Registed Nurses' Association of Ontario

Implementation Resources

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The Ontario Long-Term Care Homes (LTCH) Act, 2007 requires all LTC homes to have a program to minimize restraints. The rationale cited for not becoming restraint-free are: a) falls rate will rise, b) understaffing, and c) family members who insist on use. Research demonstrates more serious injury and increased mortality rates with restraint use (Cleary & Scott, 2015).

The Humber River Family Health Team (HRFHT) is a multi-site organization providing primary health- care services and programs using a team-based model. The organization is implementing the Person- and Family-Centered Care (May 2015) Best Practice Guideline in collaboration with the North Western Toronto Best Practice Spotlight Organization Ontario Health Team (NWT BPSO OHT). This BPG was piloted with interdisciplinary health professionals including nurses, social workers, dietitians, chiropodists and a pharmacist to provide holistic care.

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 Behavioural Supports Ontario (BSO) provincial initiative was created to enhance health-care services for older adults in Ontario with complex and responsive behaviours associated with dementia, mental health, substance use, and/or other neurological conditions. The Hamilton, Niagara, Haldimand, Brant BSO team currently supports 86 long-term care homes by providing consultative non-pharmacological recommendations to support resident centered care approaches to reduce or mitigate these behaviours through capacity building.

In 2010, the global economic impact of dental diseases amounted to US$442 billion. Across OECD countries, 5% (average) of total health expenditures originate from treatment of oral diseases. Recent findings suggest oral diseases account for productivity losses of over $1 billion per year in Canada alone.1 Improvements in oral health would result in substantial economic benefits by reducing treatment costs and by decreasing productivity losses in the labour market.