Person and Family Centred Care

This guide was developed by Saint Elizabeth and Yee Hong Centre for Geriatric Care to share the experiences and insights after implementing person-centred care (PCC) workshops with personal support workers (PSWs) within the two organizations. Reference: Saint Elizabeth. (October 2013). A practical guide to implementing person-centred care education for PSWs in the home, community and long-term care sectors. Retrieved from https://www.saintelizabeth.com/getmedia/3b053be0-3313-45e5-8aea-872781c0b76d/Practical-Guide-for-Implementing-PCC-Education-for-PSWs-October-2013.pdf.aspx
 

The College of Nurses of Ontario provides an e-learning opportunity for Abuse Prevention that includes videos, participant workbook and facilitators guide.

One Is One Too Many is a valuable tool for any organization employing nurses that is concerned about issues involving client abuse. The One is One Too Many program provides powerful re-creations of situations in which abuse occurs, as well as guides and materials to facilitate discussion about what tools nurses need to stop abuse.

Reference: College of Nurses of Ontario. (2005). Abuse Prevention: One is one too many Toronto, ON: College of Nurses of Ontario. Retrieved from http://www.cno.org/en/learn-about-standards-guidelines/standards-and-guidelines/

This document is intended to raise awareness of problems associated with the development and implementation of advance directive forms and policies.

Source: Advocacy Centre for the Elderly www.acelaw.ca http://www.advocacycentreelderly.org/appimages/file/Advance%20Care%20Planning%20in%20Ontario.pdf

Reference: Wahl, J. (2009). Advance Care Planning in Ontario. Retrieved from http://www.advocacycentreelderly.org

BP Bloggers present credible bite-size pieces of information on clinical topics related to LTC.

Reference: ML VanderHorst. ( 2013) BP Blogger Myth Busting: Consent and Capacity

The purpose of this brochure is to clarify the circumstances in which a health information custodian may assume implied consent and the options available to a health information custodian where consent cannot be assumed to be implied. Throughout the brochure, appropriate application of the assumed implied consent provisions of PHIPA will be illustrated.

Retrieved from: https://www.ipc.on.ca/images/Resources/circle-of-care.pdf  

Reference: Circle of Care Sharing Personal Health Information for Health-Care Purposes, Information and Privacy Commissioner of Ontario, August 2015

Nurses have professional and legal obligations for obtaining consent. The College's Consent practice guideline provides an overview of the major features of the relevant legislation, pertintnt definitions and the steps that nurses need to take to obtain consent.

Reference: College of Nurses of Ontario (2015) Consent, 2015 Toronto, ON: College of Nurses of Ontario. Retrieved from http://www.cno.org/en/learn-about-standards-guidelines/educational-tools/learning-modules/consent/  

Diversity in Action is unique. It was designed to respond to the comments and requests for support coming from staff, residents and families within residential settings for seniors, who want to learn about and put into action, strategies that welcome diversity within their settings and enable “cultural competence”

Reference: Government of Ontario (2008) Diversity in Action: A Toolkit for Residential Settings for Seniors. Retrieved from http://www.psno.ca/uploads/1/0/1/9/10197937/diversityinaction_eng_web.pdf

Une pratique efficace des soins infirmiers dépend d’une relation thérapeutique efficace entre le client et l’infirmière. Cette Ligne directrice porte sur les qualités d’une relation thérapeutique efficace, sur les possibilités qu’elle offre, sur l’état des connaissances et sur les connaissances requises afin de pouvoir travailler efficacement dans une relation thérapeutique. Afin qu’une relation thérapeutique puisse être instaurée avec succès, les valeurs du milieu de travail et les caractéristiques essentielles de l’établissement doivent être en place et doivent être compatibles avec cet objectif. Une feuille de travail sur le niveau de préparation de votre établissement est compris.

