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Wednesday, July 30, 2014

RAND Improving Dementia Long-Term Care: a policy blueprint

Improving Dementia Long-Term Care: a policy blueprint is a published report from RAND looking at potential policy options for dementia in long-term care services and supports.  The document primarily focuses on the social services and supports that are being conducted in the United States, but the document has international implications.
The policy blueprint is intended to assist government and non-profit organizations with a set of priorities to build consensus and establish policies, actions and performance metrics to improve quality of care and long-term care services.  The authors examined the current available options for long-term care services for persons with dementia and came up with 25 priorities for care that can be summarized into five objectives. 
The five objectives include:
1.       Increase public awareness of dementia to reduce stigma and promote earlier detection of signs and symptoms
2.       Improve access to and utilization of long-term care services and supports for persons with dementia
3.       Promote high quality, person and family-caregiver-centred care.
4.       Provide better support for family caregivers of people with dementia
5.       Reduce the burden of dementia LTSS costs on individuals and families
To read the full report, please visit

Monday, July 28, 2014

Alive Inside Trailer

We've mentioned the organization Music and Memory, on the blog before, but with the release of the official trailer for Alive Inside, a movie based on the work of this non-profit organization, we thought we would mention them again.  The trailer (and the film itself) are worth a watch for anyone working in long-term care.   Alive Inside, a documentary film, examines the effect music can have on older adults with moderate to severe dementia.  The film follow Music and Memory as they deliver iPods filled with music to long-term care facilities and see first-hand the transformation that takes place.

The trailer can be seen below and to see when the movie will be playing in your area, please visit the Alive Inside website.

Friday, July 25, 2014

Obesity in an Ageing Society: Implication for health, physical function and health service utilization

Obesity is a chronic disease defined by the World Health Organisation (WHO) as a condition of abnormal or excessive fat accumulation, to the extent that health maybe impaired.

The combination of an ageing population and a continually increasing prevalence of obesity create a double burden of disease. As the population ages and an increased proportion of people are obese for a greater length of time, the associated health care burden will increase. 

This document, published by the Irish Longitudinal Study on Ageing, explores the issue of obesity in the older population in Ireland, but the implications and results of this study will be of interest in many other jurisdictions.

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 (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
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

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  

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