Long-Term Care

Long Term Care

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• Need help using these tools?  Please contact us.

HPC Consultation Services

• Who We Serve
• Contact your Palliative Nurse Consultant
• Request a Consult – Referral Workup Form
  • Learn more about our Palliative Nurse Consultant Documentation Policy & Processes.

Please note that tools/ resources listed on this page are more LTC specific, but you might also benefit from other tools/ resources found across our various website pages such the Palliative Approach to Care, General, and All Resource Tools pages.

Education

• WW HPC Education
• LTC Education/Training

Supporting a Palliative Approach to Care in LTCH

• What is a Palliative Approach to Care?
  • LTCH Palliative Care Policy – Sample
• Model to Guide Hospice Palliative Care, Revised 2013 – CHPCA
• Quality Standard: Palliative Care, 2018 – HQO
• Ontario Palliative Care Competency Framework, 2019 – OPCN
• Palliative Care Health Services Delivery Framework, 2019 – OPCN
  • Post-Grad Competencies for Palliative Approach to Care – 2021, CSPCP
• End of life in long term care facilities video (4m 38s) – Canadian Virtual Hospice
• Strengthening a Palliative Approach in Long-Term Care, 2017 – SPA-LTC
• Debriefing Training Video (12m18s) – SPA-LTC 
• Resource Library – SPA-LTC
• Quality Palliative Care in Long Term Care Alliance, 2013 – QPC-LTC
• Long-Term Care Best Practices Toolkit, 2nd edition, 2018 – RNAO
• Palliative Approach to Care in the Last 12 Months, 2020 – RNAO
• End-of-Life Care During the Last Days and Hours, 2011 – RNAO
• Fixing Long-Term Care Act, S.O. 2021, c. 39. and associated Regulations
• Implementing a Palliative Approach to Care in LTC: An Implementation Guide and Resource Toolkit – OH West

Health Care Consent

• ACP Resources 
• Health Care Consent Act, 1996, S.O. 1996, c. 2, Sched. A and associated Regulations

Early Identification Tools

• Tools to Support Earlier Identification for Palliative Care – OPCN
• WW Early Identification & Prognostic Indicator Guide
• Palliative Performance Scale (PPS v2) – Victoria Hospice
  • Instructions & Definitions
  • PPS Instructional Video (.mp4) – Waterloo Wellington
• RAI MDS Outcome Scales: PSI & CHESS

Resources for Residents & Families

• Advance Care Planning Ontario
• When Someone Is Dying Pamphlet – Long-Term Care
• Caregiving Guides & Resources

Resident-Centred, Whole-Person Care

• Domains of Issues
  • Domains of Issues Worksheet – Fillable
• CCO’s Collaborative Care Plans
  • Stable Stage
  • Transitional Stage
  • End of Life Stage
  • Condensed Version
• End–Of–Life (EOL) Medication Order Set for LTC Symptom Management Guideline – Waterloo Wellington
  • Guideline Overview
  • Information Pamphlet for Patients/Families
• SBAR – fillable
• SBORS – for use by PSWs
• Nursing Guidelines for PC & EOL Care in LTC Homes – Sample

Symptom Screening, Assessment & Management

• Dementia Observational System (DOS) Tool
• ESAS-r Tool
  • Administrative Manual
  • Graph
  • Instructional Video (2017, 51m55s)
  • Printable Symptom Diary (Printable)
  • Translations
• Symptom Assessment Acronym (OPQRSTUV) – Fraser Health
• Pain Resources
• Dyspnea Resources
• Delirium Resources
• Clinical Protocols & Guidelines

Enhance Your LTCH Palliative Care Committee

• Agenda – Sample (Updated 2022)
• Minutes  – Sample (Updated 2022)
• Terms of Reference – Sample (Updated 2022)

Want more support?  Click here to discover other ways that HPC Consultation Services can support you https://hpcconnection.ca/consultation/what-we-do/.