Community & Long Term Care

Taking Action for Optimal Community and Long-Term Stroke Care (TACLS)

This resource replaces the Tips and Tools for Everyday Living Manual. It is closely linked with the HSF Canadian Stroke Best Practice Recommendations and is an evidence-based resource that provides guidance around how to provide safe care for people who have had a stroke and are living in community and long-term care settings. Developed primarily for healthcare workers such as personal support workers, health care aides, home care attendants, and rehabilitation assistants, it can also be used by organizations engaged in education or orientation for these healthcare providers, and any other healthcare professionals who work with people who have had a stroke and their families. PowerPoint slide decks, notes pages, and master test your knowledge question and answer document are also available. These PowerPoint slide decks are a teacher resource, and  provide key information from the full TACLS document, along with test your knowledge quiz questions.

Tips & Tools for Everyday Living: A Guide for Stroke Caregivers: Putting It Into Practice: Video Series

Six education videos have been developed by stroke care champions in Southeastern Ontario. These videos are designed to complement popular sections of the Tips and Tools for Everyday Living: A Guide for Stroke Caregivers (2010) and education programs currently underway across Ontario and Canada. Five of these videos are designed for front line staff and one has been developed for family and community education.

Front Line Healthcare Staff Education Video Series:

Recognize & React to the Signs & Symptoms of Stroke for Health Care Providers

Communication

Meal Assistance & Hydration

Cognitive, Perceptual & Behavioural Problems

Mobility

Family & Community Education:

Recognize & React to the Signs and Symptoms of Stroke

The Brain The Body and You Workshop Series

This 5-session interprofessional, continuing education workshop series is designed for regulated and unregulated frontline care providers caring for stroke survivors and other complex client populations in the community, long-term care and other care settings. This continuing education program can be easily individualized by selecting the particular module(s) needed to meet the identified learning needs. It may be offered within existing academic settings or in other educational settings such as the workplace. The 4 modules are each 4 hours in length. The module topics include:

Stroke Care - Prevention to Life after A Stroke & Continence Care

Mobility

Nutrition, Swallowing, Feeding and Hydration

Communication and Behaviour

Evaluation Template - please contact Sue Saulnier saulnies@kgh.kari.net if you would like evaluation templates.

You may use this education program within any existing educational settings or the workplace. For more information on the educational program and the pilot program, please feel free to contact Sue Saulnier saulnies@kgh.kari.net.

Best Practice Stroke Care Plans for Long Term Care Homes

Provincial Release of Updated Best Practice Stroke Care Plans for Long Term Care Homes (LTC)

In long-term care (LTC), 21.3% of residents have had a stroke1 and stroke is the third most common diagnosis in LTC residents.2 In fact, stroke is believed to be one of the leading causes of transfer of elderly individuals to LTC facilities.3 More than 10% of patients who have experienced a stroke require long term care and twenty percent of stroke survivors who are identified as having moderate or severe impairments following stroke are discharged to a LTC Home or to Complex Continuing Care.4,5

In 2015, the Heart & Stroke Foundation released the best practice resource, Taking Action for Optimal Community & Long Term Stoke Care© (previously Tips and Tools for Everyday Living© ). In response to this release, a working group of Long Term Care (LTC) Home representatives and members of the Ontario Stroke Network reviewed the best practice Stroke Care Plans (initially released in 2012) to ensure continued alignment with this best practice document and current LTC practices and regulations. The LTC Stroke Care Plans are intended to enable all Ontario LTC Homes to incorporate best practice stroke care into resident care planning.  Twelve LTC Stroke Care Plans have been developed:

  • Activities of Daily Living
  • Behaviour Change
  • Bladder and Bowel Continence
  • Cognition
  • Communication
  • Depression
  • Leisure
  • Mobility, Positioning & Transfers
  • Nutrition, Hydration & Swallowing
  • Pain
  • Perception
  • Skin Care & Hygiene


The Stroke Care Plans can be accessed through the Ontario Stroke Network website at LTC Stroke Care Plans. This will also link you to additional documents (i.e. Background, FAQs, Implementation Tips, Stroke Best Practice Care Plans for LTC slide deck) to support implementation of the Stroke Care Plans. Gwen Brown, the Regional Stroke Community & LTC Care Coordinator for the Stroke Network of Southeastern Ontario is available to support implementation, to answer any questions you may have and to assist with educational needs. Gwen can be contacted at browng2@kgh.kari.net or by phone at (613) 549-6666 X 6867.  

