Tools & Resources
Dementia Behaviours & Appropriate Use of Antipsychotics
TOP Cognitive Impairment Guidelines
- For Alberta primary care physicians and their interdisciplinary teams to assess patients presenting with cognitive concerns and manage the majority of these patients and support their caregivers
- The supplement to the TOP Clinical Practice Guidelines above
Choosing Wisely Canada Antipsychotics Toolkit
- To support interventions to reduce excessive use of antipsychotic medications in long term care facilities; content derived from the Appropriate Use of Antipsychotics (AUA) Toolkit developed by Alberta Health Services
Alberta Health Services – Seniors Health SCN: Appropriate Use of Antipsychotics (AUA) Toolkit
- Providing health care professionals with direction regarding assessment and management of responsive behaviours associated with dementia
- Finding referral criteria/ info for seniors health in a variety of zones
- Helping care teams get to know their patients past and present life experience (including, routine, preferences, triggers, soothing strategies and supports) to form the basis of a patient-centered care-plan
Nursing Assessment / Functional Inquiry
- Carewest tool for full physical functional inquiry
- An example of mental examination approach
Goals of Care Designation (GCD) Order
- A medical order used to describe and communicate the general aim or focus of care including the preferred location of that care
The ABC Approach to Accommodating and Managing Responsive Behaviours
- A framework for systematically assessing factors that commonly contribute to responsive behaviours in older adults with dementia, to establish the timeline of behavioural events
Additional tools:
The PIECES Three Question Template
- A tool used in the investigation of a new behavior
Responsive Behaviour Tracking and Assessment Tool
- An example of structured approach to history of behaviours
Pharmacologic Restraint Management Worksheet
- A tool for reviewing antipsychotic medication, pharmacologic restraint and responsive behavior
Restraint as a Last Resort: Information for Prescribing Practitioners
Restraint as a Last Resort: Information for Prescribing Practitioners working with older adults
Restraint as a Last Resort Toolkit
- Suggested strategies to minimize the use of all types of restraint
Inpatient Management of Delirium in Older Adults
- Alberta Health Services clinical knowledge topic summary
Delirium Screening Tool: Confusion Assessment Method (CAM)
- A tool for screening delirium
Palliative and End of Life Care: Symptom Assessment Tools
- Helping health care providers with symptom assessment of palliative and end of life care patients
Serious Illness Conversation Guide
- A tool for having difficult conversations with patients/caregivers
Palliative and End of Life Care: Care of the Family
- Preparing to talk with families before, during, and after death
ECG Interpretation
Textbooks Available from University of Calgary Medical Bookstore
Marriott’s Practical Electrocardiography
- Good reference textbook – starts with basic principles, quite comprehensive and detailed.
Rapid Interpretation of ECG (Dale Dubin)
- Good introduction to basics, not a lot of depth or breadth.
12-Lead ECG – The Art of Interpretation (Tomas Garcia)
- Intermediate in detail between Dubin’s book and Marriott.
12-Lead ECGs: A “Pocket Brain” for Easy Interpretation (Ken Gauer)
- Pocket-sized reference provides key facts and figures; includes numerous memory aids.
ECG Criteria Book (James H O’Keefe)
- Includes ECG criteria for 125 ECG diagnoses, sections on approach to ECG interpretation,
differential diagnosis of ECG abnormalities, and ACLS algorithms.
Complete Guide to ECGs (James H O’Keefe)
- Intermediate (for somebody wanting to refine their 12-L interpretation skills and not for a beginner); includes core concepts and interpreting ECGs in quiz format
https://www.teachingmedicine.com/
- ECG basics. Online tutorials and practice modules.
https://litfl.com/ecg-library/
- LITFL ECG Library. This is a free educational resource covering over 100 ECG topics relevant to Emergency Medicine and Critical Care.
http://ecg.bidmc.harvard.edu/maven
- From Harvard, a web-based tutorial, self-assessment program for students and clinicians; Includes more than 434 cases, sortable by diagnosis and
difficulty.
- A wiki site with a free ECG tutorial, textbook, online videos, reference card and sample cases.
- Clinical Electrocardiography, 1999
The members only reference section of the CMA website provides access to a full-text online version of this ECG textbook. Use your password to access the Members Only section. Go to Clinical Resources, MD Consult, Clinical Knowledge, Reference Texts, Cardiology. Select Goldberger, Clinical Electrocardiography, 2006.
www.ecglibrary.com/ecghome.html
- Library of ECG Recordings
The site authors have put online a collection of ECG recordings, many in 12-lead format, that can be used for teaching and review purposes. There is also a list of other sites related to ECG interpretation that might be helpful.
http://library.med.utah.edu/kw/ecg
- The Alan E. Lindsay ECG Learning Center
This is an online interactive tutorial hosted by the University of Utah School of Medicine. It is organized in sections based on a recommended method of ECG interpretation. Each section provides didactic information, illustrations, and an interactive quiz.
