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.

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.

Highlights of this issue include a reading list on "Arthritis & the Older Adult", updates from AGE-WELL, 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 Community Support Association, Ontario Neurotrauma Foundation, Ontario Osteoporosis Strategy and Regional Geriatric Program of Toronto, Schlegel-UW Research Institute for Aging, SE Research Centre and Trent Centre for Aging & Society.

Information about a call for abstracts, as well as funding opportunities are included.  A number of upcoming events and educational opportunities are listed. Sign up to receive Linkages directly here.

Bone Mineral Density Test Requisition Form: Ontario

Currently, in Ontario, and in most other provinces, there is great variation in the way BMD (Bone Mineral Density) test referrals are made. BMD testing measures bone mass, indicating whether someone has osteoporosis or is at risk, and plays an important role in the reduction of morbidity and mortality related to fractures. It is therefore important to standardize BMD requisitions, to ensure appropriate ndividuals get tested for osteoporosis risk.

The Recommended Use Requisition (RUR) for referral for Bone Mineral Density (BMD) testing, a tool developed through the Ontario Osteoporosis Strategy by a team of researchers at Women’s College Hospital, has potential to influence the development and implementation of a standardized requisition for BMD testing.

The RUR has the potential to make the following impacts:

  • Increase BMD testing in those at high risk
  • Decrease BMD testing in those at low risk
  • Increase the accuracy of BMD reports by ensuring that clinical risk factors that modify fracture assessment are included at the time of BMD reporting/fracture risk assessment, by the reading physician.

These impacts will improve the overall quality of osteoporosis and fracture care in Ontario as information gained from a BMD test can guide clinicians and patients in understanding the risk of having an osteoporosis-related fracture, and inform decisions aimed at mitigating these risks.

This RUR has been validated by the Ontario BMD Working Group (a multidisciplinary team of family physicians, radiologists, internists, and scientists) and in relation to the current clinical guidelines for BMD testing, the OHIP Fee Schedule, and recommendations from Choosing Wisely Canada. In recognition of the importance of this initiative, Choosing Wisely Canada has recently partnered with the Ontario Osteoporosis Strategy on the initiative

The RUR form is currently available in PDF format and a version for the PS Suite EMR is under development. The PDF can be downloaded at: www.osteostrategy.on.ca

Nov. 8th from 2-3:30 PM EST at the Atrium, Hamilton. ONF has partnered with the McMaster Institute for Research on Aging to bring together a panel of experts for a presentation entitled "Fall Prevention for Older Adults With Cognitive Impairment". The panel will discuss what is needed to mitgate the risk of falls, particularly in those who are vulnerable. To learn more or to register click here, call 905-525-9140 ext. 21056 or email MIRAinfo@McMaster.ca.

October 26, 2018 at 12PM EST. The webinar features speakers, Dr. Gail Dobell and Kathryn McCulloch who will discuss a collaboration with Health Shared Services Ontario and Health Quality Ontario to improve measurement of the client and caregiver experience for home and community care.  To learn more or to register click here.

Tues. Oct. 30th from 8-9 AM EDT.  The webinar will focus on the impacts of ageism, exploring manifestations of ageism in various environments, showcasing good practice examples and engaging in a discussion of next steps. Presented by Prof. Liat Ayalon, Professor - Bar Ilan University, School of Social Work & Coordinator - Marie Curie Innovative Training Network, international Ph.D. program on Ageism and Dr Nena Georgantzi, Policy Coordinator Human Rights & Non-Discrimination, AGE Platform Europe & PhD Fellow, National University of Ireland Galway. To learn more or to register click here.

Tuesday, October 16, 2018 from 1-2pm the Centre for Studies in Aging and Health was pleased to present Lisa F. Carver of Queen's University for this Research and Innovation in Aging Forum webinar. To review the recording of this webinar click here

The Canadian Longitudinal Study on Aging (CLSA) Report on Health and Aging in Canada

This report presents key findings on physical, mental, and social aspects of aging using data collected from 50,000 Canadians aged 45-85. It highlights insights related to: physical and psychological health, loneliness and social isolation, caregiving and care receiving, transportation and mobility, work and retirement, physical function, disability and falls, lesbian, gay and bisexual aging, and lifestyle and behaviour, among others. 210 pages. Last reviewed May 2018.

iGeriCare offers free, online access to lessons and  resources that help individuals to learn about all aspects of dementia at their own pace, in their own homes.To learn more click here.

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