December 11, 2018 from 1-2pm EST. The Centre for Studies in Aging & Health is pleased to feature PhD Candidate Atul Jaiswal for this free Research & Innovation in Aging Forum webinar introducing the condition of dual sensory loss or deafblindness. The characteristics, epidemioogy and impact of dual sensory loss on life will be explored. The unique participation experiences of three categories of individuals in this population will be discussed. Register here.

We Can't Address What We Don't Measure Consistently. Building Consensus on Frailty in Canada

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.

Highlights of this issue include a reading list on "Osteoporosis & the Older Adult,” updates from the Alzheimer Society of Ontario, Baycrest, Brainxchange, Bruyere Research Institute, Centre for Studies in Aging and Health, Institute for Life Course & Aging, National Institute on Ageing, Ontario Age-Friendly Communities Outreach Program,Ontario Neurotrauma Foundation, Ontario Osteoporosis Strategy and Regional Geriatric Program of Toronto and Schlegel-UW Research Institute for Aging.

Information about funding opportunities from AGE-WELL, Alzheimer’s Drug Discover Foundation, Ontario Brain Institute and Weston Brain Institute are included.  A number of upcoming events and educational opportunities are listed. Sign up to receive Linkages directly here.

Home Adaptation Checklist

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.

Fri. Dec. 7, 2018 from 8am - 3pm at Baycrest Health Sciences, Toronto.  Baycrest's annual clinical update conference is jointly presented with the Centre for Aging and Brain Health Innovation.  The program will also be available via videoconferencing and webcasting.  See the pdf for the conference program and registration information.  Register here.

Safer Prescribing in Elderly Patients

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.

Better Prescribing in the Elderly

This article  presents the importance of potentially inappropriate medications (PIMs) in the elderly. Guidance on deprescribing is provided. 7 pages. Last reviewed October 2018.

Problem-Based Deprescribing: A Practical Patient-Centred Approach to Promoting the use of Existing Deprescribing Resources in Frontline Care

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 publication aims to assist primary care physicians  understand important considerations when prescribing for older adults with cognitive impairment.  7 pages. Last reviewed September 2018.

Optimizing Medication Appropriateness in Older Adults: A Randomized Clinical Intervention Trial to Decrease Anticholinergic Burden

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. 

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