BC Patient Safety & Quality Council

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Here are resources that Clear teams  have used and continue to use in their work. Feel free to customize them for your own use – but please acknowledge Clear as the source.

Clear Webinars

The following links are recorded webinars from Clear’s Wave 3. You are required to enter a password to view these webinars – the same one you would have used to access the live webinar. Please contact us at clearbc@bcpsqc.ca to request a password.

Clear Resources

Driver Diagram
This document provides suggested strategies and changes to reduce antipsychotic medications in long-term care. Here’s a video that explains how driver diagrams are used in improvement work.

Process Improvement Charter
Define the scope, approach, resources and timeline of your improvement project.

Stakeholder Engagement Planning Form
Identify who you will need to engage in your improvement project and how to do so.

PDSA Testing Ideas Worksheet
Plan-Do-Study-Act Cycles help you test change ideas. Use this worksheet to plan your tests.

BPSD Algorithm
A practical, electronic and interactive tool that supports interdisciplinary, evidence-based, person-centred care for persons with behavioural and psychological symptoms of dementia (BPSD).

Culture Change Toolbox
The Culture Change Toolbox is a collection of tools and interventions for changing culture. It’s full of ideas, examples and exercises, and is designed specifically for use in long-term care homes. For each tool there are tips on how to apply it and a description of which components of culture it helps to improve.

Additional Resources of Interest (Themed)

Understanding Dementia – Resources for Families and Caregivers

When Your Loved One Has Dementia – A Roadmap for Families
While different kinds of dementia vary in their initial presentation and rate of progression, there are features of the dementia “journey” common to all. This brochure is a basic “roadmap” of the territory, to help families orient themselves on the journey their loved on is travelling, and see what’s coming farther along the road.

All About Me: A Booklet About a Person Living with Alzheimer’s Disease or Other Dementia
All About Me is a resource for people with dementia to tell health care providers about themselves – their needs, likes, dislikes and interests – so that the providers can build relationships with them and support personalized care.

Shifting Focus- A Guide to Understanding Dementia Behaviour
This booklet is meant to help family members, friends and co-residents of those who live at home or in a long-term care home and are behaving in unpredictable ways that create unease or distress. It helps care partners and fellow residents to learn about the brain and how dementia affects it; recognize your family member’s actions and their meaning; offer ways to respond; and increase patience and acceptance for those living with a dementia.

Free Online Course! Dementia – Understanding and Managing Challenging Behaviour
If you are someone looking after a family member with dementia in your own home or a professional working with people with dementia, this free online course will help you better understand the person and develop the skills needed to manage their challenging behaviour.

Living with Dementia
This brutally honest film reminds us that although dementia causes the loss of some abilities, people’s feelings remain intact. Four people with dementia talk about their emotions: fear, guilt, embarrassment, isolation, powerlessness. The film also shows the difference a supportive, empathetic relationship can make.

Managing Symptoms of Dementia

A Dementia Roadmap for Practitioners
A roadmap for outlining the stages of dementia – symptoms, sign-posts, good questions and tasks for the practitioner.

Maximizing Success when communicating with someone with Dementia
We communicate verbally, non-verbally and through written words. In order for communication to occur, the message that is transmitted must be interpreted and understood. Unfortunately, when an individual has been diagnosed with a type of dementia, the communication process is affected. This often leads to misunderstandings and frustration from both the individual with dementia and the caregiver. This webinar detailed some very important strategies to keep in mind in order to effectively communicate with an individual diagnosed with dementia.

Swindon’s Great Western Hospital Gets Dementia Friendly Ward
Discreet adaptations, such as clocks that help patients distinguish between night and day and a matte finish floor to reduce falls, have been made. More information here.

Free Online Course! Dementia – Understanding and Managing Challenging Behaviour
If you are someone looking after a family member with dementia in your own home or a professional working with people with dementia, this free online course will help you better understand the person and develop the skills needed to manage their challenging behaviour.

Best Practice Guideline for Accommodating and Managing Behavioural and Psychological Symptoms of Dementia in Residential Care
This guideline was developed in response to “A Review of the use of Antipsychotic Drugs in British Columbia’s Residential Care Facilities” conducted by BC’s Ministry of Health in 2011.

World Alzheimer Reports
These annual reports examine global trends related to older people who need dementia care, including those with Alzheimer’s disease.

Guidelines for the Recognition, Diagnosis and Management of Cognitive Impairment
This guideline provides recommendations for adults ≥ 19 years within the primary care setting. It focuses on Alzheimer’s disease, the most common form of dementia seen in primary care. The guideline encourages early recognition and assessment of dementia and supports the development of a care plan that includes the identification of community resources for patients and caregivers.

Putting the PIECES Together in the Health Care Maze
A story illustrating the benefits of the PIECES (Physical, Intellectual, Emotional, Capabilities, Environment, Social) framework, a tool created in Canada for those who work with older adults who have complex health issues.

You Decide Sheet for Antipyschotics in Treatment of BPSD in Elderly
Shared Care’s Polypharmacy Risk Reduction Initiative created this evidence-based summary which has been reviewed by an expert clinical advisory group to inform medication reviews and decision making

Best Practices Guide for Safely Reducing Anti-Psychotic Drug Use in Residential Care
The BC Care Providers Association (BCCPA) has developed this Best Practices Guide to help long-term care providers reduce the use of anti-psychotic drugs in their residential care homes.

Reducing the Use of Antipsychotic Drugs
A guide (pdf) to the treatment and care of behavioural and psychological symptoms of dementia.

Appropriate Use of Antipsychotics Toolkit for Care Teams
The Alberta Guideline on the Appropriate Use of Antipsychotic Medications (2013) and accompanying resources provide health care professionals with direction regarding assessment and management of responsive behaviours associated with dementia.

“It’s Your Medicine, What Shall We Do With It?”
The Health Foundation published a short video about a medication review project in the UK that “brings together care home residents, their families and health professionals to ensure residents are getting the right mix of medications.” Among the project’s achievements is reducing the amount of medicine prescribed to residents by 17%.

How the NHS has Addressed Dignity in Residential Care – Pecha Kucha-Style
On March 6, 2012, Helen Bevan, chief of service transformation at the NHS Institute for Innovation and Improvement, spoke at Health Talks. She used a Pecha Kucha presentation to describe how the National Health Service has addressed dignity in residential care. Watch it here.

Dementia-Friendly Design

‘Dementia-Friendly Communities’ and Being Dementia Friendly in Healthcare Settings
This review discusses the concept of ‘dementia-friendly communities’ and summarizes the latest research and practice around such communities. This review also highlights important topic areas to be considered to promote dementia friendliness in healthcare settings.

Home Recreates Past for Dementia Patients
Watch a video about a Georgian Bay, Ontario retirement home that has carefully recreated the past for dementia patients who find the environment comforting.

At a Glance

Key Contacts

Tara Fitzgerald
Quality Leader

Geoff Schierbeck
Quality Leader

Mary Lou Lester
Quality Leader