Prevention & Vascular Health

General

Stroke Prevention Resources 

Three resources were developed to further operationalize some core elements of Ontario’s Stroke Prevention Clinics and to enhance and support system-wide performance and outcomes for persons with transient ischemic attack (TIA) or minor non-disabling stroke.  Elements of the documents are modifiable to reflect available resources in local settings. Click here for more info & see below descriptons about the resources.

1) Stroke Prevention Infographic for Primary Care Providers

Provides general information about the role of the Stroke Prevention Clinic, how to refer to the Clinic, and what treatment providers could initiate after imaging has been completed and reviewed. Click here to view and/or print the South East Infographic. 

2) Standardized Secondary Stroke Prevention Clinic Referral Criteria

Helps improve access and establishment of referrals to Stroke Prevention Clinics/services. The referral form template includes a triage algorithm based on Canadian Stroke Best Practice Recommendations and Carotid Stenosis consultation recommendations. Click here to view and/or print the referral template and click here for the fillable version.

3) Stroke Prevention Clinic Patient Summary

Serves as a communication tool to support educaton and discharge information for patients & families/caregivers and can be used for ongoing communication beyond the Stroke Prevention Clinic. Click here to view and/or print the Stroke Preventon Clinic summary and click here for the fillable version.

Primary Care/Stroke Prevention Clinic CMEs

Primary Care and Stroke Prevention Clinic Updates were held March 2018 and February 2020.  The Updates provided an opportunity to learn about new stroke best practices, as well as identify common challenges and opportunities to enhance care.

Click here for a summary of the discussions at the Events as well as links to key resources.

Heart and Stroke Foundation Prof Ed Stroke Prevention Resources

Ontario Stroke Prevention Clinic Resources

The goal of outpatient management of TIA and non-disabling stroke is rapid assessment and management to reduce the risk of recurrent event or stroke. In Ontario, this is facilitated by Stroke Prevention Clinics or the equivalent. A provincial working group was tasked with updating the provincial Stroke Prevention Clinic model of care. 
The workgroup identified resources including strategies to operationalize best practice core elements in Secondary Stroke Prevention Clinics. The resources include:

  • Stroke Prevention Clinic Core Elements and Self-Assessment Tool. The core elements reflect provincial standards of care originally put forth in 2001 and are based on the updated Canadian Stroke Best Practice Recommendations
  • Implementation Toolkit of practical resources and strategies. The toolkit was informed by self-assessment results from Stroke Prevention Clinics across Ontario
  • Quality Indicators providing a common reference guide for evaluation and measurement of secondary stroke prevention care.

The secondary stroke prevention resources can be accessed here.

Atrial Fibrillation

Canadian Cardiovascular Society has guideline knowledge translation tools including quick reference pocket guides for atrial fibrillation.

Anticoagulation guidelines for people with stroke and atrial fibrillation

Anticoagulation Adherence

  • Discussions took place at the Southeastern Ontario Primary Care/Stroke Prevention Clinic CME events in March 2018 & February 2020, Regional Stroke Symposium in 2019, and during the annual regional Stroke Prevention Clinic meetings about possible local barriers and opportunities to improve anticoagulation adherence. 

  • Click here for a summary of these discussions, key resources, and a more detailed summary of the 2020 event's session.

Blood Pressure

Canadian Hypertension Education Program (CHEP Recommendations)

The Heart and Stroke Hypertension Management Program (HMP)

The Heart and Stroke Hypertension Management Program (HMP) is an evidence-based program designed to be integrated into primary health care. The HMP assists health care proviers and patients in improving diagnosis, management and control of high blood pressure. The evidence-based program is led by the Ontario Stroke Network and is funded by the Ministry of Health and Long Term Care.

Sodium Resources:

Reducing the amount of sodium taken each day lowers your blood pressure.

Depression

A Post-Stroke Depression Session was held during the 2020 Primary Care/Stroke Prevention Clinic Event. Health care professionals surveyed during the preparation for this event, as well as from a previous similar event and discussion with Stroke Prevention Clinics (SPC) and the Vascular Protection Clinic (VPC), indicated a need to learn more about screening and management for post stroke depression.

Click Here for a brief summary of the discussion and recommendations from the Event, as well as key resources and a more detailed summary.

Healthy Living

Ottawa Model for Smoking Cessation

 Smoking Cessation Maps

Navigation maps for smoking cessation resources have been created by the Tobacco Control Area Network of the three Public Heath Units. All three smoking cessation maps can be found in the SouthEastHealthline.ca Vascular Health Resources directory under the Vascular Health Promotion Smoking Cessation section. View maps under "downloads" via links below: 

 Physical Activity Maps

Navigation maps of physical activity programs and common resources have been created by the Southeastern Ontario Health Collaborative for each of the three public health geographic areas in our region. The intent of the maps is to support primary and community care providers in more easily determining which types of physical activity services to recommend with their patients for primary and secondary prevention. The maps include programs which are low cost or no cost and offer physical activity on site. For specific information about the programs included on the maps, please contact the associated service provider. Feedback on these maps is welcomed via PAmapfeedback@kflaph.ca View maps via links below: 

Obesity and the Healthcare Provider Resource Catalogue, updated October 2009

Guidelines for Healthy Food Selection at Meetings & Events

Indigenous Health

A Stroke Resource for Health Service Providers: A Guide for Working with Indigenous Peoples of Ontario

This is a helpful resource toolkit for healthcare providers developed by the South East Toronto Stroke Network, Central East Stroke Network, Northwestern Ontario Regional Stroke Network, the Ontario Stroke Network and partners. It has information pertaining to Indigenous people's history, their views on health, stroke best practices and other information to help providers caring for Indigenous individuals and their families.

Indigenous healh Videos: "As the Rivers Flow: Brain Attack" and "Heartbeat of the Anishnawbe Nation"

These videos utilize Indigenous culture and tradition to describes the pathophysiology and the signs and symptoms of stroke.

Cancer Care Ontario-Aboriginal Relationship and Cultural Competency Courses

Cancer Care Ontario is offering 9 free on-line learning courses to enhance cultural sensitivity for indigenous health. 

Indigenous Resource Guide 

See attached Resource Guide for Indigenous Families that includes Indigenous services and information about community groups and events for Tyendinaga, Deseronto, Napanee, Kingston, Sharbot Lake, and Bancroft areas. 

Vascular Health Resources

The South East LHIN Home and Community Care, the SouthEasthealthline.ca and the Southeastern Ontario Health Collaborative are pleased to announce an on-line resource to help navigate vascular health services for health care professionals working in primary care that brings together vascular health related services or programs into one accessible area.

The site has a home page and a page for each of these three topics:

  1. Vascular Health Promotion-Reducing risk
  2. Managing Vascular Disease-Assessment, treatment and secondary prevention
  3. Living with Vascular Disease-Support services

Health Nexus

An organization that supports health care providers capacity to promote health.

Connecting the Dots: A Handbook for Chronic Disease Prevention Through Community Engagement (Health Nexus, 2011)

This handbook is for health professionals, health promoters/ educators, and community groups/organizations who want to work across sectors and with multiple levels to leverage their joint potential to prevent chronic disease in their communities.

Prevention in Hand

This website and mobile application is a resource about chronic disease prevention for health care professionals and the public. The resource was developed by the College of Family Physicians of Canada with the Public Health Agency of Canada.