Healthy Pregnancy Weight Gain
Online
- Healthy Parents Healthy Children
- Online Pregnancy Weight Gain Tracking Tool
- Canada’s Food Guide Servings Tracker for Pregnancy
- Ready or Not Alberta
- Inform Alberta
- AHS Tips for Vomiting and Nausea
- Eating Well with Canada’s Food Guide
- Healthy Parents, Healthy Children – 2 Book Package
Health care providers in Alberta can order free of charge at https://dol.datacm.com
User ID: healthypublic
Password: healthy2013
Women can call Health Link 811 to find information on programs in their area
- 5As for Pregnancy Weight Gain
- AHS Healthy Pregnancy Weight Gain Tools:
- Pregnancy Weight Gain BMI Calculator
- Poster on Healthy Pregnancy Weight Gain
- Pregnancy Weight Gain Graphs for Singletons (Underweight or Healthy Weight, Overweight or Obese)
Health care providers in Alberta can order free of charge at https://dol.datacm.com
User ID: healthypublic
Password: healthy2013
Weight Gain
- Alberta Health Services Healthy Pregnancy Weight Gain
- Health Canada Prenatal Nutrition Guidelines for Health Professionals: Gestational Weight Gain
Nutrition
Physical Activity
- In the dropdown menu for Search by Service Type select Food and nutrition
Registered Dietitian Information Outside of AHS:
- https://www.dietitians.ca/Your-Health/Find-A-Dietitian/Find-a-Dietitian.aspx
- http://collegeofdietitians.ab.ca/public/how-do-i-know-my-dietitian-is-registered/
- Check with your Primary Care Network about how to refer to their dietitian
Obesity Management
Where can I get more education about various aspects of obesity management?
- CDM Resource Centre
- Provincial Webinar Series
- Edmonton Weight Wise Adult Community Program
- 5A’s of Obesity Management for various populations
- Provincial Bariatric Resource Team
Where can I find healthy pregnancy weight gain resources? (free of charge to Alberta Health Care Providers):
- Healthy Pregnancy Weight Gain graphs
- BMI calculator wheels
- Healthy Pregnancy weight gain poster
To order free copies of these resources visit here.
Where can I find good online resources about obesity management?
How can I connect with other people who are interested in obesity management and/or the field of obesity?
- Obesity Canada: Online Communities
- Provincial Bariatric Resource Team (coordinate variety of Community of Practice groups)
Where can I find more information about obesity bias and stigma?
If I have a patient who is moving to another area in Alberta, where can I find out what resources are available in that area?
What weight management options are the Primary Care Networks offering?
What treatment options are available for a patient requiring obesity management support?
- Edmonton Adult Bariatric Specialty Clinic – Provides comprehensive support for individuals with obesity who require surgical intervention – Referral process and form
- Edmonton Bariatric Surgery Revision Clinic – Provides assessments for people who have undergone bariatric surgery and either are not happy with the outcome or have complications – Referral process and form
- Edmonton Weight Wise Adult Community Program – Provides weight management education and support to patients
- Central Zone Adult Bariatric Specialty Clinic (403-406-5640) – Provides comprehensive support for individuals with obesity who require complex medical management and/or surgical intervention
- Calgary Adult Bariatric Specialty Clinic – Provides comprehensive support for individuals with obesity who require surgical intervention – Referral process and form
- Calgary Weight Management Centre – Provides comprehensive and realistic weight loss and weight maintenance programs for adults and pediatrics
- South Zone Adult Obesity Specialty Clinic (403-528-8125) – Bariatric surgery and medical management for adults
Mental Health Programs and Services
Alberta Healthy Living Program [formerly Living Well with a Chronic Condition in Calgary and Better Choices Better Health (all zones)] – Provides support to individuals wanting to better manage their long-term medical condition
Where can I find more information about bariatric surgeries?
- The Covidien Videos
- Surgical videos by CAMIS (Both AHS and non-AHS individuals can access. Once registering and logging in, go to Content Tree > CAMIS)
- American Society for Metabolic and Bariatric Surgery
- The Canadian Association of Bariatric Physicians and Surgeons
Where can I find resources to give my patients to support healthy lifestyle behaviours and weight management?
- Online Weight Management Modules
- Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years (CSEP)
- Canada’s Food Guide
- Healthy Eating Starts Here
- Alberta Healthy Living Program
Healthy pregnancy weight gain resources:
- Preconception Health website
- Healthy Parents, Healthy Children book set
- (Pregnancy and Birth and the Early Years books)
- Healthy Parents, Healthy Children
What weight management treatment options are available for a patient under 18 years of age?
