This one page handout provides an overview of the Advance Care Planning process in Ontario as well as the hierarchy of Substitute Decision Makers in the Health Care Consent Act, s.20.1.

This one page template is intended to aid care providers document Advance Care Planning conversations with patients / clients.  It is intended to be accompanied with the Patient SDM Contact list (for Appendix A - pdf provided) and the Ontario Power of Attorney for Personal Care form (Appendix B - pdf provided).

This two sided, folded wallet card is designed to help people understand the process of Advance Care Planning in Ontario as well as provide a convenient way to keep your Substitute Decision Maker information easily available.

In some long-term care homes, no residents over age 65 are being prescribed antipsychotic medications, while in others, up to two-thirds of the residents are being prescribed the drugs. The report notes that some of the variation across the province could be due to the fact that some homes specialize in treating people with severe mental illness or advanced dementia. But it is unlikely this factor alone explains the breadth of these differences.

Lorsque la Dre Lenore Zou, médecin de famille à Dundas (Ontario), a décidé de participer au projet de recherche i-GAP (Improving Advance Care Planning in General Practice), elle était heureuse à l’idée d’en apprendre davantage sur la planification préalable des soins et d’évaluer les outils utilisés pour appuyer ces difficiles discussions avec les patients. Or, bien qu’elle ait constaté que la plupart des patients et des familles sont réceptifs à ces outils, elle a aussi découvert que certains ne veulent tout simplement pas aborder le sujet.
When Dr. Lenore Zou, a family physician in Dundas, Ontario, decided to participate in the i-GAP (Improving Advance Care Planning in General Practice) project, she was pleased to learn more about the Planning and evaluating the tools used to support these difficult discussions with patients. Although she has found that most patients and families are receptive to these tools, she has also discovered that some simply do not want to talk about it.
 

Cette étude de cas illustre l'importance de discuter des souhaits anticipés de planification de soins avec votre remplaçant choisi.
 
This personal story illustrates the importance of discussing Advance Care Planning wishes with your Substitute Decision Maker.

This document explains the importance of capacity as a health care topic, responsibilities of health care providers, why capacity can be a challenging topic, the legislation behind health care decision making, tips and resources specifically relevant to primary care.

This guide provides a very general overview of the law and suggested practice for health practitioners in dealing with issues of incapacity to consent to treatment, admission to a long term care facility or manage property. It is not a legal opinion nor does it constitute legal advice. It does not include every detail contained in the law or the specific legal provisions that may apply in a particular case. For specific information about the law, please refer to the applicable statutes and consult your lawyer.

The guidelines are the work of Dr. Janet Munson, who in collaboration of Dr. Jean Kozak, developed and field tested the procedures in a research project funded by the Ministry of the Attorney General.  These are intended to assist in the provision of consistent and high quality assessments in the service of Ontario's vulnerable adults and their families. Designated capacity assessors are required to follow the methodologies set out in the Guidelines when conducting assessments under the Substitute Decisions Act, 1992 (SDA)

Judith Wahl of the Advocacy Centre for the Elderly developed this document to provide an overview of key considerations related to Capacity and Consent assessment in Ontario.  It gives an introduction on older clients and capacity, definitions of capacity as outlined by Ontario law, who assesses capacity, how it is assessed, how to assess the assessments and the impact of assessments.

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