Baycrest Health Sciences, in partnership with North East Specialized Geriatric Centre, is launching Project ECHO Care of the Elderly (ECHO COE), a telehealth program that aims to help primary care providers build capacity in the care of older adults through biweekly 90 minute videoconference sessions on Mondays from 3-4:30pm. For more information or to register visit baycrest.org/echo.

This presentation by Dr. John Puxty provides a summary of age-related changes in memory, mild cognitive impairment (MCI), dementia, delirium and depression in older adults. Last reviewed November 2017. 66 slides.

This reading list provides links to and summaries of a variety of open source resources related to falls and neurological disorders. Resources related to Parkinson's disease, Mulitple Sclerosis, Stroke, Traumatic Brain Injury, Dementia and/or Cognitive Impairment are included. 4 pages. 

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

The authors of this longitudinal study aimed to evaluate if reduced executive function (EF) is a risk factor for future falls over the course of 5 years of follow-up. Their findings demonstrated that the risk of future falls was predicted by performance on EF and attention tests conducted 5 years earlier among community-dwelling older adults.

This paper reviews the importance of the gait-cognition inter-relationship in aging and presents evidence that gait assessments can provide a window into the understanding of cognitive function, dysfunction and fall risk in older adults.

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 authors undertook a qualitative study involving thematic analysis to explore the perceptions of older people with mild dementia and mild cognitive impairment and their family carers, about falling, fall risk and acceptability of fall prevention interventions. 

The authors provide an overview of issues of concern and consideration related to TBI in the elderly. The issue of age bias in the treatment received by older adults compared to younger adults is touched upon.

The authors of this review express concern by the lack of research in the area of mild TBI in this population and advise against extrapolating evidence from studies using younger adults due to the special needs of this population.

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