Search Knowledge Base by Keyword
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- Session 1: Dementia
- Session 2: Falls & Bone Health
- Session 3: Sleep Disorders
- Session 4: Responsive Behaviours
- Session 5: Advance Care Planning
- Session 6: Urinary Incontinence
- Session 7: Nutrition and Weight Loss
- Session 8: Polypharmacy
- Session 9: Frailty
- Session 10: Movement Disorders
- Session 11: Pain
- Session 12: Mood Disorders
- Session 13: Medical Cannabis Use in Older Adults
- Session 14: Driving and Dementia
- Session 15: Delirium
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- Session 1: Dementia
- Session 2: Frailty
- Session 3: Responsive Behaviours
- Session 4: Advance Care Planning
- Session 5: Movement Disorders
- Session 6: Sleep Disorders
- Session 7: Falls and Bone Health
- Session 8: Nutrition & Weight Loss
- Session 9: Medical Cannabis
- Session 10: Urinary Incontinence
- Session 11: Polypharmacy
- Session 12: Delirium
- Session 13: Mood Disorders
- Session 14: Pain Management
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- Session 1: Dementia
- Session 2: Frailty
- Session 3: Sleep Disorders
- Session 4: Delirium
- Session 5: Advance Care Planning
- Session 6: Pain Management
- Session 7: Polypharmacy
- Session 8: Falls & Bone Health
- Session 9: Responsive Behaviours
- Session 10: Driving & Dementia
- Session 11: Mood Disorders
- Session 12: Weight Loss & Appetite
- Session 13: Medical Cannabis
- Session 14: Incontinence
- Session 15: Movement Disorders
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- Dec 2018 - Advanced Care Planning/Goals of Care
- Nov 2018 - Caregiver Stress & Compassion Fatigue
- Oct 2018 - Delirium
- Oct 2018 - Falls in Older Adults
- Nov 2018 - Frailty
- Nov 2018 - Mood Disorders
- Dec 2018 - Pain Management in Older Adult
- Oct 2018 - Polypharmacy
- Sept 2018 - Responsive Behaviours
- Oct 2018 - Sleep Disorders
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- Advance care planning and palliative medicine in advanced dementia: a literature review
- Advance care planning and palliative medicine in advanced dementia: a literature review
- Advance Care Planning in the Elderly
- Advance care planning: A systematic review of randomised controlled trials conducted with older adults
- Advance care planning: A systematic review of randomised controlled trials conducted with older adults
- Barriers to Advance Care Planning at the End of Life: An Explanatory Systematic Review of Implementation Studies
- Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer
- Health Care Consent Act - 1996
- Illness trajectories and palliative care
- Patient Care Planning Discussions for Patients at the End of Life: An Evidence-Based Analysis
- The impact of advance care planning on end of life care in elderly patients: randomised controlled trial
- Additional Resources
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- Additional Resources
- Advances in managing chronic disease. Research, performance measurement, and quality improvement are key.
- Cannabinoids for treatment of chronic non-cancer pain; a systematic review of randomized trials
- Cervico-thoracic or lumbar sympathectomy for neuropathic pain and complex regional pain syndrome (Review)
- Clinically Organized Relevant Exam (CORE) Back Tool
- Complex regional pain syndrome: diagnosis and treatment.
- Diagnosis and Management of Neuropathic Pain: A Balanced Approach to Treatment
- Management of chronic pain in older adults
- Managing chronic pain in elderly patients requires a CHANGE of approach
- New Clinical Fibromyalgia Diagnostic Criteria
- Pharmacological Management of Persistent Pain in Older Persons
- Prevalence and impact of pain among older adults in the United States: Findings from the 2011 National Health and Aging Trends Study
- The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain
- The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
- The five pillars of pain management.
- The role of patient care teams in chronic disease management
- UHN Toronto Rehabilitation Institute - Patient Follow-Up Instructions Comprehensive Integrated Pain Program
- Validation of proposed diagnostic criteria (the “Budapest Criteria”) for Complex Regional Pain Syndrome
- Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale.
- Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial
- Pain assessment for people with dementia: a systematic review of systematic reviews of pain assessment tools
- Pain management in patients with dementia
- The McGill Pain Questionnaire
- Show all articles ( 8 ) Collapse Articles
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- A multicomponent intervention to prevent delirium in hospitalized older patients.
