Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

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National Initiative for the Care of the Elderly Initiative nationale pour le soin des personnes âgées Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba October 2008

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National Initiative for the Care of the Elderly Initiative nationale pour le soin des personnes âgées. Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba October 2008. NICE: Context & Background. - PowerPoint PPT Presentation

Transcript of Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Page 1: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

National Initiative for the Care of the ElderlyInitiative nationale pour le soin des personnes âgées

Anthony P. Lombardo, MA, PhD(c)Network Manager

Long Term Care Association of ManitobaOctober 2008

Page 2: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

NICE: Context & Background Unprecedented growth in number and proportion

of elderly in Canada 2005, 4.2 million seniors, 13.2% of population1

2036, 9.8 million seniors; 24.5% of population1

Increasingly multicultural older population2

Shortage of professionals and students specializing in the care of the elderly

Gaps in interdisciplinary care of the elderly Gaps in evidence-based care of the elderly

1. Martin Turcotte and Grant Schellenberg, A Portrait of Seniors in Canada: 2006, Ottawa, ON: Statistics Canada, 2007, p. 12.

2. Ibid., p. 23; A. Bélanger and É. Caron Malenfant, Population Projections of Visible Minority Groups, Canada, Provinces and Regions: 2001 – 2017, Ottawa, ON: Statistics Canada, 2005.

Page 3: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

How many Geriatricians? 189 geriatricians in Canada – CMA

2003 1.25 geriatricians per 10,000 for elderly 2000/01 only 7 physicians entered post-

graduate training for all of Canada 512 – 607 required geriatricians

Page 4: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

How Many Nurses?

There are 251,675 nurses in Canada 26,619 work in geriatric care (10 percent) 75.9 percent work in long term care 11 percent in hospitals Ave. age 47.8 years 48.6 percent are eligible for retirement - Canadian Nurses Association, 2006

Page 5: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

How Many Social Workers?

Who knows? 4 to 5 percent of registered members in

gerontology Two MSW degrees in gerontology in

Canada As of last year, graduate about 15

students a year

Page 6: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

NICE: A short history… Funded through Networks of Centres of

Excellence – New Initiative Grant One of only 5 “New Initiative” networks funded Incorporated non-profit, 2006 Housed at Institute for Life Course and Aging,

University of Toronto One of only 3 networks awarded International

Partnership Initiative grant (2007) Over 200 members

Diverse disciplines and professions

Page 7: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

NICE: Network Goals Networking and Knowledge Transfer Disseminate evidence-based research across

university – community continuum Foster interdisciplinary teams in the care of the

elderly Improve geriatric and gerontological curricula

and enrolment Address training shortages in the care of the elderly

Effect positive policy changes

Page 8: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

NICE Structure

Central Committees Knowledge Identification Program Development

Researcher Training Curriculum Development Professional Development

Communications Advisory Committees

Business Advisory Seniors Advisory

New Committees Policy, Planning and

Protocol ICCE Advisory

Theme Teams Caregiving Dementia Elder Abuse End-of-Life Mental Health

Page 9: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Committee Progress

Researcher TrainingNICE Student Mentorship Program

Curriculum DevelopmentCore competencies and accreditation

Knowledge IdentificationWeb resources on evidence-based practice

and teaching tools

Page 10: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

NICE “Theme Teams” Action towards interdisciplinary care: Forging

unique links Interdisciplinary teams

Medicine, nursing, social work, and others Bridging research and practice

Interdisciplinary environments for students Seniors’ involvement in the teams Develop user-friendly tools using evidence-

based research, translate into practice

Page 11: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools Caregiving Theme Team “Respect All” Poster

Designed for staff in long-term care facilities

Placed on facility walls for easy visibility

Suggestions are based upon research evidence

Distributed through Canadian Gerontological Nursing Association

Format & use are being evaluated

Page 12: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools Caregiving Theme Team “Caring Calendar”

