Better Targeting, Better outcomes for frail Elderly patients
Better tArgeting, Better outcomes for Frail Elderly Patients (BABEL): Everyone ages differently. Many older adults remain independent while others experience more health issues. It is difficult to identify “at risk” residents that could benefit from advanced care planning programs. The purpose of this project is to determine the most effective way to identify high risk older adults receiving home care or living in long-term care (LTC) so their care partners can provide individualized care according to a personal plan.
The need for effective advance care planning and end-of-life care for residents living in long-term care homes is clear. As residents go through their end-of-life journey, their health and the symptoms they experience will change. It is the responsibility of LTC team members to make sure that their end-of-life wishes are understood and honoured. Several studies have demonstrated that older adults’ advance care plans value better quality of life and eliminating risk over survival.
Team members and family members should be well informed about, and engaged in, advanced care planning. The goal of the long-term care portion of this project was to apply proven approaches to Advance Care Planning (ACP) and demonstrate that they can be carried out successfully.
As part of the research, a series of knowledge mobilization products were produced including a workbook for direct support team members providing ACP in long-term care, as well as factsheets for team members, residents, and their Substitute Decision Makers.
Dr. George Heckman, MD, FRCP(C)
Schlegel Research Chair in Geriatric Medicine
Heather Keller, RD, PhD, FDC, FCAHS
Schlegel Research Chair in Nutrition and Aging
Andrew Costa, PhD
Schlegel Research Chair in Clinical Epidemiology
Dr. Linda Lee, MD, MCISc(FM), CCFP(COE), FCFP
Schlegel Research Chair in Primary Care for Elders
- Allan Garland, University of Manitoba
- Paul Hébert, Centre de recherche du Centre Hospitalier l’université de Montréal (CHUM)
- John Hirdes, University of Waterloo
- Veronique Boscart, Conestoga College
- Susan Bronskill, Institute for Clinical Evaluative Sciences
- James Downar, University of Toronto
- David Feeny, McMaster University
- Michelle Grinman, University of Calgary
- Robert McKelvie, McMaster University
- Lori Mitchell, Winnipeg Regional Health Authority
- Patrick Quail, University of Calgary
- Clare Ramsey, University of Manitoba
- Machelle Wilchesky, McGill University
Funding provided by:
- Research Funding: Canadian Frailty Network and Research Manitoba
- KT Funding: Canadian Frailty Network and Research Manitoba
- BABEL (Better tArgeting, Better outcomes for frail ELderly patients) advance care planning: a comprehensive approach to advance care planning in nursing homes: a cluster randomised trial
- Applying the Knowledge-to-Action Framework to Engage Stakeholders and Solve Shared Challenges with Person-Centered Advance Care Planning in Long-Term Care Homes
- Problems With Advance Care Planning Processes and Practices in Nursing Homes
The are no "Related Resources" associated with this Project.