Registed Nurses' Association of Ontario

Implementation Resources


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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.

Risk Assessment & Prevention of Pressure Ulcers

The Implementation to Reduce Pressure Injuries Incidence Rate BPG 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.

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.

Nestled in the rural community of Millbrook is Centennial Place Long-Term Care (LTC)  home with 128 residents. 

Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Pain can be acute or persistent (chronic) or both at the same time. Unrelieved or poorly managed pain is a burden on the person, the health-care system and society. Chronic pain costs the Canadian health-care system between $47 billion and $60 billion a year - more than HIV, cancer and heart disease combined.