Highlights of this issue include a reading list on "Falls and Neurological Disorders", updates from Age-Friendly Communities Ontario Outreach Initiative, Baycrest, Brainxchange, Bruyère Research Institute, Ontario Neurotrauma Foundation, Regional Geriatrics Program, Senior Friendly Hospitals, information about Change Day Ontario, National Bereavement Day and a platform grant from the Brain Foundation Canada as well as a listing of upcoming events. Sign up to receive Linkages directly here.

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 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.

This article speaks to the role of occupational therapy in assessing the person, the environment, and the occupation of people with dementia to prevent falls while improving independence and participation in daily activities.

This prospective study aimed to identify modifiable risk facts for falling in older people with mild to moderate dementia.

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 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. 

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