April 1, 2019 from 12-1PM EST join presenter Dr. Chris Frank, as he discusses communication strategies for having difficult conversations such as advance care planning, goals of care and end of life.  Learning objectives include understanding the difference between Advance Care Planning (ACP), goals of care and consent; incorporate ACP and goals of care discussions into regular outpatient care; using the principles to make CPR discussions easier for patients and you and incorporate Harvard Serious Illness Communication guide and other resources into your discussions. Register here.

Highlights of this issue include a reading list on "Speech, Language & Hearing in Older Age” as well as updates from AGE-WELL, Baycrest, Brainxchange, Bruyere, Centre for Studies in Aging and Health, Gilbrea Centre for Studies in Aging, Institute for Life Course & Aging, Ontario Age-Friendly Communities Outreach Program, Ontario Neurotrauma Foundation, Ontario Osteoporosis Strategy, Regional Geriatric Program of Toronto and Schlegel-UW Research Institute for Aging (RIA).

Information about funding opportunities and calls for abstracts from the Canadian Association on Gerontology and Canadian Frailty Network are included.  A number of upcoming events and educational opportunities are listed. Sign up to receive Linkages directly here.

On March 4th, 2019 Dr. John Puxty provided this in-person/webinar presentation targeted towards the practicing clinician with a focus on assisting them in appreciating the importance of recognizing frailty in older adults, identifying practical methods for flagging and assessing frailty and its commonly associated contributing factors and improving awareness about evidence-based strategies to reduce and manage frailty. Watch the video recording here.

On  Feb. 21st 2019, Dr. Joanne Ho provided this in-person and online presentation where she discussed the pharmacology of cannabinoids, unique considerations for older adults and cannabis drug-drug interactions to consider with cannabinoids.  Please note that the content included was based on the best evidence available at the time. The recording of the presentation is available for viewing here. A special edition reading list is available as a pdf featuring related resources.

FASTlinks is a series of web-based maps that display links for elder care services in South East Ontario organized into 10 common elder care domains. The 10 domains are organized by function, rather than disease diagnosis. FASTlinks was developed by the CSAH in collaboration with the Aging with Co-morbidities Network.

This checklist identifies environmental adaptations for seniors that could help prevent accidents and enhance independent living at home. Guidelines on how to hire a reputable contractor are included.

This reading list includes links to and summaries of a variety of open source resources related to considerations for health and personal care professionals in having difficult conversations with older adults. Topics include:

  • decision making
  • diagnosis
  • end-of-life
  • sexuality

2 pages. Last reviewed March 2019.

This UK report aims to raise awareness of an often overlooked population, to promote greater understanding of support needs and recommend approaches that offer better, high quality care. 16 pages. Last reviewed March 2019.

This handout includes a variety of communication tools in end-of-life care including ASK-TELL-ASK, "I WISH", N.U.R.S.E., S.P.I.K.E.S., and the basic structure for discussing DNR. 1 page. Last reviewed March 2019.

The authors aimed to identify opportunities for physicians to engage in ACP discussions and to characterize physician's responses to these opportunities. 7 pages. Last reviewed March 2019.

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