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Friday, November 20, 2015

Improving Nutrition ... Improving Care

Health Improvement Scotland set out to improve nutritional care in Scotland by understanding a national improvement campaign to address issues that put adults at risk of malnutrition.
Some of the priorities of this nutritional care programme include making meals better (with consideration of the impact of mealtime volunteers), self-management in long term conditions, and improving nutritional care during transitions between care environments.
The organisation released a report in March 2012 which details the progress of the programme after being in place for 18 months.

This resource can be accessed here:

Wednesday, November 18, 2015

Canadian Malnutrition Task Force

The Canadian Malnutrition Task Force, sponsored by the Canadian Nutrition Society, is an interdisciplinary task force whose aim is the advancement of nutrition care in Canada.

Although much of their focus is on acute care settings, many of the tools, information sources and videos in their list of resources are broadly applicable across all health care environments, including long-term care.

Some resources of note include a video about the process involved with getting locally produced food into health care settings and a video about protected mealtimes.
This resource that includes many more interesting links can be accessed by clicking on the link below.


Friday, November 13, 2015

Long-Term Care Home Design Manual

Attention to interior design in health care settings is always important because of how the design and layout of a space can influence efficiency and safety as well as affect the comfort level of an individual in need of care. In long-term care facilities there is the added challenge for interior designers to make these spaces be both effective health care environments and feel like home to the residents that live there.

The Ministry of Health and Long-term Care in Ontario created a Long-term Care Home Design Manual in February 2015 which discusses and makes recommendations regarding all areas of a long-term care facility from personal spaces to nursing work spaces to dining areas and bathrooms.

This resource can be accessed here:

Wednesday, November 04, 2015

Professional Boundaries and the Nurse-Client Relationship

The College of Registered Nurses of Nova Scotia has published guidelines for their registered nurses which outline professional boundaries in nurse-client relationships.

These guidelines are intended for nurses, but the information and recommendations in can apply across health professions. Although not exclusively geriatric or long-term care focused many of the examples given within the guidelines are from long-term care settings where it is more common that the health care providers will know the patient/resident and their family for extended periods of time.

Of particular interest in this document is a table which clearly delineates differing behaviour and parameters between professional and personal relationships.

This resource can be accessed here:

Wednesday, October 28, 2015

Technology Evaluation in the Elderly Webinars

Technology Evaluation in the Elderly (TVN) is a network of researchers and clinicians funded by the federal Networks of Centres of Excellence Program and hosted by Queen’s University and Kingston General Hospital.

TVN aims to improve the quality of care for frail elderly and supports research and continuing education on this topic. As a part of supporting continuing education on this topic they host a series of webinars typically on the first Wednesday of every month at 12 noon, Eastern Time.

Information about upcoming webinars and video recordings of past webinars are available on their website. Examples of topics from past webinars available to view include “Assessing quality of life measures for elderly traumatic brain injury survivors”, “End of life care priorities in frail elderly Canadians” and “Post-discharge rehabilitation interventions for older adults with cognitive impairment following a hip fracture”.

This resource can be accessed by clicking here:

Wednesday, October 21, 2015

Influenza Outbreak Management Protocol for LTC Facilities

It’s that time of year again and the Office of the Chief Public Health Officer of the Northwest Territories Health and Social Services published a document this month with some succinct reminders about influenza.

These recommendations include information about illness, how to watch for it among residents of long-term care facilities and what to do in a health care setting when you suspect a patient or resident of having an influenza-like illness.

Also included are other factors to consider during an outbreak of influenza-like illness, such as sanitation recommendations for infection prevention and control and considerations for those at high risk of contracting the illness.

This resource can be accessed here:

Wednesday, October 14, 2015

Faces of Health Care

The Healthy Debate initiative intends to promote the use of evidence and informed public input in policy and health care decision making. This project is led by Dr. Andreas Laupacis at the Keenan Research Centre, Li Ka Shing Knowledge Institute of St. Michael’s Hospital in Toronto.
One of the ways the public can become more informed and those working in health care can become more reflective is to share knowledge and stories of experiences navigating the health care system. In order to facilitate this is home to “Faces of Health Care” a collection of anecdotal accounts of different people in health care settings. Although not all the stories are about older adults or long-term care a number of them are, such as those below.
Susanna talks about the effects of large murals and art in special care units. Read her story.
Susan talks about her experiences as the daughter and caregiver of someone with dementia. Read her story