This meta-analysis aimed to evaluate the effect of cholinesterase inhibitors and memantine on the risk of falls, syncope and related events.

The authors investigated hypnotic use in older dementia patients as a potential risk factor for falls and bone fractures.  Through the use of a national inpatient database in Japan they found that short-acting benzodiazepine hypnotics and ultrashort-acting non-benzodiazepine hypnotics may increase the risk of bone fracture in hospitalized dementia patients.

The Regional Geriatric Program of Eastern Ontario is offering this Geriatric Education Series for health care professionals from Nov. 28 - 30th 2017 at the Ottawa Hospital on topics such as principles of assessing and managing the frail elderly, geriatric assessment, function, driving, falls and mobility, polypharmacy, pain, delirium, elder abuse and more.  For more information and registration details please click here. 

This reading list provides links to and summaries of a variety of open source resources related to the substance misuse and abuse in older adults. Prescription, legal and illicit substances are included. 2 pages. 

This information sheet describes the risk of dependency on benzodiazepines, associated withdrawal symptoms, and effective interventions to manage withdrawal symptoms in seniors. 

The authors of this article provide a review of epidemiological findings focusing on illicit drug use disorders and nonmedical use of prescription drugs among older adults.  

This webpage discusses the demographics and prevalence of substance abuse among older adults, physical and psychological aspects of substance abuse and misuse, barriers to identification and treatment and needed actions.

This briefing of the European Monitoring Centre for Drugs and Drug Addiction includes a section on key issues, prescribed and over-the-counter drugs, illicit drugs, alcohol, special risks for the elderly, identification and assessment, treatment, conclusions and policy considerations.

This report from the Canadian Institute for Health Information includes data on the most commonly used drugs, chronic conditions being treated by prescription medications, public drug program spending, how many seniors were using potentially inappropriate medications and how drug usage by seniors differs for those living in long-term care.  

This issue of “prevention Tactics” provides an overview of considerations related to prescription drug usage in older adults.  The author describes how older adults are more vulnerable to drug misuse, substances that can compound the effects of misuse/abuse, commonly prescribed medications, prevalence of use, contributing factors to misuse/abuse as well as strategies for communities to address these problems.

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