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Canadian Geriatrics Journal: CGJ

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https://www.readbyqxmd.com/read/28983385/can-geriatric-psychiatry-patients-complete-symptoms-self-reports-using-tablets-a-randomized-study
#1
Ghizlane Moussaoui, Ching Yu, Vincent Laliberté, Dominique Elie, Artin A Mahdanian, Benjamin Dawson, Marilyn Segal, Karl J Looper, Rej Soham
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. traditional paper forms to complete self-report psychiatric symptoms...
September 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28983384/reversing-frailty-levels-in-primary-care-using-the-cares-model
#2
Olga Theou, Grace H Park, Antonina Garm, Xiaowei Song, Barry Clarke, Kenneth Rockwood
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...
September 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28983383/the-incidence-of-hip-fractures-in-long-term-care-homes-in-saskatchewan-from-2008-to-2012-an-analysis-of-provincial-administrative-databases
#3
Lilian U Thorpe, Susan J Whiting, Wenbin Li, William Dust, Thomas Hadjistavropoulos, Gary Teare
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...
September 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28690709/polymyalgia-rheumatica-in-association-with-remitting-seronegative-sinovitis-with-pitting-edema-a-neoplastic-warning
#4
Ciro Manzo, Maria Natale
No abstract text is available yet for this article.
June 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28690708/caring-in-the-information-age-personal-online-networks-to-improve-caregiver-support
#5
Emily Piraino, Kerry Byrne, George A Heckman, Paul Stolee
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' Theory of Diffusion of Innovations [NY: Free Press; 1995], and involved focus group and individual interviews of service providers (n = 31) and family caregivers (n = 4)...
June 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28690707/understanding-how-to-support-family-caregivers-of-seniors-with-complex-needs
#6
Lesley Charles, Suzette Brémault-Phillips, Jasneet Parmar, Melissa Johnson, Lori-Ann Sacrey
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...
June 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28690706/planning-health-services-for-seniors-can-we-use-patient-s-own-perception
#7
Sabrina Figueiredo, Alicia Rosenzveig, Jose A Morais, Nancy E Mayo
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. Forward stepwise logistic regression was performed to identify the strongest contributors of poor health...
June 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28690705/community-care-for-older-adults-the-patient-caregiver-perspective
#8
EDITORIAL
Kenneth M Madden, Colleen Maxwell, Mark Rapoport
No abstract text is available yet for this article.
June 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28396706/a-scoping-review-of-frailty-and-acute-care-in-middle-aged-and-older-individuals-with-recommendations-for-future-research
#9
REVIEW
David B Hogan, Colleen J Maxwell, Jonathan Afilalo, Rakesh C Arora, Sean M Bagshaw, Jenny Basran, Howard Bergman, Susan E Bronskill, Caitlin A Carter, Elijah Dixon, Brenda Hemmelgarn, Kenneth Madden, Arnold Mitnitski, Darryl Rolfson, Henry T Stelfox, Helen Tam-Tham, Hannah Wunsch
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...
March 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28396705/changing-the-impact-of-nursing-assistants-education-in-seniors-care-the-living-classroom-in-long-term-care
#10
REVIEW
Veronique M Boscart, Josie d'Avernas, Paul Brown, Marlene Raasok
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. METHODS: A 2009 collaboration between a NH group and a community college resulted in the Living Classroom (LC), a collaborative approach to integrated learning where NA students, college faculty, NH teams, residents, and families engage in a culture of learning...
March 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28396704/emergency-department-stay-associated-delirium-in-older-patients
#11
Marcel Émond, David Grenier, Jacques Morin, Debra Eagles, Valérie Boucher, Natalie Le Sage, Éric Mercier, Philippe Voyer, Jacques S Lee
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. METHODS: A historical cohort of patients who presented to a Canadian ED in 2009 and 2011 was randomly constituted. Included patients were aged ≥ 65 years old, admitted to any hospital ward, non-delirious upon arrival and had at least a 12-hour ED stay...
March 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28396703/characteristics-and-incidence-of-traumatic-brain-injury-in-older-adults-using-home-care-in-ontario-from-2003-2013
#12
Connor McGuire, Vicki L Kristman, Lynn Martin, Michel Bédard
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...
March 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28050225/falls-fall-related-injuries-special-interest-group-a-call-to-action
#13
Manuel Montero-Odasso, David B Hogan
No abstract text is available yet for this article.
December 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28050224/perspectives-from-geriatric-in-patients-with-heart-failure-and-their-caregivers-on-gaps-in-care-quality
#14
Nahid Azad, G Lemay, J Li, M Benzaquen, L Khoury
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. RESULTS: Nineteen patients (average age 85, 12 female) surveyed...
December 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28050223/geriatric-homelessness-association-with-emergency-department-utilization
#15
Ana Hategan, Daniel Tisi, Mariam Abdurrahman, James A Bourgeois
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.) were analyzed, and demographic and clinical characteristics of the older homeless (age > 50) vs. younger counterparts (age ≤ 50) were compared during a 24-month period...
December 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28050222/validity-reliability-and-acceptability-of-the-team-standardized-assessment-of-clinical-encounter-report
#16
Camilla L Wong, Mireille Norris, Samir S Sinha, Maria L Zorzitto, Sushma Madala, Jemila S Hamid
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. Inter-rater reliability between two geriatricians and between all team members was determined...
December 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28050221/quality-of-dementia-care-in-the-community-identifying-key-quality-assurance-components
#17
George A Heckman, Veronique M Boscart, Bryan B Franco, Loretta Hillier, Lauren Crutchlow, Linda Lee, Frank Molnar, Dallas Seitz, Paul Stolee
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...
December 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28050220/last-issue-2016
#18
EDITORIAL
Ken Madden, Mark Rapoport, Colleen Maxwell
No abstract text is available yet for this article.
December 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/27729951/mindfulness-based-cognitive-therapy-in-the-treatment-of-late-life-anxiety-and-depression-a-pilot-study
#19
Mathilde Labbé, Katerina Nikolitch, Romeo Penheiro, Marilyn Segal, Karl J Looper, Nathan Herrmann, Steven Selchen, Soham Rej
No abstract text is available yet for this article.
September 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/27729950/prevention-of-post-operative-delirium-in-the-elderly-using-pharmacological-agents
#20
REVIEW
Patrice Tremblay, Susan Gold
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. Non-pharmacological measures have been the mainstay of treatment, but there has been an ongoing interest in the medical literature on the prevention of post-operative delirium using medications...
September 2016: Canadian Geriatrics Journal: CGJ
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