journal
MENU ▼
Read by QxMD icon Read
search

Canadian Geriatrics Journal: CGJ

journal
https://www.readbyqxmd.com/read/29581818/a-case-for-the-standardized-assessment-of-testamentary-capacity
#1
REVIEW
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
https://www.readbyqxmd.com/read/29581817/medications-polypharmacy-influence-on-recurrent-fallers-in-community-a-systematic-review
#2
REVIEW
Yu Ming, Aleksandra Zecevic
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...
March 2018: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29581816/identifying-the-priority-topics-for-the-assessment-of-competence-in-care-of-the-elderly
#3
Lesley A Charles, Chris C Frank, Tim Allen, Tatjana Lozanovska, Marcel Arcand, Sidney Feldman, Robert E Lam, Pravinsagar G Mehta, Nadia Y Mangal
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. Methods: A modified Delphi technique was used, with online surveys and face-to-face meetings...
March 2018: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29581815/inter-rater-reliability-of-the-retrospectively-assigned-clinical-frailty-scale-score-in-a-geriatric-outreach-population
#4
Jasmine Davies, Jennifer Whitlock, Iris Gutmanis, Sheri-Lynn Kane
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)...
March 2018: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29296134/the-cauldron-of-life-experiences-that-creates-the-geriatrician-a-personal-perspective
#5
Michael Gordon
No abstract text is available yet for this article.
December 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29296133/from-physician-to-patient-a-personal-journey
#6
Colin Powell
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.
December 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29296132/proceedings-of-the-canadian-frailty-network-summit-medication-optimization-for-frail-older-canadians-toronto-monday-april-24-2017
#7
John Muscedere, Perry Kim, Peter Aitken, Michael Gaucher, Robin Osborn, Barbara Farrell, Jayna Holroyd-Leduc, Laurie Mallery, Henry Siu, James Downar, Todd C Lee, Emily McDonald, Lisa Burry
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. The Canadian Frailty Network (CFN), a pan-Canadian non-for-profit organization funded by the Government of Canada through the Networks of Centres of Excellence Program (NCE), is dedicated to improving the care of older Canadian living with frailty and, as part of its mandate, convened a meeting of stakeholders from across Canada to seek their perspectives on appropriate medication prescription...
December 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29296131/geriatric-delirium-care-using-chart-audits-to-target-improvement-strategies
#8
Carla A Loftus, Lesley A Wiesenfeld
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. Retrospective chart audits were conducted for all patients over age 50 admitted during a one-month period to compare delirium care with best practice guideline (BPG) recommendations, and to determine the incidence of missed cases of delirium and negative outcomes in patients with delirium...
December 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29296130/driving-and-dementia-workshop-module-on-communicating-cessation-to-drive
#9
Anna Byszewski, Barbara Power, Linda Lee, Glara Gaeun Rhee, Bob Parson, Frank Molnar
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. All of which may stifle the exchange of accurate information...
December 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29296129/winter-issue-2017
#10
EDITORIAL
Kenneth M Madden, Colleen Maxwell, Mark Rapoport
No abstract text is available yet for this article.
December 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28983385/can-geriatric-psychiatry-patients-complete-symptoms-self-reports-using-tablets-a-randomized-study
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
journal
journal
43961
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"