157 results match your criteria Canadian Geriatrics Journal [Journal]


A Case for the Standardized Assessment of Testamentary Capacity.

Can Geriatr J 2018 Mar 26;21(1):26-31. Epub 2018 Mar 26.

Department of Psychiatry, Sunnybrook Health Sciences Centre, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Background: With an increasingly aged, frail population that holds a disproportionate amount of wealth, clinicians (especially those with expertise in older adults) may be asked with more frequency to offer a clinical opinion on testamentary capacity (TC), the mental capacity to make a will.

Method: This paper reviews the legal criteria as well as the empirical research on assessment tools for determining testamentary capacity (TC). We also review the relevance of instruments used for the assessment of other decisional capacities in order to evince the potential value of developing a standardized assessment of TC for clinician experts. Read More

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March 2018
1 Read

Medications & Polypharmacy Influence on Recurrent Fallers in Community: a Systematic Review.

Can Geriatr J 2018 Mar 26;21(1):14-25. Epub 2018 Mar 26.

School of Health Studies, Faculty of Health Sciences, Western University, London, ON, Canada.

The purpose of this systematic review is to summarize information about the impact different classes of medications and polypharmacy have on recurrent falls, defined as two or more falls in a 12-month period, in community-dwelling older adults. After adjustment for confounders such as age, gender, weight or depression symptoms, the reviewed studies suggested that older adults who use antidepressants, sedatives or hypnotics and anti-epileptics were more likely to experience recurrent falls than non-users. Polypharmacy (use of four or more prescription medications daily) caused 1. Read More

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March 2018
3 Reads

Identifying the Priority Topics for the Assessment of Competence in Care of the Elderly.

Can Geriatr J 2018 Mar 26;21(1):6-13. Epub 2018 Mar 26.

CFPC Working Group on the Assessment of Competence in Care of the Elderly, Mississauga, ON, Canada.

Background: With Canada's senior population increasing, there is greater demand for family physicians with enhanced skills in Care of the Elderly (COE). The College of Family Physicians Canada (CFPC) has introduced Certificates of Added Competence (CACs), one being in COE. Our objective is to summarize the process used to determine the Priority Topics for the assessment of competence in COE. Read More

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March 2018
1 Read

Inter-Rater Reliability of the Retrospectively Assigned Clinical Frailty Scale Score in a Geriatric Outreach Population.

Can Geriatr J 2018 Mar 26;21(1):1-5. Epub 2018 Mar 26.

Division of Geriatric Medicine, St. Joseph's Health Care London, Parkwood Institute, London, ON, Canada.

Background: Frailty, a common clinical syndrome in older adults associated with increased risk of poor health outcomes, has been retrospectively calculated in previous publications; however, the reliability of retrospectively assigned frailty scores has not been established. The aim of this study was to see if frailty scores, based on chart review data, agreed with clinician-determined scores based on a comprehensive geriatric assessment.

Methods: Per standard practice, all patients seen by one nurse clinician (JW) from the Southwestern Ontario Regional Geriatric Program, a tertiary care-based outreach service, between August 15, 2013 and December 31, 2015 received a comprehensive geriatric assessment which included the assignment of an interview-based Clinical Frailty Scale score (CFS-I). Read More

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March 2018
1 Read

The Cauldron of Life Experiences that Creates the Geriatrician: a Personal Perspective.

Authors:
Michael Gordon

Can Geriatr J 2017 Dec 22;20(4):268-269. Epub 2017 Dec 22.

Department of Medicine, University of Toronto, Toronto, ON.

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December 2017
2 Reads

From Physician to Patient: a Personal Journey.

Authors:
Colin Powell

Can Geriatr J 2017 Dec 22;20(4):264-267. Epub 2017 Dec 22.

Professor of Geriatric Medicine (retired), University of Calgary, Calgary, AB.

Going from physician to patient is a journey from which few of our tribe will be spared, and about which we have comparatively little formal reflection. This paper describes some of the lessons learned on such a journey from a retired Professor of Geriatric Medicine, whose course of vascular parkinsonism offers lessons both professional and personal. Read More

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December 2017
2 Reads

Proceedings of the Canadian Frailty Network Summit: Medication Optimization for Frail Older Canadians, Toronto, Monday April 24, 2017.

Can Geriatr J 2017 Dec 22;20(4):253-263. Epub 2017 Dec 22.

