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Wednesday, August 17, 2016

Delirium, dementia and depression in older adults: assessment and care

This nursing Best Practice Guideline (BPG) from the Registered Nurses' Association of Ontario replaces the 2010 BPGs Screening for Delirium, Dementia and Depression in Older Adults and Caregiving Strategies for Older Adults with Delirium, Dementia and Depression.

The guideline focuses on:
  • Practice recommendations directed primarily toward nurses who provide direct clinical care to older adults across the spectrum of care
  • Education recommendations directed at those who are responsible for the education of health-care providers (the recommendations outline core content and training strategies required for entry-level health-care programs, ongoing education, and professional development)
  • Organization and policy recommendations directed at managers, administrators and policy-makers who are responsible for developing policy or securing the supports required within health-care organizations that enable the implementation of best practices.
This resource can be accessed here:

Friday, August 12, 2016

Assessment and Management of Pressure Injuries for the Interprofessional Team

This guideline provides evidence-based recommendations for interprofessional teams managing pressure injuries in adults. The recommendations are intended for use by frontline staff who provide care for individuals across all practice settings. There are also recommendations for educators who provide staff education on pressure injuries.

This guideline refers to “pressure ulcers” as “pressure injuries” as per terminology adopted by the National Pressure Ulcer Advisory Panel (NPUAP).

This resource can be accessed here:

Wednesday, August 03, 2016

Crane Library Web Pick of the Week: Hartford Institute for Geriatric Nursing Try This Series

Found on ConsultGeri, the clinical website of the Hartford Institute for Geriatric Nursing, the Try This Series provides guidance and resources to geriatric nurses in four distinct assessment tool series: 1) General Assessment, 2) Specialty Practice, 3) Dementia, and 4) Quality improvement.

All of the tools described on the website are freely available for use. The How to Try This Series is comprised of articles and videos presenting case studies demonstrating the use of the Try This series. How to Try This articles and videos are listed under their respective Try This article.

This resource can be accessed here:

Wednesday, July 27, 2016

FORTA – “Fit for the Aged” Drug Classification System

“FORTA, "Fit for the aged", is a drug classification system designed as a clinical tool to help in monitoring and optimizing the drug therapy and care management of older patients. 273 items consisting of the most frequently used substances/substance classes for the long-term drug therapy of older patients (with exceptions to this rule) aligned to 29 diagnoses/indication areas have been assigned positive and negative labels ranging from A - B - C - D according to the state of evidence as to risk/benefits and age-appropriateness.”
Developed by researchers in Germany, this classification system is detailed in the 2015 “FORTA List “Fit for the Aged” Expert Consensus Validation”.
This resource can be accessed here:

Wednesday, July 20, 2016

A toolkit for reducing inappropriate use of antipsychotics in long term care

Choosing Wisely Canada, a campaign to help clinicians and patients engage in conversation about unnecessary tests, treatments and procedures organized by the Canadian Medical Association and the University of Toronto, created a toolkit to support interventions to reduce the excessive use of antipsychotic medication administration in long term care.
Its content is derived from a similar toolkit created by the Alberta Health Services. The toolkit is intended for physician groups, clinical services or organizations to help reduce antipsychotic prescribing.
This resource can be accessed here:

Wednesday, July 13, 2016

Pressure Ulcer Scale for Healing (PUSH)

The Pressure Ulcer Scale for Healing (PUSH) is a research-validated tool that was developed by the (NPUAP). It’s an easy to use reliable tool to monitor changes in pressure ulcer status over time.

PUSH is available in a web version and as a PDF. There are detailed instructions for using the scale. Usage and copyright information can be found on the website – this tool is free to use by any non-profit organization.

This resource can be accessed here:

Thursday, July 07, 2016

Dementia Diaries

“Dementia Diaries is a UK-wide project that brings together people’s diverse experiences of living with dementia as a series of audio diaries. It serves as a public record and a personal archive that documents the day-to-day lives of people living with dementia, with the aim of prompting a richer dialogue about the varied forms of the condition.”
Dementia Diaries is a part of the Dementia Engagement and Empowerment Project (DEEP) and an initiative of On Our Radar, a non-profit communications agency that enables marginalized groups share their news and perspectives.
Each diarist is given a 3D printed mobile handset which are simple to use to enable individuals to continue to record entries even as the use of technology becomes more difficult as their disease progresses.
This resource can be accessed here: