Registed Nurses' Association of Ontario

Implementation Resources

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Background

Mackenzie Health Long-Term Care (LTC) Facility is a 168 bed non-profit Central Local Health Integration Network (LHIN) home in Richmond Hill, Ontario. It is affiliated with the Mackenzie Health Hospital and managed by Universal Care, Inc. Mackenzie Health LTC has benefited from strong, supportive leadership, resulting in innovative practices, with 18 per cent of residents receiving hemodialysis services on site. They were one of the first LTC homes in Ontario to adopt the use of medical cannabis for chronic pain management, palliative care and responsive behaviour.

The RNAO best practice guideline (BPG) Delirium, Dementia and Depression in Older Adults: Assessment and Care Second Edition (2016) is intended to update and replace the BPG Screening for Delirium, Dementia and Depression in Older Adults (2010).

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).

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 "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.