Mount Sinai Hospital, Toronto, ON, Canada.

Appropriate and optimal use of medication and polypharmacy are especially relevant to the care of older Canadians living with frailty, often impacting their health outcomes and quality of life. A majority (two thirds) of older adults (65 or older) are prescribed five or more drug classes and over one-quarter are prescribed 10 or more drugs. The risk of adverse drug-induced events is even greater for those aged 85 or older where 40% are estimated to take drugs from 10 or more drug classes. Read More

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December 2017
3 Reads

Geriatric Delirium Care: Using Chart Audits to Target Improvement Strategies.

Can Geriatr J 2017 Dec 22;20(4):246-252. Epub 2017 Dec 22.

Department of Psychiatry, Mount Sinai Hospital, Sinai Health System, Toronto, ON.

Background: Our hospital identified delirium care as a quality improvement target. Baseline characterization of our delirium care and deficits was needed to guide improvement efforts.

Methods: Two inpatient units were selected: 1) A general internal medicine unit with a focus on geriatrics, and 2) a surgical unit. Read More

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December 2017
3 Reads

Driving and Dementia: Workshop Module on Communicating Cessation to Drive.

Can Geriatr J 2017 Dec 22;20(4):241-245. Epub 2017 Dec 22.

Department of Medicine Division of Geriatrics, Faculty of Medicine, The Ottawa Hospital, Ottawa, ON.

Background: For persons with dementia (PWD), driving becomes very dangerous. Physicians in Canada are legally responsible to report unfit drivers and then must disclose that decision to their patients. That difficult discussion is fraught with challenges: physicians want to maintain a healthy relationship; patients often lack insight into their cognitive loss and have very strong emotional reactions to the loss of their driving privileges. Read More

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December 2017
2 Reads

Winter Issue, 2017.

Can Geriatr J 2017 Dec 22;20(4):240. Epub 2017 Dec 22.

Canadian Geriatrics Journal.

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December 2017
2 Reads

Can Geriatric Psychiatry Patients Complete Symptoms Self-Reports Using Tablets? A Randomized Study.

Can Geriatr J 2017 Sep 28;20(3):112-119. Epub 2017 Sep 28.

Geri-PARTy Research Group, Department of Psychiatry, Jewish General Hospital, McGill University, Montreal, QC, Canada.

Background: With our aging population and limited number of geriatric psychiatrists, innovations must be made in order to meet the growing demands for geriatric psychiatry services. Emerging technologies could greatly improve access to care and systematic data collection.

Methods: This randomized study compared completion rates and time to completion (primary outcomes) when using iPad technology vs. Read More

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September 2017
3 Reads

Reversing Frailty Levels in Primary Care Using the CARES Model.

Can Geriatr J 2017 Sep 28;20(3):105-111. Epub 2017 Sep 28.

Department of Geriatric Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, NS.

Background: The purpose of this manuscript was to evaluate the effectiveness of the Community Actions and Resources Empowering Seniors (CARES) model in measuring and mitigating frailty among community-dwelling older adults.

Methods: The CARES model is based on a goal-oriented multidisciplinary primary care plan which combines a comprehensive geriatric assessment (CGA) with health coaching. A total of 51 older adults (82 ± 7 years; 33 females) participated in the pilot phase of this initiative. Read More

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September 2017
3 Reads

The Incidence of Hip Fractures in Long-Term Care Homes in Saskatchewan from 2008 to 2012: an Analysis of Provincial Administrative Databases.

Can Geriatr J 2017 Sep 28;20(3):97-104. Epub 2017 Sep 28.

Saskatchewan Health Quality Council, Saskatoon, SK, Canada.

Background: Hip fractures (HFs) represent an important cause of morbidity and mortality among adults in long-term care (LTC), but lack of detailed epidemiological data poses challenges to intervention planning. We aimed to determine the incidence of HFs among permanent LTC residents in Saskatchewan between 2008 and 2012, using linked, provincial administrative health databases, exploring associations between outcomes and basic individual and institutional characteristics.

Methods: We utilized the Ministry of Health databases to select HF cases based on ICD 10 diagnoses fracture of head and neck of femur, pertrochanteric fracture and subtrochanteric fracture of femur. Read More

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September 2017
4 Reads

Polymyalgia Rheumatica in Association with Remitting Seronegative Sinovitis with Pitting Edema: a Neoplastic Warning.

