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Shuswap North Okanagan Division of Family Practice
Shuswap North Okanagan Flyer Spyer
June 2018
Find the latest news from the Shuswap North Okanagan Division and complementary organizations in this issue of the Flyer Spyer.

IN THIS ISSUE

  1. MOST Cheat Sheet
  2. UTI Program - Asymptomatic bacteriuria
  3. BPSD / Neuropsychiatric Symptoms that may and may NOT respond to medication
  4. Dying and death within the culture of long-term care facilities in Canada
  5. Look at me - Client Centred Interventions
  6. Wound Care - follow your Resident's wound pictures on Pixalere
  7. Pain Management in Older Adults

MOST Cheat Sheet

A reminder that the MOST Designation "Cheat Sheet" can be found on the SNO website.

UTI Program - Asymptomatic bacteriuria

For more information on the following topics, published by Public Health Ontario, please click here.

  • What is asymptomatic bacteriuria?
  • Why do some residents have asymptomatic bacteriuria?
  • Should asymptomatic bacteriuria be treated with antibiotics?
  • Does asymptomatic bacteriuria lead to overprescribing of antibiotics?
  • What are the risks associated with treating asymptomatic bacteriuria with antibiotics?
  • What can I do to stop unnecessary treatment of asymptomatic bacteriuria?

For a list of frequently asked questions for residents and families, click here.

BPSD / Neuropsychiatric Symptoms that may and may NOT respond to medication

Please click here to find a list of BPSD / Neuropsychiatric symptoms that may and may NOT respond to medication, courtesy of Carol Ward, MD.

Dying and death within the culture of long-term care facilities in Canada

The following is an excerpt from an article published in the International Journal of Older People Nursing on 19 July 2016; authors Beryl Cable-Williams RN, PhD and Donna M. Wilson RN, PhD.

Dying and death within the culture of long-term care facilities in Canada
Because strongly held long-term care cultural beliefs underlie care, more timely palliative care for long-term care residents is likely to require the development of an understanding that living and dying are not dichotomous, but rather unfold together from admission until death.  Enhanced staff-to-resident ratios and staff training on palliative care will also be necessary to permit long-term care facility staff to focus beyond the currently expected day-to-day care of living residents to provide high quality end of life care throughout the often-protracted decline to death for residents of long-term care facilities.

What does this research add to existing knowledge in gerontology?
The prime belief that LTC facilities are for living contributes to the likelihood that end-of-life care is initiated when only a few hours or days remain until death, with little or no palliative care provided at earlier stages in the trajectory of decline.

What are the implications of this new knowledge for nursing care with older people?
Very old residents of LTC facilities require an integration of living and dying care.

Look at me - Client Centred Interventions

Click here to view a printable poster to help you identify agitated and excessive behaviours:

  • What I am feeling
  • What I am doing
  • What you can do for me

Wound Care - follow your Resident's wound pictures on Pixalere

  1. Go to patient chart in Meditech 
  2. Go to Summary page
  3. Click on External documents at bottom of screen
  4. Click on Pixalere at bottom of menu on left of screen
  5. Click on date you want to see
  6. Click view- you will see a picture of the wound and current care instructions from the Wound Care Nurse

Pain Management in Older Adults

Click here for an excerpt from Dr. Romayne Gallagher's "Pain Management in Older Adults" document which was presented at the 2017 Residential Care Refresher event.

If you would like more information on anything you read in this newsletter, please contact the division at tkirkman@divisionsbc.ca.

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Shuswap North Okanagan Division of Family Practice, 3480 1st Avenue NE, Salmon Arm, BC, V1E 2B2