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Wednesday, July 19, 2017

Jointly – The Care Coordination App

Designed by Carers UK in consultation with actual caregivers, Jointly is a mobile and online app that brings together key features in a single tool, making caring easier, less stressful and more organized. Some of the features included are:
  • One central place to store and share important information about the person you are looking after
  • Simple, intuitive group communication to keep everyone informed and better connected
  • Shared calendar, task lists and medication manager to help coordinate responsibilities and organize what needs to be done
  • Works across different devices: smartphones, tablet, home computer/laptop
To learn more about Jointly and/or download the app, click here:

Wednesday, July 12, 2017

How Much Long-Term Care do Adult Children Provide?

As people age and their health starts to deteriorate, their need for help in daily life increases. Cost concerns and personal preferences lead many people to turn to informal care from family members, particularly children. While formal care has a clear monetary cost, the burdens of informal care are harder to pin down. This brief, by Gal Wettstein and Alice Zulkarnain of the Center for Retirement Research at Boston College, uses the Health and Retirement Study (HRS) to estimate how many adult children provide care to their parents and the extent of their caregiving burden.

The brief’s first section presents data on the need for care among the elderly and on how much care is provided by adult children. The second section synthesizes recent research on the burden of care provision borne by adult children. The final section concludes that while only a moderate share of adult children provide care for their parents, those who do so contribute a lot of time and effort.

To view the brief, click here:

Wednesday, June 28, 2017

Future Care for Canadian Seniors: A Primer on Nursing Supply and Demand

Given the increase in Canadian seniors who will need continuing care supports over the next 30 years, growth in demand for nursing will far outstrip general labour force growth and therefore require changes to the health system and nursing practices.

This briefing, prepared for the Conference Board of Canada, addresses this issue and offers recommendations to address it.

You can access the briefing here:

Wednesday, June 21, 2017

Engaging Patients in Patient Safety – a Canadian Guide

In the past decade, evidence has shown that when healthcare providers work closely with patients and their families in program and service design and delivery, the healthcare system becomes safer and patients have better experiences and health outcomes.

Beginning in 2016, the Canadian Patient Safety Institute brought together patients, government and organizations responsible for improving patient safety and quality at the national or provincial level on an Action Team to help develop the guide “Engaging Patients in Patient Safety”.

This extensive resource, based on evidence and leading practices, helps patients and families, patient partners, providers and leaders work together more effectively to improve patient safety.

Working collaboratively, we can more proactively identify risks, better support those involved in an incident and help prevent similar incidents from occurring in the future. Together we can shape safe, high-quality care delivery, co-design safer care systems and continuously improve to keep patients safe.

To access this resource, click here:

Wednesday, June 14, 2017

Geriatric Lecture Series

The Geriatric Lecture Series, sponsored by the Iowa Geriatric Education Center and the University of Iowa Roy J. and Lucille A. Carver College of Medicine, is presented online as a series of monthly lectures. Each lecture can be viewed for one month and is accessible exclusively during the month it is scheduled.

The series is devoted to topics in clinical geriatrics designed to teach important principles in the management of older adults.

Because of grant funding by the Bureau of Health Workforce of the U.S. Department of Health and Human Services, Health Resources and Services Administration, registration to view the Geriatric Lecture Series is being offered at no cost to all to participants for this year only.

Click here to register for and view the Geriatric Lecture Series:

Wednesday, June 07, 2017

Treatment in a Geriatric Day Hospital improve individualized outcome measures using Goal Attainment Scaling

Evidence regarding outcomes in the Geriatric Day Hospital (GDH) model of care has been largely inconclusive, possibly due to measurement issues. A prospective cohort study which took place in Halifax, Nova Scotia, aimed to determine whether treatment in a GDH could improve individualized outcome measures using goal attainment scaling (GAS) and whether improvements were maintained 6-months post-discharge.
The study demonstrated short- and long-term effectiveness of GDH in helping patients achieve individualized outcome measures using GAS.
To access this study, click here:

Wednesday, May 31, 2017

Are healthcare aides underutilized in long-term care? New study examines continuing care facilities in Canada

With increasingly high demands, rising costs and scarcity of healthcare resources (including workforce shortages) in the last 10 years, appropriate workforce utilization has become an important discussion amongst healthcare practitioners and policy makers in Canada.1
The ever-evolving role of healthcare aides (HCAs) has expanded to meet these shortages. Healthcare aides, also known as personal care home attendants, support workers, nursing aides and nursing assistants and help to provide physical and emotional support for patients under the supervision of nurses or other healthcare professionals.2 In Canada, healthcare aides provide up to 80% of direct care in nursing homes. There is no set educational standard for healthcare aides to enter practice in Canada, as competencies vary by province.3 Beyond healthcare aides’ competency profile, there are several factors that are important to consider when trying to decide how to best utilize healthcare aides in continuing care facilities.  For example, it has been shown that involving healthcare aides in more skilled work, such as assisting with medications, can enhance feelings of personal and professional accomplishment. This, in turn, can lead to greater job satisfaction and retention among employees and improve residents’ quality of life.4,5,6
However, very little research has examined standardized training, education and scope of practice for healthcare aides. In this Canadian study, Arain, Deutschlander, and Charland (2017) look at the differences in healthcare aide training and utilization in continuing care facilities.1 Results of the study showed variation in how healthcare aides are employed in supportive living and long-term care facilities. Healthcare aides in supportive living were more likely to be involved in medication management and medication assistance training was mandatory for most healthcare aides in these facilities. These results suggest that healthcare aides in supportive living facilities are better utilized according to their training and competencies.
Expanding the role of healthcare aides in long-term care facilities may be a cost-effective solution to workforce shortages and a more efficient way to utilize resources in continuing care in Canada. 
To read the full study, click on the following link:
1 M. A., Deutschlander, S., & Charland, P. (2017). Are healthcare aides underused in long-term care? A cross-sectional study on continuing care facilities in Canada. BMJ open, 7(5), e015521.
2 Hewko, S. J., Cooper, S. L., Huynh, H., Spiwek, T. L., Carleton, H. L., Reid, S., & Cummings, G. G. (2015). Invisible no more: a scoping review of the health care aide workforce literature. BMC nursing, 14(1), 38.
3 Berta, W., Laporte, A., Deber, R., Baumann, A., & Gamble, B. (2013). The evolving role of health care aides in the long-term care and home and community care sectors in Canada. Human resources for health, 11(1), 25.
4 Estabrooks, C. A., Squires, J. E., Hayduk, L., Morgan, D., Cummings, G. G., Ginsburg, L., ... & Norton, P. G. (2015). The influence of organizational context on best practice use by care aides in residential long-term care settings. Journal of the American Medical Directors Association, 16(6), 537-e1.
5 Chou, S. C., Boldy, D. P., & LEE, Y. H. (2002). Measuring job satisfaction in residential aged care. International Journal for Quality in Health Care, 14(1), 49-54.
6 Pekkarinen, L., Sinervo, T., Perälä, M. L., & Elovainio, M. (2004). Work stressors and the quality of life in long-term care units. The Gerontologist, 44(5), 633-643.