Association des infirmières et infirmiers autorisés de l’Ontario (2006). Établissement de la relation thérapeutique. Toronto, Canada : Association des infirmières et infirmiers autorisés de l’Ontario. http://rnao.ca/bpg/guidelines/establishing-therapeutic-relationships

This fact sheet is geared toward the client and offers tips on how to prepare before visiting the health-care provider, what ask during the visit and before leaving. Retrieved from: http://rnao.ca/bpg/guidelines/fact-sheets/facilitating-client-centred-learning-client
 

Le but de cette ligne directrice est de fournir aux infirmières autorisées, aux infirmières auxiliaires autorisées et aux autres prestataires des soins de santé des recommandations fondées sur les données probantes en matière de facilitation de l'apprentissage axé sur les besoins du client qui encourage les clients à prendre les mesures nécessaires pour assurer leur propre santé et qui leur permet de le faire. Voici les questions cliniques abordées par cette ligne directrice : 1. Comment les infirmières peuvent-elles faciliter de façon efficace l'apprentissage axé sur les besoins du client? 2. Quelles sont des méthodes/stratégies d'enseignement efficaces pour l'apprentissage axé sur les besoins du client? 3. Comment les infirmières peuvent-elles évaluer l'apprentissage du client? Cette directive s'appliquera à tous les domaines des soins infirmiers incluant cliniques, l'administration et l'éducation.

Association des infirmières et infirmiers autorisés de l'Ontario (2012). Facilitation de l'apprentissage axé sur les besoins du client. Toronto, Canada : Association des infirmières et infirmiers autorisés de l'Ontario. http://rnao.ca/bpg/language/facilitation-de-lapprentissage-ax%C3%A9-sur-les-besoins-du-client

A tool to assist LTC homes in completing a gap analysis regarding how they are doing in their home with Person and Family Centred Care from a resident’s viewpoint. This tool was developed by staff at Woodingford Lodge as part of the LTC BPSO® pre-designation journey.

Woodingford Lodge, 2016 Resident Report Card. Woodstock, On

From a Rapid Evidence Assessment, the content of the Guidelines for care: Person-centred care of people with dementia living in care homes framework was distilled into a guidelines framework for care home staff. This document serves as a knowledge transfer tool to strengthen the capacity of care home staff to ensure a person-centred philosophy in care and to increase the potential for knowledge integration.

Reference: Alzheimer Society of Canada. (January 2011). Guidelines for care: Person-centred care of people with dementia living in care homes. Retrieved from http://www.alzheimer.ca/~/media/Files/national/Culture-change/culture_change_framework_e.pdf

This Paper focuses on the interrelationship between health care consent and advance care planning under Ontario law, and on related misconceptions of health practitioners and health care organizations.

Reference: Law commission of Ontario, (2103) Legal Capacity, Decision Making and Guardianship, http://lco-cdo.org/en/capacity-guardianship-commissioned-paper-ace-ddo

Les lignes directrices sur les pratiques exemplaires portent principalement sur le personnel infirmier, les équipes soignantes et les processus qui favorisent la mise en place de milieux de travail sains. Ces lignes directrices traitent de la gestion et de l’atténuation des conflits interpersonnels au sein des équipes de soins de santé. Elles partent du principe que même s’il est possible d’éviter certains conflits, des conflits sains peuvent également être bénéfiques. Aux fins du présent document, un conflit se définit comme étant un processus dynamique intervenant entre des personnes interdépendantes ou des groupes interdépendants enclenché par une réaction émotionnelle négative en raison d’un désaccord perçu ou d’une interférence dans l’atteinte de leurs objectifs (Barki et Hartwick, 2004).

Association des infirmières et infirmiers autorisés de l’Ontario (2012). La gestion et l’atténuation des conflits dans les équipes de soins de santé. Toronto, Canada : Association des infirmières et infirmiers autorisés de l’Ontario. http://rnao.ca/bpg/language/la-gestion-et-l%E2%80%99att%C3%A9nuation-des-conflits-dans-les-%C3%A9quipes-de-soins-de-sant%C3%A9

Cette ligne directrice sur les pratiques exemplaires en soins infirmières et infirmiers est un document détaillé comportant les ressources nécessaires au soutien de la pratique basée sur des données probantes. Un milieu de travail sain, c’est un milieu de pratique qui maximise la santé et le bien-être des infirmières, des résultats de qualité chez le patient ou client, le rendement de l’organisation et du système, et les retombées sociales, y compris des collectivités en meilleure santé.

