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Canadian Geriatrics Journal: CGJ

Alexandra Papaioannou, Afeez Abiola Hazzan, George Ioannidis, Denis O'Donnell, Daphne Broadhurst, Hrishikesh Navare, Loretta M Hillier, Diane Simpson, Mark Loeb
Background: Typically, long-term care home (LTCH) residents are transferred to hospital to access intravenous (IV) therapy. The aim of this study was to pilot-test an in-home IV therapy service, and to describe outcomes and key informants' perceptions of this service. Method: This service was pilot-tested in four LTCH in the Hamilton-Niagara region, Ontario. Interviews were conducted with six caregivers of residents who received IV therapy and ten key informants representing LTC home staff and service partners to assess their perceptions of the service...
December 2018: Canadian Geriatrics Journal: CGJ
David B Hogan, Cathy Harbidge, Amy Duncan
A 77-year old woman presented with a history of falls. Known health problems included biopsy-proven collagenous colitis treated with bismuth subsalicylate. On examination, in addition to impaired balance and gait, she was found to have tremors and cognitive deficits. Investigations revealed a markedly elevated urinary bismuth level. Withdrawal of bismuth subsalicylate led to marked cognitive and physical improvement.
December 2018: Canadian Geriatrics Journal: CGJ
Hélène Ouellette-Kuntz, Elizabeth Stankiewicz, Michael McIsaac, Lynn Martin
Background: Frailty is an established predictor of admission into long-term care (LTC) and mortality in the elderly population. Assessment of frailty among adults with intellectual and developmental disabilities (IDD) using a generic frailty marker may not be as predictive, as some lifelong disabilities associated with IDD may be interpreted as a sign of frailty. This study set out to determine if adding the Home Care-Intellectual and Developmental Disabilities Frailty Index (HC-IDD Frailty Index), developed for use in home care users with IDD, to a basic list of predictors (age, sex, rural status, and the Johns Hopkins Frailty Marker) increases the ability to predict admission to long-term care or death within one year...
December 2018: Canadian Geriatrics Journal: CGJ
Laura I L Poulin, Mary E Blinkhorn, Stacey A Hawkins, Kelly A Kay, Mark W Skinner
Background: Older adults living with frailty represent a complex group who are increasingly accessing regional geriatric services. Goal-based care planning is the industry standard in the care of older adults, yet few studies illustrate how goal-based care planning is being conducted with this population. Understanding how frailty impacts goal-based care planning in regional geriatric services is key to improving patient care. Methods: In this "Go-Along" method of data collection, nine observational experiences were conducted, nine responses from the Interprofessional Role Shadowing Tool were obtained, and eight responses to follow-up questions were received...
December 2018: Canadian Geriatrics Journal: CGJ
Jasneet Parmar, Jacqueline Torti, Suzette Brémault-Phillips, Lesley Charles, Karenn Chan, Peter George J Tian
Background: Family caregivers who provide care to seniors at no cost to the healthcare system are an integral part of the healthcare system. Caregiving, however, can cause significant emotional, physical and financial burden. We held a one-day symposium on how to best involve and support family caregivers in the healthcare system. The symposium brought together caregivers, healthcare providers, administrators and policy-makers to identify needs and make recommendations to address these issues...
December 2018: Canadian Geriatrics Journal: CGJ
Benjamin K P Woo
No abstract text is available yet for this article.
December 2018: Canadian Geriatrics Journal: CGJ
Andréanne Juneau, Aline Bolduc, Philippe Nguyen, Bernard-Simon Leclerc, Jacqueline Rousseau, François Dubé, Marie-Ève Ringuet, Marie-Jeanne Kergoat
Background: An exercise program involving patients, caregivers, and professionals, entitled SPecific Retraining in INTerdisciplinarity (SPRINT), has been developed to prevent functional decline during hospitalization of older patients. Goal: Assess the feasibility of implementing SPRINT in the context of a Geriatric Assessment Unit (GAU). Methods: GAU's health-care professionals were instructed with the SPRINT. All new patients were evaluated by a physiotherapist shortly after admission to validate the eligibility criteria and allocation category of exercises...
