The European Society for Clinical Nutrition and Metabolism developed these guidelines with special considerations of older adults. The authors point out that studies have shown an inverse relationship between nutritional status and complication rates, length of stay in hospital, etc. Nutrition should be an integral part of an older adults overall care plan. 6 pages. Last reviewed January 2017.
This guide provides a very general overview of the law and suggested practice for health practitioners in dealing with issues of incapacity to consent to treatment, admission to a long term care facility or manage property. It is not a legal opinion nor does it constitute legal advice. It does not include every detail contained in the law or the specific legal provisions that may apply in a particular case. For specific information about the law, please refer to the applicable statutes and consult your lawyer.
The guidelines are the work of Dr. Janet Munson, who in collaboration of Dr. Jean Kozak, developed and field tested the procedures in a research project funded by the Ministry of the Attorney General. These are intended to assist in the provision of consistent and high quality assessments in the service of Ontario's vulnerable adults and their families. Designated capacity assessors are required to follow the methodologies set out in the Guidelines when conducting assessments under the Substitute Decisions Act, 1992 (SDA)
As part of its strategy for End of Life Care Planning and Care, the Ontario Medical Association adopted three key goals: increasing the number of Ontarians who engage in Advance Care Planning; Bridging Advance Care Planning and Palliative Care, normalizing death and dying; and improving palliative care in Ontario. This paper aims to help physicians understand the link between Advance Care Planning and formal treatment plans/goals of care at end of life and to provide guidance about how to engage with patients, families, and substitute decision-makers to develop a formal treatment plan for end of life care
This two page handout provides care providers with step by step recommendations on what to do and say when facilitating Advance Care Planning conversations with patients who are within the last 12 months of life or in long-term care. Please remember to use language which reflects the legislation in your area.
This two page handout provides care providers with step by step recommendations on what to do and say when facilitating Advance Care Planning conversations with patients who have chronic conditions. Please remember to use language which reflects the legislation in your area.
Read this primer to learn about: how to prepare for Advance Care Planning (ACP) conversations with patients and Substitute Decision-Makers (SDMs) and practical information on: consent, capacity and decision-making, how to determine who the automatic SDM is for a patient and finally how to prepare SDMs for decision making about healthcare in the future.