Organizational Change

Example End-of-Life Care Guidelines

The following document provides an example of an end-of-life care guideline that a long term care may choose to adopt as apart of their palliative and end-of-life care delivery.

Example End-of-Life Care Guideline


Palliative Care Program Brochure

This brochure was created as a guide to support long term care homes in developing or promoting their palliative care programs. Information from this brochure can be adapted to suit the unique context and services offered by each home.


Palliative Care Definitions Brochure

This brochure was created to support palliative care and end-of-life care communication within the long term care home. This brochure can be adapted to suit the needs of your long term care home.


Palliative Care Resource Team Brochure

This brochure is avalable to support long term care homes wishing to develop a Palliative Care Resource Team. This brochure answers questions such as:

  • what is a palliative care resource team?
  • what are some possible goals of the resource team?
  • how can you identify members of the resource team?
  • what community partners can support palliative care in long term care?

Information from this brochure can be adapted to fit the unique context and process of the long term care home.


Organizational Self-Assessment

The Organizational Self-Assessment was developed by the Quality Palliative Care in Long Term Care Alliance to support long term care homes in developing and delivering their palliative care programs. The self-assessment can help an interdisicplinary team in goal setting and monitoring improvement within their home.


Personal Support Worker Competencies

Given that Personal Support Workers provide most of the bedside care in long term care, the empowerment and education of Personal Support Workers is key to the development of a palliative care philosophy of care. The development of palliative care competencies for Personal Support Workers is a key step in the development of the palliative care team in long term care.


Personal Support Worker Lead Module

A Personal Support Worker lead one of the core roles within the change process. Along with the Palliative Care Resource Team, role is responsible for developing and promoting home specific innovations.


Staff Grief and Loss

Front Line Staff Experiences of Grief and Loss in a LTC Home, is a sub-study of the QPC-LTC Alliance. The goal of this sub-study is to describe the experiences of grief and loss of nine front line workers in LTC and to report on recommendations of how the organization can offer support to staff after a resident dies.


Peer Led Debriefings

The Peer Led Debriefing Toolkit is intended as a practice and training resource that can be incorporated into the palliative care program of a long term care home. Incorporating routine peer led debriefings, also known as “sharing circles”, into organizational culture has been shown to improve overall work place wellness and reduce staff stress and absenteeism.


Palliative Care Resource Team Retreat

The goal of the palliative care team retreat is discussion and create a consensus on the foundation of the palliative care resource team. Topic areas should include: membership, goals, mission and values, areas of team focus, determine resources, and a communication strategy.


Process Mapping

A process map according to Health Quality Ontario is a “flowchart that outlines all the different steps in a process, for example all the steps that a LTC home takes to deliver a particular kind of service.” In this case, the staff created a process map of the care delivery from the admission of a resident until the death of the resident which included bereavement care of staff, families, and other residents. The completion of the process map along with the organizational self-assessment audit tool helped the staff determine palliative care priorities.

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Last modified November 15, 2016
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