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2012

Visram, A., Wilson, D.M.

Medications are beneficial for curing or managing acute and chronic illnesses. Medications typically have positive outcomes, although older people are prone to drug-related problems. Community-dwelling seniors are at particularly high risk of polypharmacy, as they tend to receive many...

2013

Stewart, N., Morgan, D. G., Estabrooks, C. A., Norton, P., Squires, J. E., Poss, J. W., Doupe, M., Teare, G. F., Cummings, G. G.

Nursing homes have become complex care environments where residents have significant needs and most have age-related dementia. Building on research by Hirdes et al. (2011), we describe a resident profile in a representative sample of 30 urban nursing homes in the prairie provinces using Resident...

2014

Keating, N., Wilson, D.M., Williams, B.E.C.

This report documents the findings of a mixed-methods study focused on the advanced directives of 182 residents of three LTC facilities in southern Ontario, Canada. Although almost all had a completed advance directive within 3 months of death, most did not have a palliative designation or...

2015

Wagg, Adrian S., Drummond, Lindsay S., Jones, C. Allyson, Slaughter, Susan E.

Background: We examined the agreement over time of the physical functioning domains of the Resident Assessment Instrument: Minimum Data Set Version 2.0 (RAI-MDS) and the Functional Independence Measure (FIM) in nursing home residents with dementia. Methods: We completed a secondary analysis of...

2014

Andersen, E., Spiers, J.

The Eden AlternativeÒ is a philosophy of care and transformational model aimed at increasing quality of life for nursing home residents by enhancing institutional environments and restructuring delivery of care. Three fundamental components of restructured care are resident care provided...

2014

Baylon, Melba A., Fraser, Kimberly D., Schalm, Corinne, Sales, Anne E.

Background There is considerable evidence about the effectiveness of audit coupled with feedback for provider behavior change, although few feedback interventions have been conducted in long-term care settings. The primary purpose of the Data for Improvement and Clinical Excellence-Long-Term Care...

2014

Teare, G. F., Poss, J., Murray, M., Norton, P., Estabrooks, C. A., Cummings, G. G., Doupe, M., Squires, J.

Objectives To demonstrate the benefit of defining operational management units in nursing homes and computing quality indicators on these units as well as on the whole facility. Design Calculation of adjusted Resident Assessment Instrument – Minimum Data Set 2.0 (RAI–MDS 2.0) quality indicators...

2012

Barnard, D., Norton, P. G., Batra-Garga, N., Cummings, G. G., Estabrooks C. A., Cranley, L. A.

Background: In Canada, healthcare aides (also referred to as nurse aides, personal support workers, nursing assistants) are unregulated personnel who provide 70-80% of direct care to residents living in nursing homes. Although they are an integral part of the care team their contributions to the...

2015

Brière, Nathalie, Freitas, Adriana, Légaré, France, Bourassa, Henriette, Stacey, Dawn, Rivest, Louis‐Paul, Fraser, Kimberly, Dumont, Serge, Roy, Lise, Desroches, Sophie

Background One of the toughest decisions faced by elderly people is whether to stay at home or move to a care facility. This study seeks to evaluate the impact of training interprofessional home-care teams in shared decision making combined with a decision aid on the proportion of elderly people...

2015

Kosteniuk, Julie G., Crossley, Margaret, Teare, Gary F., Stewart, Norma J., Quail, Jacqueline M., Kirk, Andrew, Bello-Haas, Vanina Dal, O’Connell, Megan E., Forbes, Dorothy A., Morgan, Debra G., Innes, Anthea

Background Determining the epidemiology of dementia among the population as a whole in specific jurisdictions – including the long-term care population–is essential to providing appropriate care. The objectives of this study were to use linked administrative databases in the province of...