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Wednesday, May 18, 2016

Prescribing and Administering Opioid Doses Based Solely on Pain Intensity: A Position Statement by the American Society for Pain Management Nursing

The American Society for Pain Management Nursing (ASPMN) published in April 2016 a position statement on prescribing and administering opioid doses based solely on pain intensity. ASPMN states, “the practice of prescribing doses of opioid analgesics based solely on a patient’s pain intensity should be prohibited because it disregards the relevance of other essential elements of assessment…”
ASPMN describes other factors that need to be considered when assessing for pain in addition to pain intensity which include but are not limited to age, quality of pain, sedation level, respiratory status, and functional status.
This resource can be accessed here:

Friday, May 13, 2016

Rehabilitation for the frail elderly: models of care and quality indicators

The Canadian Frailty Network (CFN) (previously known as Technology Evaluation in the Elderly Network, TVN) supports research with the CFN Knowledge Synthesis Grant. One research project supported by this grant resulted in a scoping review of different types of rehabilitation interventions evaluated in LTC, the outcomes used to evaluate the interventions and the tools or models used to guide allocation of services.
The results of this research project are described in a slide deck and recorded webinar on their website.
This resource can be accessed here:

Wednesday, May 04, 2016

Guidelines on Urinary Incontinence

The European Association of Urology (EAU) Working Panel on Urinary Incontinence released a new set of guidelines in March 2015 regarding management and treatment of urinary incontinence. Causing a great deal of distress to patients and substantial burden to the health care system, the effective management of urinary incontinence is essential to high quality health care.

Written by urologists, these guidelines are intended for physicians, but contain information relevant to health care providers from various disciplines who care for individuals suffering from urinary incontinence. There are “separate but complementary” recommendations relating to the care of the elderly for each section within the guidelines.

This resource can be accessed here:

Wednesday, April 27, 2016

Your Health Care System CIHI

The Canadian Institute for Health Information (CIHI) has created a searchable portal to analyze data they have gathered from Canadian hospitals, long-term care organizations, cities, health regions, provinces and territories.

By entering the name of your health care facility you can see results of their primary indicators or the overall results. Results include use of antipsychotics, restraints, physical functioning, depression, pain, falls and pressure ulcer incidence. For each indicator there is a comparison of the facility you searched to rates in its health authority/region, its province and Canada overall.

This resource can be accessed here:

Wednesday, April 20, 2016

Long-term Care Resident Profile

A frequently discussed value in the provision of long-term care is ensuring that the care provided is person-centred. Alberta’s continuing care system describes the dynamic populations found within the continuing care system in that province annually in their “Long-term Care Resident Profiles” which provide description of demographics, health conditions and care and interventions. The information presented in their report is based on data collected in MDS assessments.

Their most recent report, published in March 2016, gives a snapshot of the population found within long-term care in Alberta. They also have an infographic which highlights key points of the report.

This resource can be accessed here:

Wednesday, April 13, 2016

Pain Management for Women, Aboriginal Peoples, or the Elderly

CADTH, the Canadian Agency for Drugs and Technologies in Health, conducted a review to identify evidence-informed guidelines regarding pain management in three population groups: women, aboriginal peoples and the elderly.

Their findings were published on March 28, 2016 and were based on a rapid review of the literature. From their search, they found one evidence-based guideline relating to pain management in the elderly.

This resource can be accessed here:

Wednesday, April 06, 2016

Canadian Guidelines on Parkinson's Disease

Originally published in 2012, the Canadian Guidelines on Parkinson’s Disease, developed by Parkinson Canada, provide guidance to all members of healthcare teams caring for individuals with Parkinson’s disease living in long-term care facilities.

There is now an online educational tool with a learning module accredited by the College of Physicians of Canada that outlines the Canadian Guidelines on Parkinson’s Disease. This course includes case scenarios that explore treatment and management options.

This resource can be accessed here: