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Wednesday, July 23, 2014

Geriatric Pain Knowledge Assessment

Pain in long-term care residents is often difficult to assess and manage.  Consequently, the National Geriatric Pain Collaborative developed the web site Geriatricpain.org (previously featured on Info-LTC), which provides long-term care nurses with free, evidence-based pain assessment tools and resources to better manage pain in residents.  The most recently developed tool is the Geriatric Pain Knowledge Assessment tool
The Geriatric Pain Knowledge Assessment tool was developed to test a nurses baseline knowledge of important concepts related to pain in older adults.  The assessment tool will identify any strengths and/or any gaps in knowledge that would improve quality of care.  It consists of 46 True/False and multiple choice questions based on the 19 evidence-based competencies previously developed by Geriatricpain.org
The assessment tool is available online, but requires registration.  Once the online form is completed, login information will be emailed in 2-3 working days.  Educators may also request a PDF file, but should expect the same time frame for turnaround.
For more information and to fill out the registration form, please visit http://bit.ly/UmHovp

Wednesday, July 16, 2014

One Chance to Get it Right: Improving people's experience of care in the last few days and hours of life

The Liverpool Care Pathway developed in the 1990’s was a generic model intended to replicate palliative care across settings.  In 2013, the Leadership Alliance for the Care of Dying People (LACDP), a coalition of 21 national organizations, recommended that the United Kingdom phase out the use of the Liverpool Care Pathway in palliative and hospice care by 2014.  It was recommended that generic protocols are not the right approach to caring for individuals in palliative care.  Instead, care should be individualized and reflect the needs and preferences of the dying person.
One Chance to Get it Right outlines the priorities and objects of the newly implemented care pathway.
The new care pathway will focus on achieving five Priorities for Care when it is believed a person will die within the next few days or hours.  These include:
1.       This possibility [of death] is recognized and communicated clearly, decisions made and actions taken in accordance with the person’s needs and wishes, and these are regularly reviewed and decisions revised accordingly.
2.       Sensitive communication takes place between staff and the dying person, and those identified as important to them.
3.       The dying person, and those identified as important to them, are involved in decisions about treatment and care to the extent that the dying person wants.
4.       The needs of families and others identified as import to the dying person are actively explore, respected and met as far as possible.
5.       An individual plan of care, which included food and drink, symptom control and psychological, social and spiritual support, is agreed, coordinated and delivered with compassion.

Wednesday, July 09, 2014

Sexualities and Dementia: Education Resource for Health Professionals

Sexualities and Dementia is an e-learning resource intended for healthcare professionals who support caregivers and individuals with dementia living in long-term care.  The resource, written by Dr. Cindy Jones and produced by the Dementia Training and Studies Centres (DTSC), is organized into four modules which cover a variety of aspects related to sexuality and dementia.  It can be used as a guide for educators, or as a framework to develop guidelines and policy to properly support sexual expression in long-term care facilities. 
The four modules include:
·         Intimacy, Sexuality and Sexual Behaviour (Defining, expressions and barriers to intimacy, sexuality and sexual behaviour)
·         Dementia and Expressions of Sexuality (In care settings; Caregivers’ role and responsibility)
·         Ethical considerations: Policy/Guidelines Development for Sexualities and Dementia in Care Settings
·         Developing Sexualities and Dementia Policy Guidelines for Care Practice

Each module includes in-depth information on the topic, examples taken from practice, points for consideration and discussion, links to relevant online resources and activities for staff.  For more information, and to access the resource, please visit http://bit.ly/1xSBUag.  

Tuesday, July 08, 2014

Crane Library 2014 AV Catalogue

The 2014 Audiovisual Catalogue produced by the J.W. Crane Memorial Library is now available online.  The catalogue represents the audiovisual holdings (ie. CDs, DVDs, VHS and kits) available at the University of Manitoba Health Sciences Libraries.

The titles are organized by topic, and some titles may appear under several different topics.

To access the catalogue please visit http://bit.ly/1lwvERB.

Monday, July 07, 2014

Ten Things to Look For in a Senior-Friendly Emergency Room

Health in Aging has released a two page pamphlet, "Ten Things to Look for in a Senior-Friendly Emergency Room" to assist seniors and health care professionals in spotting senior-friendly emergency rooms.  ERs can be overwhelming for seniors, due to their loud noises and the chaotic atmosphere.  The more time seniors spend in this type of environment, the higher their risk for delirium.  Health in Aging has outlined 5 questions to ask and 5 things to spot to determine if the ER is indeed senior-friendly.

To view the list, please visit http://bit.ly/TNKrfj

Friday, July 04, 2014

Community Matters: Making our Communities Ready for Ageing - a call to action

Community Matters, published by the International Longevity Centre - UK (ILC-UK), with the support of Age UK, takes a futures perspective on understanding the evidence about how communities need to adapt to an ageing society.

The report argues that policy makers must work to ensure that communities do more than cater for our basic needs. It argues that communities should be places of fun for all. The report highlights the importance of supporting walking and cycling in old age as well as the need to ensure housing is adaptable to an ageing society.

The report sets out a 10 point action plan for local authorities, which includes:
  • Places to meet not places to hire - Offer free space to allow people to come together to talk and enjoy life.
  • Ensure people aren't caught on a bladder leash - Maintain and keep open or incentivise businesses to open up their toilet facilities as a public resource.
  • Build neighbourliness - Find ways of breaking down "safeguarding" barriers that currently prevent generations working together.
The Community matters report was produced following three expert workshops and a conference attended by 100 people. Around 150 expert researchers, policy experts and older people contributed views during a 6 month process.


Wednesday, July 02, 2014

RNAO Elder Abuse Best Practice Guideline Recommendations

The Registered Nurses Association of Ontario (RNAO) recently unveiled 22 recommendations aimed at helping nurses and health care aides in long-term care facilities prevent and speak about elder abuse and the neglect of older adults.  The recommendations will be part of an upcoming Best Practice Guideline Preventing and Addressing abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-wide Approaches. 
The recommendations are varied and fall under three major categories: practice, education, and policy, organization and system.  Here are a few examples of some of the recommendations:
·         Identify the rights, priorities, needs and preferences of the older adult with regard to lifestyle and care decisions before determining interventions and supports.
·         All employees across all health-care organizations that serve older adults participate in mandatory education that raises awareness about: ageism, the rights of older adults, the types, prevalence and signs of abuse and neglect of older adults
·         Organizations/institutions establish and support collaborative teams to assist with preventing and addressing abuse and neglect of older adults.
For more information and to see the full list of recommendations, please visit: http://bit.ly/1sKtx1A
For the latest articles, books, video and websites on Elder Abuse, please see our Current Perspective on the topic.