- Additional Resources
- Clarifying confusion: the confusion assessment method. A new method for detection of delirium.
- Delirium in elderly people.
- Delirium in Hospitalized Older Adults.
- Delirium in Older Persons: Advances in Diagnosis and Treatment
- Detecting delirium among hospitalized older patients.
- Interventions for preventing delirium in older people in institutional long-term care (Review)
- Loud and Clear: Sensory Impairment, Delirium, and Functional Recovery in Critical Illness
- Melatonin decreases delirium in elderly patients: A randomized, placebo-controlled trial
- Non-pharmacological interventions for preventing deliriumin hospitalised non-ICU patients (Protocol)
- Prevention of delirium in hospitalized older patients: risk factors and targeted intervention strategies.
- Promoting vision and hearing aids use in an intensive care unit
- Additional Resources
- PHQ - 9 (The Patient Health Questionnaire)
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- A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial
- ABC Dementia Scale: A Quick Assessment Tool for Determining Alzheimer’s Disease Severity
- Additional & Online Resources
- Depression and risk for Alzheimer Disease: Systematic Review, Meta-analysis, and Metaregression Analysis
- Diagnosis, Classification and Natural History of Degenerative Dementias
- Efficacy of Treating Pain to Reduce Behavioural Disturbances in Residents of Nursing Homes with Dementia - Cluster Randomized Clinical Trial
- Forecasting the global burden of Alzheimer's disease.
- Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria.
- Hypomanic episode improved spontaneously after isolated acute cerebellar infarct: a case report.
- Improving identification of cognitive impairment in primary care.
- Management of mild to moderate Alzheimer’s disease and dementia.
- Mid-life versus late-life depressive symptoms and risk of dementia: Differential effects for Alzheimer’s disease and vascular dementia
- Modifiable risk factors for cognitive decline and dementia
- Mood disorders after stroke and their relation to lesion location. A CT scan study.
- Persistent recurrence of hypomania and prosopoaffective agnosia in a patient with right thalamic infarct
- Plasma homocysteine as a risk factor for dementia and Alzheimer's disease.
- Position Statement of the American Association for Geriatric Psychiatry Regarding Principles of Care for Patients With Dementia Resulting From Alzheimer Disease
- Predictors of the impact of nonpharmacologic interventions for agitation in nursing home residents with advanced dementia
- Progression of subcortical ischemic disease from vascular depression to vascular dementia.
- Progressively lowered stress threshold model - understanding behavioral symptoms of dementia
- Provisional diagnostic criteria for depression of Alzheimer disease.
- Quantifying the unmet needs of caregivers of people with dementia
- Recommendations on screening for cognitive impairment in older adults.
- Screening for mild cognitive impairment: If not now, when?
- Secondary mania of vascular origin in elderly patients: a report of two clinical cases.
- Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia
- Signs and symptoms preceding the diagnosis of Alzheimer’s disease: a systematic scoping review of literature from 1937 to 2016
- Summary of the evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective
- Summary of the evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective
- The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
- The association between mood and anxiety disorders with vascular diseases and risk factors in a nationally-representative sample
- The diagnosis of dementia due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease.
- The diagnosis of dementia due to Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease
- The GPCOG: a new screening test for dementia designed for general practice.
- When Dementia is in the House
- Which unmet needs contribute to behavior problems in persons with advanced dementia
- ‘Vitamin D and cognition in older adults’: updated international recommendations
- Effect of Citalopram on Agitation in Alzheimer's Disease – The CitAD Randomized Controlled Trial
- Folate, Vitamin B6 and Vitamin B12 Intake and Mild Cognitive Impairment and Probable Dementia in the Women’s Health Initiative Memory Study
- Vitamin D, Cognition and Alzheimer’s Disease: The Therapeutic Benefit is in the D-Tails
- Vitamin B12 and Cognitive Function: An Evidence-Based Analysis
- Vitamin D deficiency as a risk factor for dementia: a systematic review and metaanalysis
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- Driving Cessation and Health Outcomes in Older Adults.
- Driving Status and Risk of Entry Into Long-Term Care in Older Adults.
- Driving with a neurodegenerative disorder: an overview of the current literature
- How effective is the Trail Making Test (Parts A and B) in identifying cognitively impaired drivers?