Can Geriatr J 2017 Jun 30;20(2):94-96. Epub 2017 Jun 30.

Geronthorheumatological Outpatient Clinic, Mariano Lauro Hospital, Sant'Agnello, Naples, Italy.

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June 2017
5 Reads

Caring in the Information Age: Personal Online Networks to Improve Caregiver Support.

Can Geriatr J 2017 Jun 30;20(2):85-93. Epub 2017 Jun 30.

School of Public Health and Health Systems, University of Waterloo, Waterloo, ON.

Background: It is becoming increasingly important to find ways for caregivers and service providers to collaborate. This study explored the potential for improving care and social support through shared online network use by family caregivers and service providers in home care.

Methods: This qualitative study was guided by Rogers' [NY: Free Press; 1995], and involved focus group and individual interviews of service providers (n = 31) and family caregivers (n = 4). Read More

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June 2017
7 Reads

Understanding How to Support Family Caregivers of Seniors with Complex Needs.

Can Geriatr J 2017 Jun 30;20(2):75-84. Epub 2017 Jun 30.

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.

Purpose Of The Study: The purpose of this study was to describe the experiences and challenges of supporting family caregivers of seniors with complex needs and to outline support strategies and research priorities aimed at supporting them.

Design And Methods: A CIHR-funded, two-day conference entitled "Supporting Family Caregivers of Seniors: Improving Care and Caregiver Outcomes" was held. An integrated knowledge translation approach guided this planning conference. Read More

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June 2017
6 Reads

Planning Health Services for Seniors: Can We Use Patient's Own Perception?

Can Geriatr J 2017 Jun 30;20(2):66-74. Epub 2017 Jun 30.

School of Physical & Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC.

Objectives: The objectives of this study were to identify needs and to estimate whether self-reported health can be used as an indicator of service needs among seniors.

Methods: This was a cross-sectional survey. Age- and sex-adjusted logistic regression was used to estimate the link between functional status indicators and fair or poor self-reported health. Read More

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June 2017
4 Reads

Community Care for Older Adults-the Patient/Caregiver Perspective.

Can Geriatr J 2017 Jun 30;20(2):65. Epub 2017 Jun 30.

Editorial Board, Canadian Geriatrics Journal.

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June 2017
6 Reads

A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research.

Can Geriatr J 2017 Mar 31;20(1):22-37. Epub 2017 Mar 31.

Department of Critical Care Medicine, Sunnybrook Hospital, Toronto, ON, Canada; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.

There is general agreement that frailty is a state of heightened vulnerability to stressors arising from impairments in multiple systems leading to declines in homeostatic reserve and resiliency, but unresolved issues persist about its detection, underlying pathophysiology, and relationship with aging, disability, and multimorbidity. A particularly challenging area is the relationship between frailty and hospitalization. Based on the deliberations of a 2014 Canadian expert consultation meeting and a scoping review of the relevant literature between 2005 and 2015, this discussion paper presents a review of the current state of knowledge on frailty in the acute care setting, including its prevalence and ability to both predict the occurrence and outcomes of hospitalization. Read More

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March 2017
12 Reads

Changing the Impact of Nursing Assistants' Education in Seniors' Care: the Living Classroom in Long-Term Care.

Can Geriatr J 2017 Mar 31;20(1):15-21. Epub 2017 Mar 31.

Conestoga College Institute of Technology & Advanced Learning, Kitchener, ON.

Background: Evidence-informed care to support seniors is based on strong knowledge and skills of nursing assistants (NAs). Currently, there are insufficient NAs in the workforce, and new graduates are not always attracted to nursing home (NH) sectors because of limited exposure and lack of confidence. Innovative collaborative approaches are required to prepare NAs to care for seniors. Read More

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March 2017
3 Reads

Emergency Department Stay Associated Delirium in Older Patients.

Can Geriatr J 2017 Mar 31;20(1):10-14. Epub 2017 Mar 31.

Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

Background: Caring for older patients can be challenging in the Emergency Department (ED). A > 12 hr ED stay could lead to incident episodes of delirium in those patients. The aim of this study was to assess the incidence and impacts of ED-stay associated delirium. Read More

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March 2017
4 Reads

Characteristics and Incidence of Traumatic Brain Injury in Older Adults Using Home Care in Ontario from 2003-2013.

Can Geriatr J 2017 Mar 31;20(1):2-9. Epub 2017 Mar 31.

