Description of services for LTC
  1. Case consultation
    1. Provide timely support for navigating ethically challenging situations as they arise (as required).
  1. Case review
    1. Facilitate ethics reviews of challenging situations (after the event) to learn from
  2. Ethicist on-site
    1. Two days annually for the ethicist to be on-site to meet with staff and provide in-person education events.
  3. Education
    1. In-person “lunch and learns,” workshop events scheduled for on-site
    2. Access to ca e-learning activities:
      1. Quarterly e-lunch and learns
      2. “Getting below the surface” introduction to health ethics course (6hrs presented once or twice per year.)
    3. Explore development of e-learning modules for on-boarding and annual
  4. Leadership support
    1. Open discussion concerning identifying ethical issues in the LTC
    2. Development of a process for ethics
    3. Support for ethics and value-based resource allocation and priority setting decision-
  5. Resources
    1. Develop and maintain a resource library concerning ethical issues in the LTC setting available through healthethics.ca
  6. Ethics framework development
    1. Support the development of an ethics program for Spruce Lodge
    2. Support the adaptation, implementation and on-going use of a framework for ethical-decision-making.
  7. Support LTC Ethics Community of Practice
    1. Bring together leaders from regional LTC homes to share experiences and develop common approaches to common issues.
  8. System partnership
    1. Support linkages with system partners, g. local hospitals, OHTs and service providers to seek shared solutions to common issues.
  9. Tracking and Trending
    1. Healthethics will maintain an ethics in long term care environmental watch to include monitoring relevant national and provincial reports, emerging issues in the media, and in the ethics literature.
    2. Healthethics will maintain an issues log of high-level anonymized descriptions of situations and cases.

Topics in Long Term Care

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AdvantAge Ontario Association of Not-For-Profit LTC Homes
Ontario Long Term Care Association Association of For-Profit LTC Homes
Ontario Ministry for Seniors and Accessibility A guide to programs and services for seniors*
Journal of Human Rights and Social Work Ethical issues in long-term care: a human rights perspective
Journal of the American Medical Association  Ethical and legal issues in nursing home care
Journal of Medical Ethics Article: Use of physical restraints in nursing homes: clinical-ethical considerations
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