- Systematic Review of Driving Risk and the Efficacy of Compensatory Strategies in Persons with Dementia
- Update on the Risk of Motor Vehicle Collision or Driving Impairment with Dementia: A Collaborative International Systematic Review and Meta-Analysis
- A Novel Low-Cost Solution for Driving Assessment in Individuals with and without Disabilities
- Additional Resources
- Driving Cessation and Health Outcomes in Older Adults
- Driving evaluation methods for able-bodied persons and individuals with lower extremity disabilities- a review of assessment modalities
- Driving Status and Risk of Entry Into Long-Term Care in Older Adults
- Driving with a neurodegenerative disorder: an overview of the current literature
- Effect of memantine on the progression of driving impairment in mild Alzheimer's disease
- How effective is the Trail Making Test (Parts A and B) in identifying cognitively impaired drivers?
- Longitudinal decline of driving safety in Parkinson disease
- Management of mild to moderate Alzheimer’s disease and dementia
- Parkinson's Disease and Driving - Parkinson's Canada Form
- Practice parameter update- evaluation and management of driving risk in dementia- report of the Quality Standards Subcommittee of the American Academy of Neurology
- Systematic Review of Driving Risk and the Efficacy of Compensatory Strategies in Persons with Dementia
- Update on the Risk of Motor Vehicle Collision or Driving Impairment with Dementia: A Collaborative International Systematic Review and Meta-Analysis
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- A Public Health Approach to Fall Prevention among Older Persons in Canada
- Additional Resources
- Berg Balance Scale
- Clinical Practice Guidelines for the assessment and prevention of falls in Older People
- Effective Exercise for the Prevention of Falls: A Systematic Review and Meta-Analysis
- Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations
- Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations
- Falls & Related Injuries among Older Canadians: Fall-related Hospitalizations & Prevention Initiatives
- Falls, Injuries due to Falls, and the Risk of Admission to a Nursing Home
- Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home
- Falls: Epidemiology, Pathophysiology, and Relationship to Fracture
- Hip protectors for preventing hip fractures in older people (Review)
- Interventions for preventing falls in older people in care facilities and hospitals (Review)
- Interventions for preventing falls in older people living in the community (Review)
- Interventions for preventing falls in older people living in the community (review)
- Predictors and prognosis of inability to get up after falls among elderly persons.
- Prospective Study of the Impact of Fear of Falling on Activities of Daily Living, SF-36 Scores, and Nursing Home Admission
- Public Health Agency of Canada: Report on Seniors' falls in Canada (2005)
- Public Health Agency of Canada: Seniors' Falls In Canada, 2nd Report
- Recent opioid use and fall-related injury among older patients with trauma
- Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older People
- Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons
- The Patient Who Falls: "It's Always a Trade-Off"
- The Patient Who Falls: “It’s Always a Trade-off”
- The Timed "Up & Go": A Test of Basic Functional Mobility for Frail Elderly Persons
- Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study
- What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls?
- A Model of BMD Changes After Alendronate Discontinuation to Guide Postalendronate BMD Monitoring
- BMD Changes and Predictors of Increased Bone Loss in Postmenopausal Women After a 5-Year Course of Alendronate
- Effect of Bisphosphonate Use on Risk of Postmenopausal Breast Cancer: Results From the Randomized Clinical Trials of Alendronate and Zoledronic Acid
- Effects of continuing or stopping alendronate after 5 years of treatment - the Fracture Intervention Trial Long-term Extension (FLEX) - a randomized trial.
- Efficacy of Continued Alendronate for Fractures in Women With and Without Prevalent Vertebral Fracture: The FLEX Trial
- Flex Trial or Horizon Trial related to biphosphonates trial or holiday
- Fracture Prediction After Discontinuation of 4 to 5 Years of Alendronate Therapy: The FLEX Study
- Managing Osteoporosis Patients after Long-Term Bisphosphonate Treatment: Report of a Task Force of the American Society for Bone and Mineral Research
- Mineralization Density Distribution of Postmenopausal Osteoporotic Bone Is Restored to Normal After Long-Term Alendronate Treatment: qBEI and sSAXS Data From the Fracture Intervention Trial Long-Term Extension (FLEX)
- Randomized Trial of Effect of Alendronate Continuation Versus Discontinuation in Women With Low BMD: Results From the Fracture Intervention Trial Long-Term Extension
- Additional Resources - Falls in Older Adults
- Mortality, Independence in Living, and Re-fracture, One Year Following Hip Fracture in Canadians*
- Recommendations for preventing fracture in long-term care
- Strategies to overcome barriers to implementing osteoporosis and fracture prevention guidelines in long-term care: a qualitative analysis of action plans suggested by front line staff in Ontario, Canada
- Successful knowledge translation intervention in long-term care: final results from the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial.