Department of Health Sciences, Lakehead University, Thunder Bay, ON, Canada; Northern Ontario School of Medicine, Lakehead University, Thunder Bay, ON, Canada; Centre for Applied Health Research, St. Joseph's Care Group, Thunder Bay, ON, Canada, Canada; Centre for Research on Safe Driving, Lakehead University, Thunder Bay, ON, Canada.

Objectives: Describe the characteristics and determine the annual cumulative incidence of traumatic brain injury (TBI) in older adults receiving home care in Ontario from 2003 to 2013.

Methods: A retrospective cohort study of longitudinal data from the Ontario Association of Community Care Access Centers (N = 554,313). TBI, demographic variables, depression, neurological conditions, and recent falls were measured from the Resident Assessment Instrument-Home Care. Read More

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March 2017
5 Reads

Falls & Fall-related Injuries Special Interest Group: a Call to Action.

Can Geriatr J 2016 Dec 23;19(4):202-203. Epub 2016 Dec 23.

Division of Geriatric Medicine, Department of Medicine, University of Calgary, Calgary, AB, Canada.

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December 2016
3 Reads

Perspectives from Geriatric In-patients with Heart Failure, and their Caregivers, on Gaps in Care Quality.

Can Geriatr J 2016 Dec 23;19(4):195-201. Epub 2016 Dec 23.

Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.

Background: Evidence indicates that care experiences for complex HF patients could be improved by simple organizational and process changes, rather than complex clinical mechanisms. This survey identifies care gaps and recommends simple changes.

Methods: The study utilized both quantitative and qualitative methods at The Ottawa Hospital, Geriatric Medical Unit during a three-month period. Read More

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December 2016
3 Reads

Geriatric Homelessness: Association with Emergency Department Utilization.

Can Geriatr J 2016 Dec 23;19(4):189-194. Epub 2016 Dec 23.

Department of Psychiatry/Langley Porter Psychiatric Institute, Psychosomatic Medicine Division, UCSF Weill Institute for Neurosciences, University of California San Francisco Medical Center, San Francisco, CA, USA.

Background: Homeless adults frequently use emergency departments (EDs), yet previous studies investigating ED utilization by the older segment received little attention. This study sought to characterize older homeless adults who utilized local urban EDs.

Methods: ED encounters at three hospitals in Hamilton (Ont. Read More

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December 2016
3 Reads

Validity, Reliability and Acceptability of the Team Standardized Assessment of Clinical Encounter Report.

Can Geriatr J 2016 Dec 23;19(4):182-188. Epub 2016 Dec 23.

Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada; Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.

Background: The Team Standardized Assessment of a Clinical Encounter Report (StACER) was designed for use in Geriatric Medicine residency programs to evaluate Communicator and Collaborator competencies.

Methods: The Team StACER was completed by two geriatricians and interdisciplinary team members based on observations during a geriatric medicine team meeting. Postgraduate trainees were recruited from July 2010-November 2013. Read More

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December 2016
5 Reads

Quality of Dementia Care in the Community: Identifying Key Quality Assurance Components.

Can Geriatr J 2016 Dec 23;19(4):164-181. Epub 2016 Dec 23.

School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.

Background: Primary care-based memory clinics (PCMCs) have been established in several jurisdictions to improve the care for persons with Alzheimer's disease and related dementias. We sought to identify key quality indicators (QIs), quality improvement mechanisms, and potential barriers and facilitators to the establishment of a quality assurance framework for PCMCs.

Methods: We employed a Delphi approach to obtain consensus from PCMC clinicians and specialist physicians on QIs and quality improvement mechanisms. Read More

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December 2016
6 Reads

Last Issue, 2016.

Can Geriatr J 2016 Dec 23;19(4):163. Epub 2016 Dec 23.

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December 2016
4 Reads

Mindfulness-Based Cognitive Therapy in the Treatment of Late-Life Anxiety and Depression-a Pilot Study.

Can Geriatr J 2016 Sep 30;19(3):127-128. Epub 2016 Sep 30.

Geri-PARTY Research Group, Jewish General Hospital, Montréal, PQ;; Division of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON.

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September 2016
5 Reads

Prevention of Post-operative Delirium in the Elderly Using Pharmacological Agents.

Can Geriatr J 2016 Sep 30;19(3):113-126. Epub 2016 Sep 30.

