This category of user includes the Nursing role (APN, RN, NP), Phsyiotherapy, Occupational Therapy and other affiliated roles.

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 "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.

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.

The research article provides an update on changes to the Canadian Preventive Care Checklist (PCC) Form© including updates on vitamin D and calcium supplementation, depression screening and lifestyle modifications in obese patients, blood pressure targets in hypertension, dyslipidemia screening, and new vaccination recommendations from the National Advisory Committee on Immunization (NACI). 5 Pages.

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.

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

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.

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.

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. 

This supplement to the Ottawa Charter discusses different elements for consideration in developing health policy. 7 pages. Last reviewed September 2018.

Pages