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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Parkinson Canada - Website

The Parkinson Canada website contains several useful resources for LTC including a Guide to the Non-Motor Symptoms of Parkinson's Disease (client and physician versions). These guides cover cognitive dysfunction, dementia, anxiety, depression, delusions and impulse control in Parkinson's disease. Also available is a booklet specific to the LTC sector as well as a medication booklet.

Reference: Parkinson Canada website, retrieved from http://www.parkinson.ca/

This is Not My Mom – Information and Resources about Delirium

This site from Capital District health Authority, Halifax, Nova Scotia includes a vignette showing a daughter recognizing that her mother's behaviour has changed suddenly and therefore is not just related to her dementia. Delirium is described in the video and the site includes other information and resources for delirium.

Reference: This is not My Mom Website: http://thisisnotmymom.ca/

Office of the Public Guardian and Trustee (OPGT) - Website

The Office of the Public Guardian and Trustee (“OPGT”) delivers a unique and diverse range of services that safeguard the legal, personal and financial interests of certain private individuals and estates. Services are provided by multi-disciplinary teams of dedicated staff with experience in the health care, social work and financial planning fields. They receive professional support from lawyers, accountants and investigators. A brief description of many of the services offered by the OPGT is set out in the website.

Reference: Office of the Public Guardian and Trustee (OPGT)

Website: https://www.attorneygeneral.jus.gov.on.ca/english/family/pgt/overview.php

SIGECAPS

SIGECAPS is a mnemonic used to recall the most frequent symptoms of depression (prescription for energy capsules).

Reference: adapted from "The patient who is depressed" in Psychiatry in Primary Care by Raymond W. Lam, (CAMH, 2019).

 

 

 

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National Initiative for the Care of the Elderly (NICE) - Website

National Initiative for the Care of the Elderly (NICE) is an international network of researchers, practitioners, and students dedicated to improving the care of older adults in Canada and abroad. The website includes various resources, some specific to dementia care and caregiving.

Reference:National Initiative for the Care of the Elderly (NICE) Website: http://www.nicenet.ca/

Geriatric Depression Scale (GDS) Short Form

The Geriatric Depression Scale, is a screening tool used to assessment depression in older adults. It is available in both long form and short form versions and also in multiple languages. The link below is for the short form.

Reference: Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983; 17:37-49.

Retrieved from:  https://integrationacademy.ahrq.gov/sites/default/files/2020-07/Update_Geriatric_Depression_Scale-15.pdf

 

 

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