Department of Geriatric Medicine, Jewish General Hospital, McGill University, Montreal, PQ.

Introduction: Post-operative delirium (POD) is a serious surgical complication that can cause significant morbidity and mortality. It is associated with prolonged hospital stay, delayed admission to rehabilitation programs, persistent cognitive deficits, marked health-care costs, and more. The pathophysiology is multi-factorial and not completely understood, which complicates the optimal management. Read More

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September 2016
3 Reads

Frailty and Intellectual and Developmental Disabilities: a Scoping Review.

Can Geriatr J 2016 Sep 30;19(3):103-112. Epub 2016 Sep 30.

Department of Public Health Sciences, Queen's University, Kingston, ON.

Background: Individuals with intellectual and developmental disabilities (IDD) are both living longer than in previous generations and experiencing premature aging. Improved understanding of frailty in this aging population may inform community supports and avoid negative outcomes.

Methods: The objective of this study was to review the literature on frailty and IDD and determine areas for future research and application. Read More

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September 2016
4 Reads

Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge.

Can Geriatr J 2016 Sep 30;19(3):97-102. Epub 2016 Sep 30.

Division of Geriatric Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB.

Background: A common scenario that may pose challenges to primary care providers is when an older patient has been discharged from hospital. The aim of this pilot project is to examine the experiences of patients' admission to hospital through to discharge back home, using analysis of patient narratives to inform the strengths and weaknesses of the process.

Methods: For this qualitative study, we interviewed eight subjects from the Sheldon M. Read More

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September 2016
4 Reads

An Evaluation of the Decision-Making Capacity Assessment Model.

Can Geriatr J 2016 Sep 30;19(3):83-96. Epub 2016 Sep 30.

Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton.

Background: The Decision-Making Capacity Assessment (DMCA) Model includes a best-practice process and tools to assess DMCA, and implementation strategies at the organizational and assessor levels to support provision of DMCAs across the care continuum. A Developmental Evaluation of the DMCA Model was conducted.

Methods: A mixed methods approach was used. Read More

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September 2016
4 Reads

[Not Available].

Can Geriatr J 2016 Jun 29;19(2):74-82. Epub 2016 Jun 29.

Department of Medicine, Divisions of Geriatric Medicine and of Neurology, Dalhousie University, Halifax, NS;

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June 2016
3 Reads

The New Criteria for Alzheimer's Disease - Implications for Geriatricians.

Can Geriatr J 2016 Jun 29;19(2):66-73. Epub 2016 Jun 29.

Department of Medicine, Divisions of Geriatric Medicine and of Neurology, Dalhousie University, Halifax, NS;

Two new sets of criteria for Alzheimer's disease (AD) are now in play, including one set released in 2014, and a proposal for a "new lexicon" for how to describe the disease spectrum. A 2012 Canadian consensus conference said that to then, none of the new criteria or terminology would change primary care practice; that is still likely to be so. For dementia consultants, however, the new criteria pose challenges and offer opportunities. Read More

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June 2016
4 Reads

Effectiveness of a Core-Competency-based Program on Residents' Learning and Experience.

Can Geriatr J 2016 Jun 29;19(2):50-7. Epub 2016 Jun 29.

Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB.

Background: The Care of the Elderly (COE) Diploma Program is a six-to-twelve-month enhanced skills program taken after two years of core residency training in Family Medicine. In 2010, we developed and implemented a core-competency-based COE Diploma program (CC), in lieu of one based on learning objectives (LO). This study assessed the effectiveness of the core-competency-based program on residents' learning and their training experience as compared to residents trained using learning objectives. Read More

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June 2016
3 Reads

Advantages of a Warfarin Protocol for Long-term Care Pharmacists: a Retrospective Cohort Study.

Can Geriatr J 2016 Jun 29;19(2):40-9. Epub 2016 Jun 29.

Department of Family Medicine and Dentistry, University of Alberta, Edmonton, Alberta.

Background: Warfarin is an anticoagulant prescribed to 12% of long-term care residents to reduce the risk of thrombo-embolism. This study used indicators to compare warfarin management by pharmacists to usual care.

Methods: This was a retrospective cohort study comparing a pharmacist-managed warfarin protocol with usual care of qualified warfarin recipients at long-term care facilities (two protocol, one control) in Calgary, Alberta. Read More

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June 2016
4 Reads

Clinical Frailty Scale in an Acute Medicine Unit: a Simple Tool That Predicts Length of Stay.

