Pain & Mood Toolkit

Continuing Care, Information for Health Professionals

Since 2012/13, �鶹ӳ��'s Quality Indicator rates for residents whose pain worsened and residents whose mood from symptoms of depression worsened have been higher than the national average and are the second highest of all provinces and territories reporting to CIHI (lower percentage is better).

Provincial Seniors Health and Continuing Care, formerly the Seniors Health Strategic Clinical Network, was provided with grant-funding from �鶹ӳ�� Health from October 2018 �C March 2022 to develop education and resources to support teams in Long Term Care and Supportive Living to address resident pain and mood distress.

These resources, including e-learning modules, journey maps, digital stories and infosheets, are available in the table below. Bundles of interventions, involving a range of disciplines, can improve resident comfort and well-being.

Quick Reference

Contact Us

Email: continuingcare@ahs.ca

eLearning Modules

Three 30 minute elearning modules have been developed to support recognition, assessment, interventions and evaluation:

: Pain can be expressed as calling out, aggression, agitation and wandering. Common contributors to pain, once recognized, can be improved with supportive strategies and sometimes, medications.

Slides & Notes | Quiz | Answer Key

: It can be challenging to differentiate between dementia, pain and depressive mood. Identifying root causes is key.

Slides & Notes | Quiz | Answer Key

: Side-effects can cause pain and mood distress; harms often outweigh benefits for persons with frailty and life-limiting illnesses, including dementia.

