journal
https://read.qxmd.com/read/37662063/pharmacological-management-of-agitation-and-delirium-in-older-adults-a-survey-of-practices-in-canadian-emergency-departments
#21
JOURNAL ARTICLE
Natanya S Russek, Christopher Skappak, Frank Scheuermeyer, Audrey-Anne Brousseau, Shelley L McLeod, Don Melady, Martha Spencer
Agitation is a common presenting symptom of delirium for older adults in the emergency department (ED). No medications have been found to reduce delirium severity, symptoms, or mortality, yet they may cause harm. Guidelines suggest using medications only when patients are posing a risk of harm, situations which may arise frequently in the ED. We sought to characterize prescribing patterns of medications for agitation by ED physicians in Canadian hospitals. In this multicenter study, we surveyed physicians in Vancouver, Toronto, and Sherbrooke...
September 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37662062/social-vulnerability-and-frailty-in-hospitalized-older-adults
#22
JOURNAL ARTICLE
Jasmine C Mah, Judith Godin, Susan J Stevens, Janice M Keefe, Kenneth Rockwood, Melissa K Andrew
BACKGROUND: Social vulnerability is the accumulation of disadvantageous social circumstances resulting in susceptibility to adverse health outcomes. Associated with increased mortality, cognitive decline, and disability, social vulnerability has primarily been studied in large population databases rather than frail hospitalized individuals. We examined how social vulnerability contributes to hospital outcomes and use of hospital resources for older adults presenting to the Emergency Department...
September 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37662061/retrospective-use-of-the-pictorial-fit-frail-scale-for-determination-of-frailty-level-in-hospitalized-older-adults-with-a-hip-fracture
#23
JOURNAL ARTICLE
Alanna Bohnsack, Karla Faig, Allyson Cook, Sherry Gionet, Josh Shanks, Susan Benjamin, Aidan Steeves, Cameron MacLellan, Andrew J Flewelling, Chris McGibbon, Pamela Jarrett
The Pictorial Fit-Frail Scale (PFFS) is a frailty tool consisting of visual images to comprehensively assess frailty across 14 domains that can be completed by health professionals, patients, or caregivers. The objective of this study was to explore the feasibility of using the PFFS retrospectively to determine a patient's frailty level using data from the hospital electronic health records (EHRs) of older adults admitted with an isolated hip fracture. A random sample of 200 hip fracture patients admitted to a Level 1 Trauma Center hospital in New Brunswick was selected for review using the PFFS...
September 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37662060/talking-about-notes-using-a-design-based-research-approach-to-develop-a-discharge-summary-template-on-a-geriatric-inpatient-unit
#24
JOURNAL ARTICLE
Alishya Burrell, Mark Goldszmidt
BACKGROUND: Discharge summaries are important educational tools, guiding trainees in their collection and documentation of data. As geriatric competencies are integrated in medical curricula, documentation on in-patient geriatric rotations should represent the unique care and education provided, yet often follow generic templates. What content should be included in a geriatric discharge summary has not previously been explored and was the purpose of this study. METHODS: A mixed-methods, designed-based research approach was used to assess note quality on a geriatric in-patient unit and iteratively co-develop a template with examples through three phases: 1) needs assessment, 2) consensus building, and 3) template development...
September 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37662059/dual-sensory-impairment-and-functional-status-in-a-prospective-cohort-study
#25
JOURNAL ARTICLE
Amber Janower, Philip St John
OBJECTIVE: To examine the impact of visual impairment, hearing impairment, and dual sensory impairment (DSI) on functional status in older adults. METHODS: Secondary analysis of the Manitoba Health and Aging Study, a population-based cohort study of 1751 adults age 65+. Data were collected from 1991 to 1992 (Time 1), with follow-up five years later (Time 2). Vision and hearing were self-reported. Functional status was measured using the Older Americans Resource and Services (OARS)...
September 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37662058/radiomic-biomarkers-as-a-non-invasive-tool-for-assessing-biological-age
#26
JOURNAL ARTICLE
Kevoyne H Chambers
No abstract text is available yet for this article.
September 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37662057/corrigendum-leisure-sedentary-time-is-associated-with-self-reported-falls-in-middle-aged-and-older-females-and-males-an-analysis-of-the-clsa
#27
Lúcio G Lustosa, David Rudoler, Olga Theou, Shilpa Dogra
[This corrects the article DOI: 10.1093/ije/dyz173.].