Can Geriatr J 2016 Jun 29;19(2):34-9. Epub 2016 Jun 29.

Department of Medicine, Internal Medicine, London Health Sciences Centre, The University of Western Ontario, London, ON;; Department of Medicine, Division of Geriatric Medicine, The University of Western Ontario, London, ON;; Gait and Brain Lab, Lawson Health Research Institute, Parkwood Hospital, London, ON;

Background: Frailty is characterized by increased vulnerability to external stressors. When frail older adults are admitted to hospital, they are at increased risk of adverse events including falls, delirium, and disability. The Clinical Frailty Scale (CFS) is a practical and efficient tool for assessing frailty; however, its ability to predict outcomes has not been well studied within the acute medical service. Read More

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June 2016
6 Reads

The June Issue of the CGJ.

Authors:
Kenneth Madden

Can Geriatr J 2016 Jun 29;19(2):33. Epub 2016 Jun 29.

Canadian Geriatrics Journal.

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June 2016
3 Reads

Impact of the 'Artful Moments' Intervention on Persons with Dementia and Their Care Partners: a Pilot Study.

Can Geriatr J 2016 Jun 29;19(2):1-8. Epub 2016 Jun 29.

Geriatric Education and Research in Aging Sciences (GERAS) Centre, St Peter's Hospital, Hamilton, ON; Department of Medicine, McMaster University, Hamilton, ON;; Hamilton Health Sciences-St Peter's Hospital, Hamilton, ON;; Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON;

Background: Engaging with art can be valuable for persons living with dementia. 'Artful Moments' was a collaborative project undertaken by the Art Gallery of Hamilton and the Behavioural Health Program at Hamilton Health Sciences that sought to develop and implement a program of arts-based activities for persons in the middle-to-late stages of dementia who exhibit behavioural symptoms and for their accompanying care partners.

Methods: This pilot study employed a qualitative descriptive design. Read More

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June 2016
5 Reads

Comparison of Alternate and Original Items on the Montreal Cognitive Assessment.

Can Geriatr J 2016 Mar 31;19(1):15-8. Epub 2016 Mar 31.

The Research Institute of the McGill University Health Centre, Montreal, QC;; Department of Neurology & Neurosurgery, McGill University Health Centre, Montreal, QC.

Background: The Montreal Cognitive Assessment (MoCA) is a screening tool for mild cognitive impairment (MCI) in elderly individuals. We hypothesized that measurement error when using the new alternate MoCA versions to monitor change over time could be related to the use of items that are not of comparable difficulty to their corresponding originals of similar content. The objective of this study was to compare the difficulty of the alternate MoCA items to the original ones. Read More

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March 2016
7 Reads

Characteristics of Older Adults Admitted to Hospital versus Those Discharged Home, in Emergency Department Patients Referred to Internal Medicine.

Can Geriatr J 2016 Mar 31;19(1):9-14. Epub 2016 Mar 31.

Geriatric Medicine Research Unit, Halifax, NS;; Division of Geriatric Medicine, Dalhousie University, Halifax, NS.

Background: Frail older adults present to the Emergency Department (ED) with complex medical, functional, and social needs. When these needs can be addressed promptly, discharge is possible, and when they cannot, hospital admission is required. We evaluated the care needs of frail older adults in the ED who were consulted to internal medicine and seen by a geriatrician to determine, under current practices, which factors were associated with hospitalization and which allowed discharge. Read More

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March 2016
7 Reads

National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma.

Can Geriatr J 2016 Mar 31;19(1):2-8. Epub 2016 Mar 31.

Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON;; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON;

Background: This study was designed to determine a clinically significant point drop in function to define functional decline and the required sensitivity for a clinical decision tool to identify elderly patients at high risk of functional decline following a minor injury.

Methods: After a rigorous development process, a survey questionnaire was administered to a random sample of 178 geriatricians selected from those registered in a national medical directory. The surveys were distributed using a modified Dillman technique. Read More

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March 2016
4 Reads

Defining Functional Decline, Characteristics of Admitted Older Adults and Comparing Alternate Versions of the MoCA.

Authors:
Kenneth M Madden

Can Geriatr J 2016 Mar 31;19(1). Epub 2016 Mar 31.

Canadian Geriatrics Journal.