Designed for family members Formatted with consideration of

behaviour changes One evidence-based support

strategy per month Distributed through Alzheimer

Canada Format & use are being

evaluated

Page 13: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools Elder Abuse Theme Team Elder Abuse Suspicion Index

(EASI) Developed by Dr. Mark Yaffe,

McGill University Tool to screen for potential

cases of elder abuse Adapting for use with

different health practitioners Adapting for use in different

countries (Israel, England)

Page 14: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools Elder Abuse Theme Team Developed by Drs. Myrna Reis

and Daphne Nahmiash Caregiver Abuse Screen

(CASE) and Indicators of Abuse Screen (IOA)

CASE: Screen caregivers for potential signs of abuse

IOA: Training practitioners to recognize the signs of potential elder abuse

Page 15: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools Elder Abuse Theme Team In Hand (En Main) Developed by Dr. Marie

Beaulieu, University of Sherbrooke (Quebec)

A framework to guide health care professionals in decision-making around suspected/confirmed cases of elder abuse

Original devised in French, being translated/adapted for use with English audiences

Page 16: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools End-of-Life Theme Team “What to Expect” Brochure

Includes sections that describe Physical Changes Pain Control and Opiate Use Advance Care Planning and

Substitute Health Care Decision-making

Written for friends and family members of the dying person in a respectful and matter-of-fact tone

Could also comfort the dying Will be placed in palliative care

facilities across the country

Page 17: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools

End-of-Life Theme Team “Capacity & Consent” Tool Quick reference tool to help

health practitioners in understanding law and respecting seniors’ rights

First tool geared to Ontario Additional tools in development

for other provinces and territories

Page 18: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Theme Team Tools Mental Health Theme

Team Depression Assessment

Screen Based on guidelines of

the Canadian Coalition for Seniors Mental Health

Tool for family physicians to increase screening of older patients for symptoms of depression

Page 19: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Tools in Process

Dementia Theme Team Assessment and

diagnosis tool for family practitioners

Based on Guidelines of the Registered Nurses’ Association of Ontario

Page 20: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

International Collaboration for the Care of the Elderly (ICCE) Only NCE-NI to be awarded additional funding through

International Partnership Initiative of NCE and International Development and Research Centre (IDRC)

New partnerships with researchers and organizations in: Australia China England Germany India Israel Scotland South Africa Switzerland

Page 21: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

ICCE: Context and Goals Global aging

Economy of scale in world-wide knowledge on the care of the elderly

Canada’s growing older population Collaborate with countries with longer histories of meeting the

challenges of an aging population Canada’s growing ethnically-diverse older population

Collaborate with countries with experience in the cultural issues of aging

Critical shortage of geriatric/gerontological professionals Forum for interdisciplinary collaboration and training

Page 22: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

ICCE: Partner Responsibilities

Tool DevelopmentMake tools sensitive/relevant to home regions

Knowledge TransferParticipate in NICE eventsCoordinate and conduct KT events in home

region Student Involvement

Page 23: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Research Funding Received

Homeless to Home: A Knowledge ExchangeHomelessness Partnering Initiative, HRSDC

Older Women and Domestic AbuseStatus of Women Canada

Page 24: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

Research Funding Under Review Recruiting Students into the Field of Aging

Health Human Resources Strategy, Health Canada Intergenerational Outreach to Improve

Recruitment New Horizons for Seniors Community Participation

and Leadership, HRSDC Improving Older Women’s Financial Literacy

Status of Women Canada Palliative Care for Older Adults in Institutional

Settings CIHR: Knowledge Synthesis

Page 25: Anthony P. Lombardo, MA, PhD(c) Network Manager Long Term Care Association of Manitoba

NICE Knowledge Transfer

Website www.nicenet.ca

NICENews Available online

Workshops and Symposia Annual NICE Knowledge Exchange

June 5 – 6, 2008: Toronto, Ontario www.niceke.ca