Speaker
Description
Responsive behaviours associated with dementia are complex personal expressions of unmet need. In long-term care, these behaviours can contribute to staff distress, fragmented communication, inconsistent care planning, and avoidable reliance on pharmacological interventions. The RNAO “Delirium, Dementia, and Depression in Older Adults” Best Practice Guideline emphasizes person- and family -centred approaches that recognize the whole person and support interprofessional teams in co-designing individualized care plans.
ALL-B(Adaptive Learning for Behaviours Support) is an AI‑enabled clinical decision support tool that was developed to operationalize these principles by embedding evidence-based practices around dementia care, responsive behaviours, and person-centred care into a context-aware tool that helps frontline staff understand responsive behaviours, identify unmet needs, and implement person‑centred, non‑pharmacological interventions in real time. The year initiative implemented and evaluated ALL-B as a digital knowledge tool across four long-term care homes. The initiative contained 2 parts, a purpose created Behavioural Debrief UDA in PCC for post-incident and responsive behaviour documentation and the ALL-B clinical decision support tool. Behavioural Debriefs were completed following behavioural events by the multidisciplinary team, including nursing, personal support, medicine, pharmacy, behavioural supports, social work, and life-enrichment teams. ALL-B then analyzed this information using an Agentic AI framework with Retrieval-Augmented Generation to review and provide context specific recommendations grounded in evidence-based practices including RNAO BPGs. The tool generated practical, non-pharmacological, resident-specific considerations to support care-plan updates, interdisciplinary reflection, and attention to triggers, preferences, communication needs, cultural context, and meaningful engagement.
Six-month post-implementation evaluation demonstrated decreasing worsening behaviours, sustained reductions in antipsychotic use without a diagnosis of psychosis, improved behavioural outcomes, increased documentation compliance/quality? and care-plan revisions. Staff reported reduced cognitive load, improved confidence using non-pharmacological interventions, and stronger interdisciplinary alignment.
What RNAO BPG or tool/toolkit is your abstract related to?
Person Centered Care
Author(s) Credentials and Title
Carolin Thomas, RN, GNC(c) HNC(c)
Nursing Consultant
| Organization Name | Primacare Livingsolutions |
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