Sandra Lamb and Annie Bélanger highlight the value of P.T.A.s and P.R.T.s and discuss their roles as they adapt to the current health care conditions across Canada. The similarities & differences between the P.T.A. and the P.R.T. (licensed in Quebec) scope of practice will be illustrated. As well, the current changes in practice and challenges in Quebec's nursing/long-term care homes will be explained.