- Provincial Pediatric Obesity Prevention and Management for Ages 2 to 17 years
- Pediatric Weight Management Services – Outpatient Dietitian Counselling
– Offers Nutrition and lifestyle counseling by a Registered Dietitian for children ages 2-17 years and their families (available throughout the province)
– Referral process and form - Pediatric Centre for Weight and Health
– Multidisciplinary care team approach for children ages 2-17 years and their families (clinics located in Edmonton and Calgary). Teleconference options are available for those living outside of these urban centres.
– Referral process and form - MEND (Mind, Exercise, Nutrition, Do It!)
– Community based healthy lifestyle program for children ages 2-13 years and their families in a group setting
How do I know how to monitor weight and growth, and talk about it with families?
Where can I find resources about physical activity and sedentary behavior to give my patients and their families?
- Healthy Parents, Healthy Children
- Canadian Pediatric Society: Active Kids, Healthy Kids
- Canadian 24-Hour Movement Guidelines (CSEP)
Where can I find resources about nutrition and healthy eating behaviours to give my patients and their families?
PROactive: Identifying and Managing Violence in the Workplace
College of Physicians and Surgeons of Alberta
Canadian Medical Protective Association
Alberta Health Services
(While the policies apply to AHS staff, what the modules are sharing can also inform physicians working in any clinical setting.)
- Behavioural safety review
- Caring conflict resolution
- Patient- and Family- Centred scripts for addressing behaviours
- Preventing and Responding to Patient-to-Worker Harassment and Violence_Table Top Exercise: Facilitator’s Guide
- How team members can support each other during escalations
- Self-care and communication strategies for COVID-19 screening stations
- Training
- AHS Respectful Workplaces and Prevention of Harassment and Violence Policy course (30 min online) https://360.articulate.com/review/content/6c41b27d-4849-413b-a285-9257bb8063e4/review
- Preventing and Responding to Patient-to-Worker Harassment and Violence (45 min online) https://360.articulate.com/review/content/b0c13700-5e99-4fbb-adb5-bc6b3adb0154/review
Crisis Prevention Institute
- Non-Violent Crisis Intervention Training
https://www.crisisprevention.com/
Doctors of BC
Crime Prevention Through Environmental Design (CPTED)
- https://www.edmontonpolice.ca/CrimePrevention/CommunitySafety/CPTED
- https://www.calgary.ca/cps/community-programs-and-resources/crime-prevention/crime-prevention-through-environmental-design.html
- https://www.reddeer.ca/city-services/police-rcmp/crime-prevention/crime-prevention-through-environmental-design/
Office of the Privacy Commissioner of Canada
Wise Prescribing & Deprescribing: Opioid Skills for the Frontline Clinician
- Patient referral information
- Calculating Oral Morphine Equivalent Daily Doses (MEDD) Using Canadian Opioid Guidelines and CDC Guidelines
- Medication Tapering Plan
- Sample Medication Tapering Plan
- Opioid Flow Sheet
- Opioid Information, Functional Goals, and Treatment Agreement
- Opioid Tapering – Information for Chronic Pain Patients
- Opioid Tapering for Chronic Pain Patients – Information for Family Physicians
- Opioids for Chronic Pain Management: Dose Availability and Alberta Health & Wellness Funding – Information for Healthcare Providers
- Opioid Manager
National Pain Center - Navigating Opioids for Chronic Pain
Developed by:
Continuing Professional Development (CPD) Office, Faculty of Medicine’s , University of Toronto
The Institute for Safe Medication Practices Canada
Physicians for Responsible Opioid Prescribing - Community Based Naloxone Program
Provided by Alberta Health Services - Alberta Healthy Living Program (AHLP)
An integrated community-based chronic disease management program that includes the following services:- Patient education, including disease-specific and general health and lifestyle topics, such as nutrition (including for Irritable Bowel Syndrome), fatigue, fibromyalgia
- Better Choices, Better Health® – Chronic Pain
Provides free self-management workshops for people with chronic pain. Workshops are once a week for 2 ½ hours for 6 weeks with supervised exercises. - Specialist LINK
A telephone advice line that family doctors can use to contact a specialist for advice about a patient in real time
Provides advice from a chronic pain specialist — 403-910-2551 (toll-free 1-844-962-5465) - Power Over Pain
A nationally-curated clearing house of chronic pain resources, including online CBT and exercise resources. - The Pain Toolkit
Helping people all over the world self manage persistent pain - The Free Mindfulness Project
- Calm (website and smartphone app)
Mindfulness meditation; free content available - Dr. Christopher Germer
Mindfulness meditation, self-compassion, relaxation; free downloads available - Dr. Dan Siegel
Videos and supportive material
Mindful Breathing with Dr. Daniel J. Siegel on YouTube (7 minutes): https://www.youtube.com/watch?v=DEd1YP-TQt0