September 2018: Canadian Geriatrics Journal: CGJ
Rachel Eikelboom, Anna R Gagliardi, Rajiv Gandhi, Paul R T Kuzyk, Christine Soong, Peter Cram
Background: Hip fracture (HF) is common and requires communication between patient, family, surgeons, and hospitalists. Patient and family understanding of the seriousness of HF is unclear. Methods: We interviewed older patients (age > 65 years) hospitalized with HF at two Canadian academic hospitals, or their surrogate decision-makers (SDMs). We used qualitative methods to explore understanding of HF treatment options and prognosis. Participants estimated probability of mortality and living independently 30 days after surgery...
September 2018: Canadian Geriatrics Journal: CGJ
Cody D Black, Lisa McCarthy, Tara Gomes, Muhammad Mamdani, David Juurlink, Mina Tadrous
Background: Utilization of psychotropic medications among the elderly has garnered attention due to concerns about safety and degree of efficacy, but may be used differently across regions. Methods: We conducted a cross-sectional study of all antipsychotic, benzodiazepine, and trazodone prescriptions dispensed to seniors ( ≥ 65 years) leveraging IQVIA (Durham, NC) GPM data in 2013. We report the units dispensed (per 100 seniors) by province. Results: Nationally, on average, 26,210 units of antipsychotics, 24,257 of benzodiazepines, and 7,519 of trazodone were dispensed in 2013 for every 100 seniors; reports varied across Canada...
September 2018: Canadian Geriatrics Journal: CGJ
Frank Knoefel, Caroline Gaudet, Rocio López Zunini, Michael Breau, Lisa Sweet, Bruce Wallace, Rafik Goubran, Vanessa Taler
Objective: A pilot study to determine the feasibility of recruiting patients with MCI to test for cognitive interventions. Method: Thirty patients with amnestic MCI were to be divided into two intervention arms and one control group. Participants went to local sites and completed brain training for one hour three times per week for nine weeks. Outcome measures were: recruitment, computer abilities, compliance, task performance, neuropsychological tests, and electroencephalography...
September 2018: Canadian Geriatrics Journal: CGJ
Fawziah Marra, Mark McCabe, Abdullah Mamun, David Patrick
No abstract text is available yet for this article.
September 2018: Canadian Geriatrics Journal: CGJ
Kenneth Lam, Dov Gandell
We present the top 11 articles in geriatric medicine in the past two years. The topics range from new diagnostic criteria for Lewy Body dementia, advances in biomarker diagnosis of Alzheimer's disease, a major review of dementia and risk factors, the optimal cutoff for the Montreal Cognitive Assessment, antipsychotics in delirium prevention, mobilization of inpatients, intensive blood pressure treatment and statin therapy for primary prevention in older adults, and comprehensive geriatric assessment in vascular surgery and non-small cell lung cancer...
September 2018: Canadian Geriatrics Journal: CGJ
Selina Chow, Ronald Chow, Angela Wan, Helen R Lam, Kate Taylor, Katija Bonin, Leigha Rowbottom, Henry Lam, Carlo DeAngelis, Nathan Herrmann
Background: In order to provide appropriate care for the aging population, many countries are adopting a National Dementia Strategy (NDS). On June 22, 2017, Canada announced it will become the 30th country to launch a NDS. In light of this announcement and as Canada prepares to develop its own NDS, we conducted this review to examine and compare the NDSs of the other previous 29 countries with Canadian government's policies to date. Methods: NDSs were compared according to their major priorities...
