In Canada, approximately half of the population is living with at least one chronic condition and more than one in four is diagnosed with two or more chronic conditions.1 The costs associated with lost productivity and health care expenditures is more than CAD $90 billion. Due to inflation that cost has risen to over $97.8 billion (in 2018). Self-management supports and strategies are vital to the health and well-being for persons living with chronic condition(s).

The "Bill George" is a 20-bed long-term care (LTC) home located in Sioux Lookout, which is one of the most northern LTC home in Ontario. Many residents are of indigenous background and are non-English speaking. The home's goal is to respect and recognize cultural and language diversity through the integration of traditional and modern medical practices. In 2016, the Bill George began a three-year partnership with RNAO as a LTC Best Practice Spotlight Organization® (LTC-BPSO®) pre-designate and committed to implement five best practice guidelines (BPG) across the entire home focusing on falls, continence, oral health, pressure injuries and pain.

The Perley and Rideau Veterans' Health Centre, located in Ottawa, Ontario, Canada,  is one of the largest LTC homes, with 200 beds for community members alongside 250 beds for veterans of the Second World War and the Korean War. Throughout its 119- year history, the Perley Rideau, as it is popularly known, has evolved continually to meet the needs of the people it serves.

Parkview Manor is a 34-resident Long-Term Care (LTC) Home located in Chesley, in the South West Local Health Integration Network, Ontario, Canada. As part of their LTC Best Practice Spotlight Organization® (BPSO) designation activities, they implemented five RNAO Best Practice Guidelines (BPG) over three years

As a known risk factor for cancer, stroke,  heart and lung diseases in Canada, the health and economic costs associated with tobacco use are estimated to be $17 billion annually, including $4.4 billion in direct health-care costs1. In 2015, approximately 3.9 million Canadians, fifteen years of age and older were smokers, and the majority were considering quitting and have made quit attempts2. In Ontario alone, about 13,000 people die annually from diseases caused by smoking.

The annual direct health-care costs are estimated to be CAD $2 billion due to falls, with older adults accounting for nearly half of these costs. In 2012, the average cost for a serious injurious fall was estimated to be CAD $31,000  when compared to a patient with no falls treated for similar diagnosis. This reflected direct and indirect in-patient costs of 34 days in the hospital with nursing care and excluded physician billing.

The purpose of this guideline is to provide evidence-based recommendations for nurses and other members of the interprofessional team who are assessing and managing people with the presence, or risk of, any type of pain.

Tilbury Manor Nursing Home Implements Best Practice Guidelines to Improve Resident Care and Create a Healthy Work Environment Background As public reporting of quality indicators become a greater focus in the long-term care sector, long-term care (LTC) home leaders and staff have sought new ways to improve resident outcomes. One of Tilbury Manor is a 75-resident LTC home in the Erie St. Clair Local Health Integration Network, Ontario, Canada.

The purpose of the Best Practice Guideline Implementation to Reduce Falls in Older Adults is to increase all nurses' confidence, knowledge, skills, and abilities in the identification of older adults within health-care facilities at risk for falling and to define interventions for the prevention of falling.

Risk Assessment & Prevention of Pressure Ulcers The BPG Risk Assessment and Prevention of  Pressure Ulcers assists nurses who work in diverse practice settings to identify adults who are risk of pressure ulcers (current terminology used is pressure injuries). Direction is provided to nurses in defining early interventions for pressure injury prevention, and to manage Stage I pressure injuries.