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Best Practice Spotlight Organization logoWhat is a Best Practice Spotlight Organization (BPSO)?

BPSOs are healthcare and academic organizations chosen by the Registered Nurses' Association of Ontario (RNAO) to use, test and evaluate its Best Practice Guidelines. Peel Long Term Care was one of four long term care providers selected to be the first to implement the guidelines as a BPSO candidate. Peel Long Term Care has now completed its three year candidacy, successfully implementing four Best Practice Guidelines and has been designated a Best practice Spotlight Organization

For more information about the BPSO program, visit the RNAO’s website.

What Best Practice Guidelines have been implemented?

There are four Best Practice Guidelines that Peel Long Term Care has implemented since 2014.

Assessment and Management of Pain

Implemented at Sheridan Villa, Special Behavioural Support Unit (SBSU)

Research shows that approximately 70 per cent of residents in nursing homes experience problems with unrelieved pain due to conditions like arthritis and osteoporosis. Residents with dementia may only be able to express their pain through responsive behaviours. Addressing unrecognized, untreated and/or under-treated pain is a critical quality of life issue in long-term care.

Prevention of Falls and Fall Injuries in the Older Adult

Implemented across all five Region of Peel homes

Over one in three older adults fall each year and more than a third sustain a serious injury. Forty per cent of admissions to long-term care and 90 per cent of fractured hips are the result of falls. Since many factors contribute to falls (e.g., medications, vision, diet, balance), effective interventions require input from many members of the inter-professional long-term care health care team and support staff.

Person- and Family- Centred Care

Implemented at Sheridan Villa, Second Floor

Person- and family-centred care forms the foundation of interdisciplinary practice. It recognizes that residents (and families) are unique individuals whose values, choices and goals are of primary importance when planning and providing care. Person- and family-centred approaches to care include advocacy and empowerment as well as respect for a resident's autonomy, voice, self-determination, and participation in decision-making.

Preventing and Addressing Abuse and Neglect of Older Adults

Implemented at Sheridan Villa, Second Floor

Abuse (physical, emotional, financial and sexual) and neglect of older adults is a complex and multi-faceted problem that can affect everyone. Organizational and staffing factors that can contribute to the problem in long-term care can include chronic staff shortages, burnout and attitudes of ageism. Residents’ characteristics than can be a factor include physical dependency, cognitive impairment, communication difficulties and social isolation. There is limited experimental research on this topic, however, this best practice guideline is based on the best evidence available and the opinion of experts.

What happens after designation?

The organization is committed to maintaining its designation and will spread existing practice changes across all five centres and continue to implement additional Best Practice Guidelines as part of the BPSO program.


Peel Long Term Care successfully achieved designation as a BPSO on April 27, 2017.

Revised: Friday November 03 2017

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