Association des infirmières et infirmiers autorisés de l’Ontario (2013). Lignes directrices sur le développement et le maintien du leadership infirmier, Deuxième edition. Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/bpg/language/lignes-directrices-sur-le-d%C3%A9veloppement-et-le-maintien-du-leadership-infirmier

A pictographic version of the Ontario Resident's Bill of Rights designed by the Aphasia Institute and funded by the Ontario Ministry of Health and Long-Term Care

This product is not available through our webstore. For order details and processing, please e-mail mbaldwin@aphasia.ca .

The poster itself is free of charge for all long-term care homes in the province of Ontario. A shipping charge of $10.00 will be invoiced per shipping tube. Shipping charges are based on a maximum of 10 posters per tube. There is no limit to the number of posters you order

Guidelines International Network presents its Toolkit on Patient and Public Involvement in Guidelines. The toolkit assembles international experiences and best practice examples of successful patient involvement and aims at supporting guideline developers who consider involving patients in guideline development or dissemination.

Reference: G-I-N PUBLIC Toolkit: Patient and Public Involvement in Guidelines. (n.d.). Retrieved from http://www.g-i-n.net/working-groups/gin-public/toolkit

The National Health Services England's website has excellent resources for Person and Family-Centred Care initiatives. Copyright ©NHS England 2015 You may use and re-use the information featured on this website (not including logos or photographs) unless identified as another party’s copyright free of charge in any format or medium, under the terms of the Open Government Licence.

Reference: National Health Services England website. Person and Family-Centred Care. (n.d.). Retrieved from http://www.england.nhs.uk/

National Quality Forum website topic-Person and family centred care. The National Quality Strategy seeks to ensure person- and family-centered care across the healthcare landscape, and has outlined several goals and resources on the website to achieve this aim.

Reference: National Quality Forum: Person and Family Centred Care website found at http://www.qualityforum.org/Topics/Person-_and_Family-Centered_Care.aspx

This guideline provides recommendations and guidance for use by all clinicians and staff within adult oncology service settings , and for use by patients (and/or family members and caregivers) and their care providers to inform the provision of person-centred care. Although the Person-Centred Care Guideline is cancer specific, many of its principles are relevant to any and all healthcare (and other) professionals that interact with patients, their family members and caregivers.

Reference: Cancer Care Ontario. (May 2015). Person-Centred Care Guideline. Retrieved from https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=340815

These guidelines have been developed to promote person-centred language.

Reference: Alzheimer Society (2012)Person-Centred Language retrieved from http://www.alzheimer.ca/~/media/Files/national/Culture-change/culture_person_centred_language_2012_e.pdf

The purpose of the videos is to provide fictional scenes which can be viewed and then discussed as part of education to prevent and address abuse and neglect of older adults. The discussion guide (available under ‘downloadable files’ at the bottom of the page) has been developed for educators or facilitators. Use it to promote critical thinking, enhance learning and help you to generate conversation The guide highlights key points for discussion, outlines questions and possible responses and provides tips for the facilitator.

Parkview Manor Health Care Centre together with support from the Registered Nurses’ Association of Ontario (RNAO) and with funding from the Government of Canada’s New Horizons for Seniors Program created five videos depicting interactions between staff and residents in a long-term care setting.

You can select a video to watch by clicking ‘playlist’ and choosing a title from the drop down menu. There are five videos:

1. Report: An exchange between two staff members during shift report
2. Admission: Grace and her daughter meeting with a staff member to discuss Grace’s admission to the LTC home
3. Hall: A staff member trying to help her colleagues when Anita, a resident, is resisting going to have a bath
4. Dining Room: Residents and staff during lunch in the dining room
5. Resident Room: A staff member helping Ed, a resident, get ready for the day.