Slides & Notes | Quiz | Answer Key

Supporting Resources

Topic

Information For

Options
Resource	Topic	Information For	Resource Type	Keywords (hidden)
	Pain view-all	Interdisciplinary Team view-all	Video	Dementia; Restraint as a Last Resort; Behaviour; Appropriate Use of Antipsychotics; AUA
	Pain view-all	Interdisciplinary Team view-all	Video	Mobility; Immobility; Contracture; Arthritis
Behaviour Mapping Chart	Pain; Mood Distress; Medication and Distress view-all	Interdisciplinary Team view-all	Form; Assessment Tool	Behavior; Tracking; Tool; Restraint as a Last Resort; AUA
(geriatricpain.org)	Pain view-all	Interdisciplinary Team view-all	Website
	Pain view-all	Interdisciplinary Team view-all	Tip Sheet; Assessment Tool	Cognitively Impaired; Cognitively Intact; Appropriate Use of Antipsychotics; Dementia
	Pain view-all	Interdisciplinary Team view-all	Tip Sheet	Non-pharmacologic; Pharmacologic; Analgesic
	Mood Distress view-all	Interdisciplinary Team view-all	Video	Depressive Mood Symptoms; Behavior; Behaviour; Dementia
	Mood Distress view-all	Interdisciplinary Team view-all	Guideline	Non-pharmacologic; Pharmacologic; Antidepressant; Depression
	Mood Distress view-all	Interdisciplinary Team view-all	Client/Resident Handout	Anxiety; Responsive Behaviours; Dementia
	Medication and Distress view-all	Interdisciplinary Team view-all	Video	Mood Distress; Dementia; Frailty
	Medication and Distress view-all	Nurse Practitioner; Nursing; Pharmacist; Physician; Leader; Manager view-all	Client/Resident Handout	Medication Review
Pharmacologic Restraint Management Worksheet	Medication and Distress view-all	Nurse Practitioner; Nursing; Pharmacist; Physician; Leader; Manager view-all	Form	Appropriate Use of Antipsychotics; Pharmacologic Restraint; Restraint as a Last Resort
Appropriate Prescribing & Medication Use in Older Adults; Supporting Resources (APMUSOA)	Medication and Distress view-all	Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Website	Medication Review; Med Rec; Reconciliaton; AUA
	Medication and Distress; Care Planning view-all	Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Article	Medication Review; Med Rec; Reconciliaton
(sharecarebc.ca)	Medication and Distress view-all	Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Website	Medication Review
	Medication and Distress; Mood Distress view-all	Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Tip Sheet	Dementia; Depression
	Consistent Staffing Assignment; Mood Distress view-all	Interdisciplinary Team view-all	Video	Behavior; Behaviour; Dementia
	Consistent Staffing Assignment; Mood Distress view-all	Interdisciplinary Team view-all	Video	Change Management
	Consistent Staffing Assignment view-all	Leader; Manager view-all	Article	Change Management; Risks; Benefits
(pioneernetwork.net)	Person-centred Care; Care Planning; Dining Experience; Sleep; Consistent Staffing Assignment view-all	Leader; Manager view-all	Website	Huddles; Mobility; Antipsychotics; Responsive Behaviours; Dementia;
(free starter toolkit)	Person-centred Care; Care Planning; Dining Experience; Sleep; Consistent Staffing Assignment view-all	Leader; Manager view-all	Website	Huddles; Mobility; Antipsychotics; Responsive Behaviours; Dementia;
	Consistent Staffing Assignment view-all	Leader; Manager view-all	Tip Sheet	Risks; Benefits; Implementation
	Consistent Staffing Assignment view-all	Leader; Manager view-all	Tip Sheet	Responsive Behaviours; Behavior
	Dining Experience; Person-centred Care view-all	Interdisciplinary Team view-all	Journey Map; Quality Improvement Resource	Unit QI
	Person-centred Care view-all	Leader; Manager view-all	Website	Quality of Life
Pain Assessment and Management	Dining Experience; Mood Distress; Person-centred Care view-all	Interdisciplinary Team; Manager; Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Tip Sheet	Care Planning; Dementia; Frailty; Pain management; PEOLC; Palliative Approach; Palliative and End of Life Care
Immobility and Musculoskeletal Pain	Pain; Person-centred Care view-all	Interdisciplinary Team; Nursing view-all	Tip Sheet	Care Planning; Dementia; Frailty; Pain Management; PEOLC; Palliative Approach; Palliative and End of Life Care
Mood and Mealtimes	Mood Distress; Dining Experience view-all	Interdisciplinary Team; Manager; Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Mood Distress and Behaviours	Mood Distress; Person-centred Care; Medication and Mood Distress view-all	Interdisciplinary Team; Manager; Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Mood and Low Blood Sugar	Mood Distress; Medication and Distress view-all	Nursing; Pharmacist view-all	Tip Sheet	Diabetes; Frailty; Hydration; PEOLC; Palliative Approach; Palliative and End of Life Care
Consistent Staffing Assignment	Consistent Staffing Assignment; Person-centred Care view-all	Manager view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Constipation Pain	Pain; Person-centred Care view-all	Nursing view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
How to Start Conversations About Medications With More Harms Than Benefits	Medication and Distress; Person-centred care view-all	Nursing view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Impacts of Prescribing Cascades on Pain and Mood in Older Adults	Medication and Distress; Pain; Mood Distress view-all	Nursing; Pharmacist; Physician view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Pain, Eating and Swallowing	Dining Experience; Mood Distress; Person-centred Care view-all	Nursing Distress view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Recreation Therapy Interventions for Pain and Mood Distress	Dining Experience; Mood Distress; Person-centred Care view-all	Interdisciplinary Team view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Responding to a Pain Crisis	Pain; Mood Distress; Medication and Distress view-all	Interdisciplinary Team; Manager; Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Tip Sheet	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
Optimizing Medication to Improve Quality of Care - Devonshire Seniors Community	Medication and Distress; Dining Experience; Person-centred Care view-all	Manager; Nursing; Pharmacist view-all	Journey Map; Quality Improvement Resources	Unit QI
Enhancing Sleep to Improve Mood and Wellbeing - Father Lacombe Care Centre	Sleep; Mood Distress view-all	Nursing view-all	Journey Map; Quality Improvement Resources	Unit QI
Person-centred Medication Reviews - WestView Health Centre - Stony Plain	Medication and Distress; Person-centred Care view-all	Nurse Practitioner; Nursing; Pharmacist; Physician view-all	Journey Map; Quality Improvement Resources	Unit QI
	Person-centred Care view-all	Interdisciplinary Team view-all	Video	Dementia; Restraint as a Last Resort
	Person-centred Care view-all	Interdisciplinary Team view-all	Video	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care; Quality of Life
	Person-centred Care view-all	Interdisciplinary Team view-all	Video	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care
	Mood Distress view-all	Interdisciplinary Team view-all	Video	Recreation
	Care Planning; Mood Distress; Pain; Person-centred Care view-all	Interdisciplinary Team view-all	Video	AUA; Appropriate use of Antipsychotics; Restraint as a Last Resort
	Mood Distress view-all	Interdisciplinary Team view-all	Video	Fall prevention; Mobility
	Dining Experience; Mood Distress; Person-centred Care view-all	Leader; Manager view-all	Quality Improvement Resource	Frailty; PEOLC; Palliative Approach; Palliative and End of Life Care; Unit QI

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