June 2018: Canadian Geriatrics Journal: CGJ
Bonnie Cheung, Camilla L Wong, Amanda Gardhouse, Christopher Frank, Laura Budd
Background: Twitter is a microblogging platform increasingly used in medicine to overcome geographic barriers and promote international connections. Tweets, the 280-character microblogs, are catalogued by hashtags (#). This study evaluates and describes the participation, content, and impact of Twitter at the 2015 Canadian Geriatrics Society (CGS) Annual Scientific Meeting, during which #CGS2015 was the official conference hashtag. Methods: Twitter transcripts of #CGS2015 were obtained from Symplur to prospectively analyze tweets for content and quantitative metrics...
June 2018: Canadian Geriatrics Journal: CGJ
Stephanie Cullen, Manuel Montero-Odasso, Louis Bherer, Quincy Almeida, Sarah Fraser, Susan Muir-Hunter, Karen Li, Teresa Liu-Ambrose, Chris A McGibbon, William McIlroy, Laura E Middleton, Yanina Sarquis-Adamson, Olivier Beauchet, Bradford J McFadyen, José A Morais, Richard Camicioli
Background: Motor and cognitive impairments are common among older adults and often co-exist, increasing their risk of dementia, falls, and fractures. Gait performance is an accepted indicator of global health and it has been proposed as a valid motor marker to detect older adults at risk of developing mobility and cognitive declines including future falls and incident dementia. Our goal was to provide a gait assessment protocol to be used for clinical and research purposes. Methods: Based on a consensus that identified common evaluations to assess motor-cognitive interactions in community-dwelling older individuals, a protocol on how to evaluate gait in older adults for the Canadian Consortium on Neurodegeneration in Aging (CCNA) was developed...
June 2018: Canadian Geriatrics Journal: CGJ
Jean-Sébastien Claveau, Nancy Presse, Marie-Jeanne Kergoat, Juan Manuel Villalpando
Background: Early assessment of cognitive symptoms is an issue in geriatrics. This study investigated the delay from the onset of cognitive symptoms to initial clinical assessment and its associations with patients' sociodemographic and clinical characteristics. Methods: This is a cross-sectional retrospective study using medical chart review of 316 patients referred for assessment to a university-affiliated memory clinic. Symptom duration was self-reported by patients/carers...
June 2018: Canadian Geriatrics Journal: CGJ
George A Heckman, Bryan B Franco, Linda Lee, Loretta Hillier, Veronique Boscart, Paul Stolee, Lauren Crutchlow, Joel A Dubin, Frank Molnar, Dallas Seitz
Background: Primary care-based memory clinics were established to meet the needs of persons with memory concerns. We aimed to identify: 1) physical examination maneuvers required to assess persons with possible dementia in specialist-supported primary care-based memory clinics, and 2) the best-suited clinicians to perform these maneuvers in this setting. Methods: We distributed in-person and online surveys of clinicians in a network of 67 primary care-based memory clinics in Ontario, Canada...
June 2018: Canadian Geriatrics Journal: CGJ
Sarah A Chau, Nathan Herrmann, Jonathan Chung, Moshe Eizenman, Krista L Lanctôt
Background: The purpose of this pilot study was to explore the potential of eye-tracking technology in monitoring symptoms and predicting outcomes in apathetic Alzheimer's disease (AD) patients treated with methylphenidate (MTP). Methods: Neuropsychological tests and eye-tracking measurements were completed at baseline and following at least four weeks of treatment with MTP (5-10 mg BID). Eye-movements were measured while patients viewed novel and social stimuli...
June 2018: Canadian Geriatrics Journal: CGJ
Ken Madden, Mark Rapoport, Colleen Maxwell
No abstract text is available yet for this article.
June 2018: Canadian Geriatrics Journal: CGJ
Megan Brenkel, Kimberley Whaley, Nathan Herrmann, Kerri Crawford, Elias Hazan, Laura Cardiff, Adrian M Owen, Kenneth Shulman
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...
March 2018: Canadian Geriatrics Journal: CGJ
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