Registed Nurses' Association of Ontario

Implementation Resources

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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.

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).

Watford Quality Care Centre (WQCC) is a Long-Term Care home in Watford, Ontario. The LTC home implemented RNAO's Assessment and Management of Pain (Third Edition, 2013) best practice guideline (BPG) across their organization to address the gap in pain management and to reduce incidences of severe pain among their residents. The BPG implementation strategies focused on interprofessional and intersectoral collaboration, as well as early recognition and interventions for pain.