Reference: Registered Nurses' Association of Ontario. (2015). Addressing Abuse of Older Adults: An RNAO Initiative-Best Practice Success Kit. Toronto, ON: Author. Retrieved from http://rnao.ca/bpg/initiatives/abuse-and-neglect-older-adults-pan-canadian-best-practice-guideline-initiative

Cette ligne directrice sur les pratiques exemplaires en soins infirmiers est axée sur la prévention et résolution des mauvais traitements et de la négligence envers les aînés dans divers établissements de santé et services communautaires à travers le Canada. Ces auditoires comprennent les infirmières, les gestionnaires, les éducateurs, les équipes d'amélioration de la qualité, les administrateurs, les décideurs, les organismes de réglementation des soins infirmiers et les organismes gouvernementaux. Financé par le programme Nouveaux Horizons pour les aînés du gouvernement du Canada.

Association des infirmières et infirmiers autorisés de l’Ontario. (2014). Prévention et résolution des mauvais traitements et de la négligence envers les aînés: approches axées sur la personne, coopératives et à l'échelle du système Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults_Final_French_0.pdf

Sample profile created by residents themselves. It is suggested that homes create a similar set with their own residents. This profile can be used for orientation and education. Source: Sunnybrook Health Sciences Centre.

This link takes you to the residents’ bill of rights section 3 of the Long-Term Care Homes Act, 2007, S.O. 2007, c. 8. Government of Ontario. Retrieved from https://www.ontario.ca/laws/statute/07l08

For the purpose of this document, Interprofessional is defined as: Multiple health disciplines with diverse knowledge and skills who share an integrated set of goals and who utilize interdependent collaboration that involves communication, sharing of knowledge and coordination of services to provide services to patients/clients and their care-giving systems.

This best practice guideline, Developing and Sustaining Interprofessional Health Care: Optimizing patients/clients, organizational, and system outcomes is intended to foster healthy work environments. The focus in developing this guideline was identifying attributes of interprofessional care that will optimize quality outcomes for patients/clients, providers, teams, the organization and the system.

This guideline identifies best practices to enable, enhance and sustain teamwork and interprofessional collaboration, and to enhance positive outcomes for patients/clients, systems and organizations. It is based on the best available evidence; where evidence was limited, the recommendations were based on the consensus of expert opinion.

Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Interprofessional health care. Toronto, ON: http://rnao.ca/bpg/guidelines/interprofessional-team-work-healthcare

Gain an overview of the most compelling evidence about diversity; understanding it, accepting the differences it brings to work settings, and finally, to seeking and embracing diversity.

This panel has been developing guidelines that recommend a congruent set of work place behaviours, management practices and institutional policies within a practice setting resulting in an organizational environment that is respectful and inclusive of cultural and other forms of diversity.

Reference: Registered Nurses’ Association of Ontario (2007). Embracing Cultural Diversity in Health Care: Developing Cultural Competence. Toronto, ON: Author. http://rnao.ca/bpg/guidelines/embracing-cultural-diversity-health-care-developing-cultural-competence

The purpose of this best practice guideline is to provide evidence-based recommendations related to nurses and other health care professionals providing effective client centred learning. This guideline will address the following areas: • How can nurses effectively facilitate client centred learning? • What are effective teaching delivery methods/ strategy for client centred learning? • How do nurses assess client learning? This guideline will be applicable to all domains of nursing including clinical, administration, and education.

This best practice guideline is focused on preventing and addressing abuse and neglect of older adults throughout various health-care institutions and community settings in Canada. It outlines recommendations for nurses and other health-care providers, educators, health-care organizations, advocacy groups, nursing regulatory bodies and governments. Implementation resources in development include an e-learning course, a health education fact sheet, and a personal digital assistant (PDA) version of the guideline.

This guideline is part of an initiative funded by the Government of Canada’s New Horizons for Seniors Program and builds on a collaborative project between the Canadian Nurses Association (CNA) and RNAO, titled Promoting the Awareness of Elder Abuse in Long-Term Care.

Registered Nurses’ Association of Ontario (2014). Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: http://rnao.ca/bpg/guidelines/abuse-and-neglect-older-adults

Information on the importance of person and family centred care and how it can improve the health care experience of clients, families and health providers. There are also resources such as: inventory of person and family centred care; fact sheets that summarize the concept of person and family centred care and a short video demonstrating the difference between “usual care and person centred care”.

