroke: 1. Assessment and Care Planning. 2. Rehabilitation and Restorative Care; and 3. Support and Education for the Person with Stroke and Their Family. These include recommendations  specifically to persons with stroke who are new or living in long-term care at the time of their stroke. This resource is also useful for chronic or continuing care settings.

    Reference - Heart and Stroke Foundation (2019). 6th edition. Section 5. Transition to Long-Term Care Following a Stroke. Retrieved from https://www.strokebestpractices.ca/recommendations/managing-stroke-transitions-of-care/transition-of-patients-to-long-term-care-following-a-stroke

     

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    This Canadian Stroke Best Practices guide is for adults who have had a stroke, their care partners, family and friends. It helps in understanding stroke, providing strategies for recovery, living with changes, preventive measures, support and resources.