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March 2016
3 Reads

Effect of Nutrients, Dietary Supplements and Vitamins on Cognition: a Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Can Geriatr J 2015 Dec 23;18(4):231-45. Epub 2015 Dec 23.

Hotchkiss Brain Institute, Faculty of Medicine, University of Calgary, Calgary, AB;; Brenda Stafford Foundation Chair in Geriatric Medicine, Faculty of Medicine, University of Calgary, Calgary, AB;; Departments of Medicine, Clinical Neurosciences and Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, AB;; Alberta Seniors Health Strategic Clinical Network, Alberta Health Services, Calgary, AB.

Background: Observational studies have suggested that various nutrients, dietary supplements, and vitamins may delay the onset of age-associated cognitive decline and dementia. We systematically reviewed recent randomized controlled trials investigating the effect of nutritional interventions on cognitive performance in older non-demented adults.

Methods: We searched MEDLINE, CINAHL, Embase, and the Cochrane Library for articles published between 2003 and 2013. Read More

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December 2015
4 Reads

Pre-Clerkship Observerships to Increase Early Exposure to Geriatric Medicine.

Can Geriatr J 2015 Dec 23;18(4):225-30. Epub 2015 Dec 23.

School of Medicine, Division of Geriatric Medicine, Faculty of Health Sciences, Queen's University, Kingston, ON.

Background And Purpose: To foster interest in geriatric care, the Queen's Geriatrics Interest Group (QGIG) collaborated with the Division of Geriatric Medicine to arrange a Geriatrics Pre-Clerkship Observership Program.

Methods: Forty-two pre-clerkship medical students participated in the program between October 2013 and May 2014. Participants were paired with a resident and/or attending physician for a four-hour weekend observership on an inpatient geriatric rehabilitation unit. Read More

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December 2015
4 Reads

The Fountain of Health: Bringing Seniors' Mental Health Promotion into Clinical Practice.

Can Geriatr J 2015 Dec 23;18(4):217-24. Epub 2015 Dec 23.

Department of Psychiatry, Dalhousie University, Halifax, NS;

Background: The Fountain of Health (FoH) initiative offers valuable evidence-based mental health knowledge and provides clinicians with evaluated tools for translating knowledge into practice, in order to reduce seniors' risks of mental disorders, including dementia.

Methods: A presentation on mental health promotion and educational materials were disseminated to mental health clinicians including physicians and other allied health professionals either in-person or via tele-education through a provincial seniors' mental health network. Measures included: 1) a tele-education quality evaluation form, 2) a knowledge transfer questionnaire, 3) a knowledge translation-to-practice evaluation tool, and 4) a quality assurance questionnaire. Read More

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December 2015
3 Reads

Risk of Pre-and Post-Operative Delirium and the Delirium Elderly At Risk (DEAR) Tool in Hip Fracture Patients.

Can Geriatr J 2015 Dec 23;18(4):212-6. Epub 2015 Dec 23.

Department of Medicine, Dalhousie University, Halifax, NS;; Center for Health Care of the Elderly, QEII Health Sciences Centre, Capital District Health Authority, Halifax, NS;

Background And Purpose: Delirium is common after hip fracture. Previous work has shown that a simple delirium risk factor tool, the Delirium Elderly At Risk instrument (DEAR), has a high inter-rater reliability in this population. Little research has looked at the ability of risk factor screening tools to identify patients at high risk of pre-operative delirium. Read More

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December 2015
3 Reads

Winter Issue 2015.

Can Geriatr J 2015 Dec 23;18(4):211. Epub 2015 Dec 23.

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December 2015
3 Reads

Mobility and Cognition in Seniors. Report from the 2008 Institute of Aging (CIHR) Mobility and Cognition Workshop.

Can Geriatr J 2015 Sep 30;18(3):159-67. Epub 2015 Sep 30.

Faculty of Medicine and Dentistry, Department of Medicine, Division of Neurology, University of Alberta, Edmonton, AB.

Background: The annual Scientific Meeting of the Canadian Association on Gerontology was held on October 24 and 25, 2008 in London, Ontario. Prior to the annual meeting, mobility and cognition experts met on October 23, 2008 to engage in a pre-conference workshop.

Methods: Discussions during the workshop addressed novel areas of research and knowledge and research gaps pertaining to the interaction between mobility and cognition in seniors. Read More

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September 2015
6 Reads