- Survival and functional outcomes after hip fracture among nursing home residents
- Show all articles ( 28 ) Collapse Articles
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- A global clinical measure of fitness and frailty in elderly people
- A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans.
- A standard procedure for creating a frailty index.
- Active Ageing: A Policy Framework
- Association between frailty and delirium in older adult patients discharged from hospital
- Clinical Frail Scale
- Frailty and the Prediction of Negative Health Outcomes: A Meta-Analysis.
- Frailty in Older Adults: Evidence for a Phenotype
- Frailty in the critically ill: a novel concept
- Prevalence and 10-Year Outcomes of Frailty in Older Adults in Relation to Deficit Accumulation
- Risk factors for functional status decline in community-living elderly people: a systematic literature review.
- The effectiveness of a comprehensive geriatric assessment intervention program for frailty in community-dwelling older people: a randomized, controlled trial.
- The impact of frailty and delirium on mortality in older inpatients
- Frailty: dominos or deliberation?
- A SIMPLE FRAILTY QUESTIONNAIRE (FRAIL) PREDICTS OUTCOMES IN MIDDLE AGED AFRICAN AMERICANS
- Comprehensive Geriatric Assessment for communitydwelling, high-risk, frail, older people (Protocol)
- Frailty in Older People
- Frailty in the critically ill: a novel concept
- Online Resources
- Whey protein ingestion in elderly results in greater muscle protein accrual than ingestion of its constituent essential amino acid content
- Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS).
- Show all articles ( 6 ) Collapse Articles
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- 2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association
- Additional Resources
- Appropriateness of oral drugs for long-term treatment of lower urinary tract symptoms in older persons: results of a systematic literature review and international consensus validation process (LUTS-FORTA 2014)
- AUA White Paper on Nonneurogenic Chronic Urinary Retention: Consensus Definition, Treatment Algorithm, and Outcome End Points.
- Development of a core set of outcome measures for OAB treatment
- Diagnosis & Treatment Algorithm - AUA SUFU Guideline on Non-Neurogenic Overactive Bladder in Adults
- Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline.
- Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline.
- Flexible-Dose Fesoterodine in Elderly Adults with Overactive Bladder
- Flexible-Dose Fesoterodine in Elderly Adults with Overactive Bladder: Results of the Randomized, Double-Blind, Placebo- Controlled Study of Fesoterodine in an Aging Population Trial
- Persistence and adherence with the new beta-3 receptor agonist, mirabegron, versus antimuscarinics in overactive bladder: Early experience in Canada
- The Association Between Anticholinergic Medication Burden and Health Related Outcomes in the ‘Oldest Old’
- The efficacy and tolerability of the Beta 3-adrenoceptor agonist mirabegron for the treatment of symptoms of overactive bladder in older patients
- The neural control of micturition
- Urinary incontinence in frail elderly persons- Report from the 5th International Consultation on Incontinence
- Use of Bladder Antimuscarinics in Older Adults with Impaired Cognition
- Results after sacral nerve stimulation for chronic constipation.
- Additional References
- American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
- Anticholinergic Drug Use and Risk to Cognitive Performance in Older Adults with Questionable Cognitive Impairment
- Association of Anticholinergic Burden with Cognitive Impairment and Health Care Utilization Among a Diverse Ambulatory Older Adult Population
- Bladder antimuscarinics and cognitive decline in elderly patients
- Consensus validation of the FORTA (Fit fOR The Aged) List- a clinical tool for increasing the appropriateness of pharmacotherapy in the elderly
- Cumulative use of strong anticholinergics and incident dementia- a prospective cohort study
- How to Use the American Geriatrics Society 2015 Beers Criteria
- Show all articles ( 10 ) Collapse Articles
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- Additional Resources: Medical Cannabis in the Older Adult
- Clinical Evidence for Utilizing Cannabinoids in the Elderly
- Effect of Risperidone for the Treatment of Nightmares in Veterans with PTSD
- Medical Marijuana Use in Older Adults
- Position Paper for the Treatment of Nightmare Disorder in Adults: An American Academy of Sleep Medicine Position Paper
- Simplified guideline for prescribing medical cannabinoids in primary care
- Systematic review of systematic reviews for medical cannabinoids
- Systematic review: Efficacy and safety of medical marijuana in selected neurologic disorders
- The Use of a Synthetic Cannabinoid in the Management of Treatment-Resistant Nightmares in Posttraumatic Stress Disorder (PTSD)
- Trial of Prazosin for Post-Traumatic Stress Disorder in Military Veterans
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- Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 3. Pharmacological Treatments
- Comorbid anxiety disorders in late-life depression: results of a cohort study.
