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Wednesday, May 20, 2015

Smart-e-Pants: Using Intermittent Electrical Stimulation to Prevent Pressure Ulcers

CADTH (the Canadian Agency for Drugs and Technologies in Health) has recently completed on April 9, 2015 a report in their series on “Issues in Emerging Health Technologies”, a review on a new technology that has been developed in the hopes of reducing pressure ulceration. “Smart-e-Pants” are likened in the report to biking shorts that are equipped with surface electrodes intended to provide electrical stimulation to areas at high-risk of pressure ulcers.

In the report, it is noted that the highest percentage of pressure ulceration occurs in long-term care settings.

This resource can be accessed here:

A Toolkit: Patients at Risk for Wandering

Cognitively impaired patients at risk for wandering may be endangering themselves. This toolkit, developed by the US Veterans Affairs National Centre for Patient Safety, is designed as a starting point for those caring for at risk patients.

In this toolkit there are recommendations for preparing your unit/facility for wandering behavior, including environmental recommendations as well as at-risk patient assessment recommendations. Additionally, there are suggested interventions ranging from most desirable (first-degree interventions) to more restrictive (fourth-degree interventions).

This resource can be accessed by clicking here:

Thursday, May 14, 2015

Tips for Better Pureed Foods

Agri-Food for Healthy Aging has developed a preliminary set of recommendations for LTC facilities for better pureed foods that provides examples for different types of food, as well as a checklist to ensure standardized texture outcomes.

Although in other countries dietetics associations have guidelines for modified food textures or dysphagia diets, in Canada there are not currently any similar guidelines on the topic of food textures or consistency descriptors. The Agri-Food for Healthy Aging initiative is a collaborative research group of a number of academic institutions and health and nutrition organizations in Ontario whose aim is to improve the health and wellbeing of aging and older adults through research in agriculture, food and nutrition.

This resource can be accessed by clicking here:

Wednesday, May 06, 2015

Incontinence-Associated Dermatitis: Moving Prevention Forward

Incontinence-associated dermatitis (IAD) is a well-known risk factor for pressure ulcers, but the Global IAD Expert Panel, brought together by Wounds International, found identifiable gaps in the understanding and practice associated with IAD.

The Global IAD Expert Panel met in September, 2014 to address these gaps and to develop a set of best practice principles. The result of this meeting is the best practice principles document: “Incontinence-Associated Dermatitis: Moving Prevention Forward”, which includes sections on identifying causes and risk factors for IAD, the link between IAD and pressure ulceration, IAD assessment and severity-based categorization and IAD prevention and management strategies.

This resource can be accessed by clicking on the link below.

Wednesday, April 29, 2015

Inter-Professional Spiritual Care Engagement Tool

The Canadian Association of Spiritual Care (CASC) features on their website a list of resources which could be of use to anyone engaging in spiritual care in settings such as health care, education or private practice. One of the featured resources is a tool from the Niagara Health System called the Inter-Professional Spiritual Care Engagement Tool (SCET).
There is a description of the SCET and its purpose and context, the tool itself, an educational package with self-directed or more guided learning options for health care providers to gain understanding of spiritual care and how to engage with patients or residents on spiritual care topics, and finally there is a document describing the scope of practice of those whose background is spiritual or pastoral working in health care, and vice versa the scope of practice of those working in health care who engage in spiritual care.
This resource can be accessed here:

Wednesday, April 22, 2015

Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines

CADTH, the Canadian Agency for Drugs and Technologies in Health, as a part of their Rapid Response service, developed a synthesis and summary of pre-existing guidelines on the topic of dehydration prevention in geriatric patients living in LTC.

This Rapid Response report summarizes four guidelines on the topic of dehydration prevention in long-term care that were identified as being evidence-based. This Rapid Response document was completed in July 2014 and includes summaries of guidelines from the last five years only. From this report you are also able to full-text of the guidelines that are summarized.

This resource can be accessed by clicking here:

Wednesday, April 15, 2015

Long-Term Care Toolkit: Teamwork

Teamwork is an important aspect of any workplace. In healthcare, effective teamwork is paramount to ensure quality of patient care. In long-term care these can be interdisciplinary teams of varied size.

The Minnesota Alliance for Patient Safety has developed a toolkit specifically geared towards long-term care of strategies with corresponding potential tools and resources that can be used to improve teamwork amongst health care providers. Many of the elements of the toolkit come from the TeamSTEPPS program, a teamwork system developed by the Agency for Healthcare Research and Quality (AHRQ) the United States.

This resource can be accessed by clicking here: