Course Prerequisite

Before you enroll in this course, you need to complete IPAC. Course 1. Break the Chain of Transmission: IPAC Core Concepts and Practices. It is the prerequisite for the other courses in the IPAC series which apply the knowledge and skills acquired in Course 1 to long-term care scenarios.

About this Course

In this course, you will learn about making person-centred accommodations while following infection prevention and control (IPAC) best practices with residents living with dementia.

After taking this course, you will be able to

adapt the application of IPAC practices for residents living with dementia
take a person-centred approach to applying IPAC practices while supporting people living with dementia
assess resident’s strengths and determine how these strengths can be used in following IPAC practices
communicate and document adaptations for following IPAC practices that have been made for residents

You will receive an Ontario CLRI certificate for completing this course.

Who is this course for?

This course is for long-term care team members and essential caregivers. It recognizes essential caregivers as partners in providing care to their friends and family members who are LTC home residents. Essential caregivers were part of the advisory group for the IPAC eLearning series.

You will also be able to apply what you learn to other healthcare settings.

Acknowledgements

We would like to thank the people who contributed to the development and review of content for this course:

Subject Matter Experts

Susie (Seung Hee) Choi, OT Reg. (Ont.), Psychogeriatric Resource Consultant, Regional Geriatric Program of Toronto, Unity Health Toronto – St. Michael’s Hospital

Lindsey Glover PSW, LTC-BSOT, Long-Term Care, Behavioural Support Outreach Team, Baycrest Health Sciences

Ann Jarvie RN, MScN, CMHN(c), Clinical Nurse Specialist, Southwest Frail Seniors Strategy. St. Joseph’s Health Care London

Hazel Sebastian, MA, MSW, RSW, Psychogeriatric Resource Consultant (retired), Psychogeriatric Resource Consultation Program of Toronto, Unity Health Toronto-St. Michael’s Hospital

Reviewer

Francine Paquette, BASc, CIPHI(C), CIC, Director, Infection Prevention & Control, peopleCare Communities

The IPAC eLearning series was developed in collaboration with an expert panel of IPAC specialists with experience working in LTC, as well as an advisory panel of LTC team members, essential caregivers, and The Ontario Caregiver Organization.

Credits

The hand-drawn graphic elements in the course were created by Susan Spencer Gervais.

References

Alzheimer Society of Canada. (n.d.). 5 communication tips for conversations with people living with dementia. https://alzheimer.ca/sites/default/files/documents/5-communication-tips_one-pager_Alzheimer-Society-Canada.pdf

Baycrest Centre—P.I.E.C.E.S. (n.d.). http://www.baycrest.org/Baycrest/Education-Training/Educational-Resources/Responsive-Behaviours/P-I-E-C-E-S

Behavioural Supports Ontario, & Regional Geriatric Program. (2020). Guidance for supporting clients who wander and require physical isolation. https://www.rgptoronto.ca/wp-content/uploads/2020/04/FINAL-COVID-19-BSO-RGP-Wandering-Guidelines-2020-04-14-1.pdf

Behavioural Supports Ontario. (2020). Non-pharmacological approaches when an individual living with dementia is entering rooms of others on isolation precautions. https://brainxchange.ca/Public/Files/COVID-19/BSO_COVID-19-Resource-Dementia-and-Maintaining-Iso.aspx

Dupuis, K. (2016). Relational understandings of personal expressions. https://brainxchange.ca/Public/Files/Communication/Personal-Expressions.aspx

Iaboni, A. (n.d.). How to support older adults with dementia and responsive behaviours during a pandemic. https://sinaigeriatrics.ca/wp-content/uploads/2020/11/How-to-Support-Older-Adults-with-Dementia-During-the-Pandemic.pdf

Iaboni, A. (2020). Ethical guidance and tools for people working in LTC. https://baycrest.echoontario.ca/ltc-covid19/session-05-ethical-guidance-for-ltc-during-a-pandemic-isolation-of-residents-with-dementia/

Iaboni, A., Cockburn, A., Marcil, M., Rodrigues, K., Marshall, C., Garcia, M. A., Quirt, H., Reynolds, K. B., Keren, R., & Flint, A. J. (2020). Achieving safe, effective, and compassionate quarantine or isolation of older adults with dementia in nursing homes. The American Journal of Geriatric Psychiatry, 28(8), 835–838. https://doi.org/10.1016/j.jagp.2020.04.025

Mississauga Halton Behavioural Supports Ontario, & Alzheimer Society Peel. (2020, April). Strategies for swabbing individuals with dementia. https://brainxchange.ca/Public/Files/COVID-19/Challenges-Strategies-for-Swabbing-BSO-MH-LHIN.aspx

Pieces Canada. (2020). PIECES 3-question template.https://cdn.shopify.com/s/files/1/0615/5147/6953/files/Pieces_3-Q_WEB_NOV_2021.pdf?v=1666102745

Positive Approach. (2020). 13 engagement ideas while practicing social distancing. https://teepasnow.com/wp-content/uploads/2020/03/03.2020-13-Engagement-Ideas-While-Practicing-Social-Distancing.pdf

Regional Geriatric Program, Psychogeriatric Resource Consultation program, & Behavioural Supports Ontario. (2020). Communication tip sheet for redeployed staff working in long-term care with residents with cognitive impairment. https://www.rgptoronto.ca/wp-content/uploads/2020/05/Communication-tip-sheet-FINAL.pdf

Spenceley, S., & Caspar, S. (2019). Mitigating moral distress in dementia care: Implications for leaders in the residential care sector. World Health and Population, 18(1), 47–60. https://doi.org/10.12927/cjnl.2017.25449

Toronto Rehabilitation Institute, The KITE Research Institute, Regional Geriatric Program, & Behavioural Supports Ontario. (2022, January). Dementia isolation toolkit: Huddle tool. https://dementiaisolationtoolkit.com/wp-content/uploads/2022/01/DIT-Toolkit-Huddle.pdf