September 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265986/potential-factors-influencing-adoption-of-a-primary-care-pathway-to-prevent-functional-decline-in-older-adults
#28
JOURNAL ARTICLE
Chaimaa Fanaki, Julie Fortin, Marie-Josée Sirois, Edeltraut Kröger, Jacobi Elliott, Paul Stolee, Susie Gregg, Joanie Sims-Gould, Anik Giguere
INTRODUCTION: To help recognize and care for community-dwelling older adults living with frailty, we plan to implement a primary care pathway consisting of frailty screening, shared decision-making to select a preventive intervention, and facilitated referral to community-based services. In this study, we examined the potential factors influencing adoption of this pathway. METHODS: In this qualitative, descriptive study, we conducted semi-structured interviews and focus groups with patients aged 70 years and older, health professionals (HPs), and managers from four primary care practices in the province of Quebec, representatives of community-based services and geriatric clinics located near the practices...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265985/geriatric-specialists-perspectives-on-telemedicine-during-the-covid-19-pandemic-a-concurrent-triangulation-mixed-methods-study
#29
JOURNAL ARTICLE
Victoria L Chuen, Saumil Dholakia, Saurabh Kalra, Jennifer Watt, Camilla Wong, Joanne M-W Ho
During the COVID-19 pandemic, physicians provided virtual care to minimize viral transmission. This concurrent triangulation mixed-methods study assesses the use of synchronous telephone and video visits with patients and asynchronous eConsults by geriatric providers, and explores their perspectives on telemedicine use during the pandemic. Participants included physicians practicing in Ontario, Canada who were certified in Geriatric Medicine, or Care of the Elderly, or who were the most responsible physician in a long-term care for at least 10 patients...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265984/do-older-people-with-poor-sleep-quality-have-worse-cardiac-autonomic-control
#30
JOURNAL ARTICLE
Alaine S L Rocha, Vitória de Barros Siqueira, Paula A Maduro, Laísla da Silva Paixão Batista, Victor R Neves, Bruno B Gambassi, Paulo A Schwingel
OBJECTIVE: To identify the differences in cardiac autonomic control between older people with good and poor sleep quality. MATERIAL AND METHODS: This is a cross-sectional study with 40 older people aged ≥ 60 years, registered at a community health center in Petrolina, Pernambuco, Brazil. The sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI). To assess heart rate variability (HRV), the RR intervals (RRI) were recorded for 10 min with a validated smartphone app and a wireless transmitter Polar H7 positioned on the patient's chest...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265983/retrospective-cross-sectional-analysis-of-older-adults-living-with-frailty-and-anticoagulant-use-for-atrial-fibrillation
#31
JOURNAL ARTICLE
Jennifer Bolt, Arden R Barry, Jamie Yuen, Kenneth Madden, Manrubby Dhillon, Colleen Inglis
BACKGROUND: Oral anticoagulation (OAC) is recommended for most individuals with atrial fibrillation (AF), including those who are frail. Based on previous literature, those who are frail may be less likely to be prescribed OAC, and up to one-third may receive an inappropriate dose if prescribed a direct oral anticoagulant (DOAC). The objectives of this study were to determine the proportion of frail ambulatory older adults with AF who are prescribed OAC, compare the rates of OAC use across the frailty spectrum, assess the appropriateness of DOAC dosing, and identify if frailty and geriatric syndromes impact OAC prescribing patterns...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265982/leisure-sedentary-time-is-associated-with-self-reported-falls-in-middle-aged-and-older-females-and-males-an-analysis-of-the-clsa
#32
JOURNAL ARTICLE
Lúcio G Lustosa, David Rudoler, Olga Theou, Shilpa Dogra
AIM: The purpose of this analysis was to report the prevalence of falls and falls-related injuries among those reporting different volumes of weekly sedentary time, and to understand the association of sedentary time and falls, accounting for functional fitness. METHODS: Baseline and first follow-up data from the Canadian Longitudinal Study on Aging (CSLA) were analyzed (n=22,942). Participants self-reported whether they had a fall in the past 12 months (at baseline) and whether they had an injury that was a result of a fall (follow-up)...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265981/using-shared-decision-making-resources-in-long-term-care-a-qualitative-study
#33
JOURNAL ARTICLE
Wade Thompson, Lisa M McCarthy, Emily Galley, Loreena Homan, Barbara Farrell
BACKGROUND: Shared decision-making (SDM) incorporates people's individual preferences and context into individualized, person-centred decisions. Persons living in long-term care (LTC) should only take medications that are a good fit for them as individuals. METHODS: We conducted a pilot study to understand experiences of two LTC homes in Ontario as they tested implementing SDM resources to support medication decisions. LTC homes conducted two Plan-Do-Study-Act (PDSA) cycles supported by an Advisory Group composed of LTC home representatives and stakeholders involved in resource design...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265980/abstracts-abstracts-from-the-42nd-annual-scientific-meeting-of-the-canadian-geriatrics-society-compassionate-care-for-all-renewing-our-passion-recalibrating-our-compass-april-13-15-2023-vancouver-british-columbia
