Highlights of this issue include a reading list on "Older Adults & Health Issues Related to Season or Climate", updates from Age-Friendly Communities Ontario Outreach Initiative, Baycrest, Brainxchange, Bruyère Research Institute, Ontario Neurotrauma Foundation and Senior Friendly Care. Information about CABHI, Ontario Sport and Recreation Communities Fund and the Health and Well-Being Grant funding opportunities as well as a listing of upcoming events are included. Sign up to receive Linkages directly here.

Thursday, January 11th from 12-1pm, Dr. Andrea Iaboni will list dementia-related falls risk factors, describe evidence-based falls prevention approaches in the advanced stage of dementia and an approach to person-centred falls management and palliative care in advanced dementia. This presentation will be available via webcast at http://webcast.otn.ca.

On Thursday January 25th from 12-1pm EST, presenter Marcia Sokolowski will help attendees identify the major benefits and challenges of advance directives, recognize staff moral distress, how to respond supportively and to identify the relevant ethical issues and principles and where conflict exists between them.  This presentation is available via webcast at http://webcast.otn.ca

This reading list provides links to and summaries of a variety of open source resources on chronic health issues and the older adult. Resources included are related to Canadian population studies, supporting self-management, disease/condition specific publications and reports from around the globe. 3 pages.

This article discusses strategies for improving adherence to treatment plans which includes the promotion of simplified medical regimes, the use of aids and more.

The authors state that the current health care system relies on the assumption that older populations have well-developed skills required for self-management of chronic disease. Clinicians must acknowledge the relationship between cognition and self-management and improve their ability to identify and respond to the causes of treatment non-adherence particularly as they related to dementia.

This paper discusses the literature on single disease state self-management with an aim of identifying potentially useful approaches for supporting complex chronic disease (CCD) self-management. They discuss negotiation of the goals of care, communicating with patients, engaging patients in behaviour change, reducing information processing burden, minimizing the negative impact on health-related quality of life and suggestions for future research.

This study involved exploring the use of a simple tool to elicit older adults’ health come priorities to help the decision making process regarding different treatment options.

The authors undertook a population-based retrospective study set in Ontario in an attempt estimate the attributable costs of multimorbidity and assess whether the association between the level of multimorbidity and health system costs varies by socio-demographic factors in young (<65 years) and older (≥65 years) adults. They found that there was a positive association between health care costs and levels of multimorbidity that was significantly stronger for older than younger adults.

The authors worked with a defined set of 32 chronic conditions drawn from a large household survey to find that the prevalence rates for almost half of the conditions increase with age and that those age patterns are strong. If the rates for each age group remained constant they projected that the rates for almost all conditions that are associated mostly with old age would rise by more than 25 percent.

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