Strengthening a Palliative Approach in Long-Term Care (SPA-LTC Project)

Funded by the Canadian Frailty Network 2014-2016 (Formerly TVN)

Project Overview

Residents living and dying in long-term care (LTC) homes represent one of society’s most frail and marginalized populations of older adults. The main goal of this research project was to adapt, implement, and evaluate a multi-component palliative care program, called Strengthening a Palliative Approach in Long Term Care (SPA-LTC). The project used a multiple case study design and participatory action approach in collaboration with four LTC homes in southern Ontario. 

Click here for more information about the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Project

Click here for information on the SPA-LTC Model 

Resources

**Updated** Research Brief Handouts 

Click on the images below to download the pamphlets in PDF file formats

  1. What are the differences among occupational groups related to their palliative care specific educational needs?
  2. Broadening End-of-Life Comfort to Improve Palliative Care Practices in Long Term Care
  3. Family Care Conferences in Long-Term: Care Exploring Content and Processes in End of Life Communicaton
  4. Using Pamphlets to Activate Advance Care Planning in Long-Term Care: Residents and Families'/Friends' Views
  5. Mind the gap: Is the Canadian long-term care workforce ready for a palliative care mandate?
  6. "Who would want to die like that?": Perspectives on Dying Alone
  7. Meaningful Connections in Dementia End of Life Care in Long Term Care Homes
  8. Exploring the End-of-Life Care and Bereavement Needs of Family Members in Long-Term Care Homes
  9. An Analysis of Documents Guiding Palliative Care in Five Canadian Provinces
  10. An Evaluation of the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Project
  11. A Stakeholder Analysis of the Strengthening a Palliative Approach in Long Term Care (SPA-LTC) Model
  12. End-of-Life Care and Resident Comfort in LTC: Perceptions of Bereaved Caregivers
  13. Whose role is it anyways? Using pamphlets to activate early conversations about end-of-life care in long-term care
  14. Heart Work: A thematic analysis of compassion in long-term care

The Impact of Illness Trajectory Pamphlets

Ontario Specific Pamphlets

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PamphletCover-Lung-SM  PanphletCover-Heart-SM  

Ontario Advanced Kidney Failure, Frailty & Dementia Pamphlets - Coming Soon!

Alberta Specific Pamphlets

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  Lung - Alberta  Heart - Alberta

Alberta Advanced Kidney Failure, Frailty & Dementia Pamphlets - Coming Soon! 

Saskatchewan Specific Pamphlets

Click on the images below to download the pamphlets in PDF file formats. 

 Lung - Sask - Cover  Heart - Sask - Cover

Saskatchewan Advanced Kidney Failure, Frailty & Dementia Pamphlets - Coming Soon!  

Manitoba Specific Pamphlets

Click on the images below to download the pamphlets in PDF file formats

   LUNG - MB   HEART - MB

Manitoba Advanced Kidney Failure, Frailty & Dementia Pamphlets - Coming Soon!

As a part of the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Study, five educational illness trajectory pamphlets were developed. The pamphlets focus on five life-limiting chronic illnesses that are most prevalent and inadequately addressed in LTC; frailty, dementia, heart failure, kidney disease, and lung disease. The pamphlets aim to provide information to residents and family about the expectations of each illness, prompting questions from family and availability of resources from LTC. Along with providing information, the pamphlets aid in activating Advance Care Planning (ACP); the process of discussing values and wishes about future care for the resident between residents, families, and staff. Advance care planning typically has many barriers in LTC, including staff discomfort, lack of initiative and reluctance from family members, and lack of available tools to support such discussions. The pamphlets provide a tool to initiate the discussion of end-of-life care and activate Advance Care Planning.