#34
JOURNAL ARTICLE
https://read.qxmd.com/read/37265979/the-effect-of-a-standing-intervention-on-falls-in-long-term-care-a-secondary-analysis-of-a-randomized-controlled-trial
#35
JOURNAL ARTICLE
Molly Gallibois, Grant Handrigan, Linda Caissie, Kendra Cooling, Jeffrey Hébert, Pamala Jarrett, Chris McGibbon, Emily Read, Martin Sénéchal, Danielle R Bouchard
BACKGROUND: Older adults in long term care (LTC) spend over 90% of their day engaging in sedentary behaviour. Sedentary behaviour may exacerbate functional decline and frailty, increasing the risk for falls. The purpose of this study is to explore the impact of a 22-week standing intervention on falls among LTC residents at 12-month follow-up. METHODS: This was a planned secondary analysis of the Stand if You Can randomized controlled trial. The original trial randomized 95 participants (n = 47 control; n = 48 intervention) to either a sitting control or a supervised standing intervention group (100 minutes/week) for 22 weeks...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/37265978/facilitators-and-barriers-to-nurses-screening-for-frailty-in-acute-care-in-a-provincial-health-care-system-a-survey-study-guided-by-the-theoretical-domains-framework
#36
JOURNAL ARTICLE
Janessa France, Michelle Lalonde, Daniel I McIsaac, Janet E Squires, Chantal Backman
BACKGROUND: Older adults living with frailty represent the largest population of hospitalized patients in Canada, but they do not always receive the quality of care needed. Nurses are well-positioned to screen for frailty, but current frailty screening practices are poorly understood. METHODS: A cross-sectional survey study was conducted over a six-week period with nurses from Alberta, Canada working in acute care with older adults. Demographics were descriptively reported...
June 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/36865409/thank-you-to-our-reviewers-in-2022
#37
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/36865408/comparative-risk-of-harm-associated-with-zopiclone-or-trazodone-use-in-nursing-home-residents-a-retrospective-cohort-study-in-alberta-canada
#38
JOURNAL ARTICLE
Jennifer A Watt, Susan E Bronskill, Meng Lin, Erik Youngson, Joanne Ho, Brenda Hemmelgarn, Sharon E Straus, Andrea Gruneir
BACKGROUND: There is growing evidence of harm associated with trazodone and nonbenzodiazepine sedative hypnotics (e.g., zopiclone); however, their comparative risk of harm is unknown. METHODS: We conducted a retrospective cohort study with linked health administrative data, which enrolled older (≥66 years old) nursing home residents living in Alberta, Canada, between December 1, 2009, and December 31, 2018; the last follow-up date was June 30, 2019. We compared the rate of injurious falls and major osteoporotic fractures (primary outcome) and all-cause mortality (secondary outcome) within 180 days of first prescription of zopiclone or trazodone with cause-specific hazard models and inverse probability of treatment weights to control for confounding; primary analysis was intention-to-treat and secondary analysis was per-protocol (i...
March 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/36865407/development-of-a-frailty-ladder-using-rasch-analysis-if-the-shoe-fits
#39
JOURNAL ARTICLE
Nancy E Mayo, Mylène Aubertin-Leheudre, Kedar Mate, Sabrina Figueiredo, Julio Flavio Fiore, Mohammad Auais, Susan C Scott, José A Morais
BACKGROUND: The current measurement approach to frailty is to create an index of frailty status, rather than measure it. The purpose of this study is to test the extent to which a set of items identified within the frailty concept fit a hierarchical linear model (e.g., Rasch model) and form a true measure reflective of the frailty construct. METHODS: A sample was assembled from three sources: community organization for at-risk seniors (n=141); colorectal surgery group assessed post-surgery (n=47); and hip fracture assessed post-rehabilitation (n=46)...
March 2023: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/36865406/enhancing-physical-and-community-mobility-in-older-adults-with-health-inequities-using-community-co-design-embolden-results-of-an-environmental-scan
#40
JOURNAL ARTICLE
K Bruce Newbold, Ruta Valaitis, Stuart Phillips, Elizabeth Alvarez, Sarah Neil-Sztramko, Davneet Sihota, Mainka Tandon, Abbira Nadarajah, Amy Wang, Caroline Moore, Elizabeth Orr, Rebecca Ganann
BACKGROUND: Using the comparatively new environmental scan methodology, a protocol was developed and conducted to inform the co-design and implementation of a novel intervention to promote mobility among older adults in Hamilton, Ontario, Canada. The EMBOLDEN program seeks to promote physical and community mobility in adults 55 years and older who face barriers accessing community programs and who reside in areas of high inequity in Hamilton, and to address the following areas of focus: physical activity, nutrition, social participation, and system navigation supports...
March 2023: Canadian Geriatrics Journal: CGJ
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