1Continuing Care Reporting System, CIHI, 2014-15
2PriceWaterhouseCooper, 2001
3Statistics Canada, 2010
4Stroke Evaluation Report, 2012, Ontario Stroke Network and the Institute for Clinical Evaluation Sciences
5Heart and Stroke Foundation of Ontario, 2011



 

Southeast Healthline

This database provides links to resources for stroke survivors, caregivers, and healthcare providers.

Educational Posters

These educational posters are available 'on loan' at no cost in Southeastern Ontario for display at your location in Long Term Care. They are available in both wall mount and table top display formats (table top panels can be provided) as well in a handout format. The posters have been developed for the education of frontline care providers and are formatted to provide critical learning points in a highly visual way.

The poster topics include:

To access posters for display in Southeastern Ontario, please contact Gwen Brown, Regional Stroke Community & LTC Coordinator (Stroke Network of SEO) at 613-549-6666 x6867 or by email at browng2@kgh.kari.net. Please advise Gwen of the length of time you would like the display poster and arrangements can be made to retrieve the poster.

Enhanced Community Based CCAC Stroke Rehabilitation

Eligible stroke survivors will be considered for enhanced Physiotherapy (PT), Occupational Therapy (OT), Social Work (SW) and Speech Language Pathology (SLP) services through the CCAC following discharge home. Note that for stroke survivors discharged to Long Term Care (LTC), PT will be provided by the LTC Home with enhanced OT, SLP and SW being provided through the CCAC.

Community and Long Term Care Resource Listings

These two resource sheets provide a listing of supports and services which would be of interest to clients and caregivers who have experienced a stroke and to health care providers working with individuals who are living with the affects of a stroke. Each of the listings includes embedded links where available. One resource is specifically focused on Community and one on Long Term Care and each document is divided into two sections; the first section in each document is targeted at clients/caregivers and the second section is targeted at health care providers.  Some resources may be included in both sections.

Post Stroke Community Based Exercise Guidelines: A Resource for Community Based Exercise Providers

These Guidelines are intended to help exercise providers deliver safe and effective exercise programs to stroke survivors in a variety of community and other settings. Supporting this document is the Guide for Choosing a Community Exercise Program for People with Stroke. Please click Guidelines to view.

Best Practice (BP) Bloggers

BP (Best Practice) Bloggers are myth busting newsletters that provide evidence-based information on various care issues, including stroke care, to the long-term care sector. It was created by Mary-Lou van der Horst (Director, Schlegel Centre for Learning, Research and Innovation in LTC) in collaboration with Regional Geriatric Program Central, Seniors Health Knowledge Network, and Research Institute for Aging (RIA). For stroke-related topcis, newsletters are produced in collaboration with representatives from the Ontario Stroke System.

Blood Pressure Tool Kit

This toolkit is designed to assist Personal Support Workers (PSW) and other health care team members to acquire the practical knowledge and skills to support blood pressure management and to build the capacity to work collaboratively with the health care team and resident/client to optimize blood pressure management. This program is meant to be individualized depending on the needs of the learner and in accordance with the employer/client’s guidelines. The Learning Plan is divided into two modules each of which can be used independently of the other (Module #1: The Basics of Blood Pressure & Supporting the Patient and Module #2: How to Take Blood Pressure). The toolkit may be used by educators or as self-learning modules.

The Tool Kit includes:

  1. Learning Plan
  2. Module 1 "The Basics of Blood Pressure and Supporting the Patient" provides a theoretical overview of blood pressure including hyper- and hypotension, risks for hypertension, impacts of hypertension and role of the care provider.
  3. Case Studies (Module 1) – Three case studies have been developed to support learning. Each case study has a participant and a facilitator version. The case study questions are designed to demonstrate achievement of the evaluation criteria.
  4. Module 2 "How To Take Blood Pressure" provides a practical, visual learning tool to introduce care providers to blood pressure measurement.
  5. Resources – This provides a comprehensive resource listing.
  6. Evaluation Surveys

Registered Nurses Association of Ontario (RNAO)

RNAO resources include best practice recommendations for transitions, stroke care, self-management, smoking cessation, client-centred care, oral health and continence.

Oral Health Videos for Long Term Care

Members of the SHRTN Oral Health Community of Practice have produced 13 education webinar-based videos on various oral health topics for long-term care.