Choosing Wisely Canada has developed the following 6 statements that both physicians and patients should review.  I think they are spot on!

  1. Don’t send the frail resident of a nursing home to the hospital, unless their urgent comfort and medical needs cannot be met in their care home.

  2. Don’t use antipsychotics as first choice to treat behavioural and psychological symptoms of dementia.

  3. Don’t do a urine dip or urine culture unless there are clear signs and symptoms of a urinary tract infection (UTI).

  4. Don’t insert a feeding tube in individuals with advanced dementia. Instead, assist the resident to eat.

  5. Don’t continue or add long-term medications unless there is an appropriate indication and a reasonable expectation of benefit in the individual patient.

  6. Don’t order screening or routine chronic disease testing just because a blood draw is being done.

If all long term care facilities  can focus on these statements when planing or deciding care for the residents, the system will not be bombarded with unnecessary and costly interventions.

For the complete list and explanation, please check here.