This report is authored by Dr. Samir Sinha, Allan McKee, Ivy Wong, Julie Dunning, Michael Nicin, and Dr. John Muscedere. It shows that frailty is a common condition more prevalent in older populations, which increases an individual’s risk of falls, emergency department visits, hospitalization, institutionalization, and death. The problem, the authors argue, is that frailty is not being measured consistently in Canada, which makes it difficult for health providers and governments to address.
The report urges the research and health care communities to come to consensus on a common definition of frailty, and argues that clinicians need to consider social factors, such as poverty, housing and loneliness, which can contribute to how well individuals cope with frailty. 56 pages. Last reviewed September, 2018.
This article takes a case study approach to introduce pharmacokinetic changes with aging, pharmacodynamic drug changes associated with aging, the impact of multiple medications, considerations for UTI and risk of falls, 7 pages. Last reviewed October 2018.
This article discusses recent resources available to support better prescribing for older adults. Case studies are utilized to illustrate how to operationalize problem-based deprescribing. 14 pages. Last reviewed October 2018.
Optimizing Medications in Older Adults With Cognitive Impairment
This article describes a randomized trial investigating the effectiveness of targeted patient-centred pharmacist-physician team medication therapy management (MTM) on clinical dementia rating (CDR). The findings show promise to optimizing outcomes for medication use in older adults. 10 pages. Last reviewed September, 2018.
Key Issues in Healthy Aging: Strategies for Health Promotion
This is a policy summary of the Canadian Medical Association which advocates for programs and supports to promote healthy aging; a comprehensive continuum of health services to provide optimal care and support ot older Canadians; and an environment and society that is "age friendly." 10 pages. Last reviewed September 2018.
A Snapshot of Population Aging and Intergenerational Relationships in Canada
The authors reviewed observational and experimental studies investigating the effect of poor sleep on cognitive outcomes and Alzheimer's disease and discussed possible mechanisms. 11 pages. Last reviewed September 2018.