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.

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 inventory of fall prevention resources and learning opportunities is designed to support those who are caring for a loved one living with dementia or cognitive impairment to understand the risks of falls and create plans to reduce the risks. It is a ‘living’ document that should continue to grow as additional resources and learning opportunities are located. The resources that are noted below have been organized by a topic framework and prefaced by description of what the evidence indicates in the references. 38 pages. Last reviewed October 2018.

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

This is a policy summary of the Canadian Medical Association which advocates for programs and supports to promote healthy aging; a comprehensive continuum of health services to provide optimal care and support ot older Canadians; and an environment and society that is "age friendly." 10 pages. Last reviewed September 2018.

The authors reviewed observational and experimental studies investigating the effect of poor sleep on cognitive outcomes and Alzheimer's disease and discussed possible mechanisms. 11 pages. Last reviewed September 2018.

This article explores the relationship between sleep and cognitive functioning. 15 pages. Last reviewed September 2018.

The authors of this article review sleep disorders commonly seen in elderly adults and describe diagnosis and management. 11 pages. Last reviewed September 2018.

This article reviews common sleep prolbems in the eldelry including sleep apnea and insomnia, including treatment options. 12 pages. Last reviewed September 2018.

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