© 2015 Saint Elizabeth Health Care Retrieved from https://www.saintelizabeth.com/Home.aspx
 

Les maladies chroniques sont différentes des maladies aiguës qui, dans la plupart des cas, nécessitent l'attention spécialisée, intensive et rapide d'un professionnel de la santé et peuvent inclure un suivi limité. Au cours des dix dernières années, une augmentation considérable de la prévalence des états chroniques est apparue, modifiant la façon dont les soins sont demandés, gérés, fournis et reçus. Le but de cette ligne directrice est de fournir aux infirmières autorisées et aux infirmières auxiliaires autorisées des recommandations fondées sur les données probantes en matière de soutien de l'autogestion. Ces recommandations présentent des stratégies et des interventions qui améliorent la capacité d'un individu à prendre en charge son état chronique. Association des infirmières et infirmiers autorisés de l'Ontario. (2010).

Stratégies permettant de soutenir l'autogestion des états chroniques : la collaboration avec les clients Toronto, Canada. Association des infirmières et infirmiers autorisés de l'Ontario. http://rnao.ca/bpg/language/strategies-permettant-de-soutenir-lautogestiondes-etats-chroniques-la-collaboration-ave

The Change Foundation produces resources the highlight, “why and how” patient engagement strategies can be used to advance good health care experiences. The 2015-20 strategic plans for the Foundation will include developing mechanisms and techniques for engaging family caregivers, patients and providers.

Reference: The Change Foundation. Retrieved from http://www.changefoundation.ca/projects/path/

This evidence based review directs the reader to the research about commonly used approaches and tools to help measure person-centred care. The report reviews the most commonly used measurement tools available for organizations and leaders working in policy and practice implementing and evaluating a person-centred approach to care.

Reference: De Silva, D. (2014). Helping Measure Person-Centred Care. The Health Foundation: London, UK. Retrieved from http://www.health.org.uk/publication/helping-measure-person-centred-care

This toolkit has been designed to equip care homes with ideas and materials in order for them to provide a service focused on residents' needs, preferences and activity choices.

Reference: Hurtley R, Wenborn J (2005) The successful activity coordinator: a learning resource for activity and care staff engaged in developing an active care home. 2nd ed. London: Age Concern. Retrieved from: http://www.cot.co.uk/sites/default/files/general/public/Unit%202%20%E2%80%93%20Care%20home%20staff%20resources.pdf

This Document contains information pertaining to the basics of Health Care Consent and Advance Care Planning

Source: Advocacy Centre for the Elderly www.acelaw.ca  http://www.advocacycentreelderly.org/appimages/file/Tip%20Sheet%20ONE%20-%20HCC%20and%20ACp%20the%20Basics%20FINAL%20Sept%202013.pdf

Reference: Wahl, J. (2013). Tip Sheet on Health Care consent and Advance Care Planning. Retrieved from http://www.advocacycentreelderly.org/

This pocket card produced by the National Initiative for Care of the Elderly (NICE) and Advocacy Centre for the Elderly (ACE) helps practitioners to reach informed consent and determine resident capacity for decision making. 

Source: National Initiative for Care of the Elderly Website http://www.nicenet.ca/files/NICE_Capacity_and_Consent_tool.pdf

Cette nouvelle ligne directrice est conçue pour tous les domaines de la pratique des soins infirmiers, y compris le volet clinique, l'administration et l'éducation, dans le but d'aider les infirmières à se sentir plus à l'aise, plus confiantes et plus compétentes lorsqu'elles prodiguent des soins à des clients pendant une transition des soins. Il est important que les infirmières, lorsqu'elles collaborent avec leur équipe pluridisciplinaire, connaissent les clients, leur famille et leurs aidants et travaillent avec eux pour encourager les transitions de soins sûres et efficaces. L'efficacité des transitions des soins dépend de soins pluridisciplinairesG coordonnés qui mettent l'accent sur une communication continue entre les professionnels et les clients. Cette recommandation est approuvée par Agrément Canada.

Association des infirmières et infirmiers autorisés de l'Ontario (2014). Transitions des soins. Toronto : Association des infirmières et infirmiers autorisés de l'Ontario. http://rnao.ca/bpg/language/transitions-des-soins