- Comparison of diagnostic performance of Two-Question Screen and 15 depression screening instruments for older adults: Systematic review and meta-analysis
- Depression among older adults: A 20 year update on give common myths and misconceptions
- Depression and risk for Alzheimer Disease: Systematic Review, Meta-analysis, and Metaregression Analysis
- Depression in the elderly
- Depressive Disorders and Symptoms in Older Primary Care Patients: One Year Outcomes
- Executive dysfunction and treatment response in late-life depression
- Exercise for depression
- Late life depression: a comparison of risk factors and symptoms according to age of onset in community dwelling older adults
- Magnetic Resonance Imaging Predictors of Treatment Response in Late-Life Depression
- Managing depression in older age: psychological interventions
- Mid-life versus late-life depressive symptoms and risk of dementia: Differential effects for Alzheimer’s disease and vascular dementia
- Phenomenology of depression in older compared with younger adults: meta-analysis.
- Progression of subcortical ischemic disease from vascular depression to vascular dementia.
- Provisional diagnostic criteria for depression of Alzheimer disease.
- Risk factors for late-onset generalized anxiety disorder: results from a 12-year prospective cohort (the ESPRIT study).
- The prognosis of depression in older patients in general practice and the community. A systematic review.
- Age differences in the prevalence and co-morbidity of DSM-IV major depressive episodes: Results from the WHO World Mental Health Survey Initiative
- Additional Resources
- Show all articles ( 5 ) Collapse Articles
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- 2015 Update on Parkinson disease
- Additional Resources
- Canadian Guidelines on Parkinson’s Disease
- Double-Blind, Double-Dummy, Randomized Study of Continuous Intrajejunal Infusion of Levodopa-Carbidopa Intestinal Gel in Advanced Parkinson's Disease
- Feeding Choices for People with Advanced Parkinson’s Disease
- Levodopa: 50 years of a revolutionary drug for Parkinson disease.
- MDS Clinical Diagnostic Criteria for Parkinson’s Disease
- MDS Clinical Diagnostic Criteria for Parkinson’s Disease
- Mindfulness-based stress reduction in Parkinson’s disease: a systematic review
- Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): Scale Presentation and Clinimetric Testing Results
- Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): Scale Presentation and Clinimetric Testing Results
- Parkinson’s disease dementia: a neural networks perspective
- Parkinson’s disease dementia: a neural networks perspective
- Parkinson’s disease in the older patient
- Parkinson’s disease: clinical features and diagnosis
- Parkinson’s Disease: From Pathogenesis to Pharmacogenomics
- Pharmacological treatment of Parkinson disease: a review.
- Physical Therapist Interventions for Parkinson Disease
- Physical therapist interventions for Parkinson disease.
- Prevalence of pain in Parkinson's disease: a systematic review using the modified QUADAS tool.
- Progressive resistance training in Parkinson’s disease: a systematic review and meta-analysis
- Progressive resistance training in Parkinson’s disease: a systematic review and meta-analysis
- Subthalamic neurostimulation for Parkinson's disease with early fluctuations: balancing the risks and benefits.
- Systematic review on strength training in Parkinson’s disease: an unsolved question
- Systematic review on strength training in Parkinson’s disease: an unsolved question
- The hallmarks of Parkinson’s disease
- The Movement Disorder Society Evidence-Based Medicine Review Update- Treatments for the non-motor symptoms of Parkinson's disease
- The Movement Disorder Society Evidence-Based Medicine Review Update: Treatments for the Non-Motor Symptoms of Parkinson's Disease
- Treadmill training for patients with Parkinson’s disease (Review)
- Treadmill training for patients with Parkinson’s disease (Review)
- Treatment of Cognitive, Psychiatric, and Affective Disorders Associated with Parkinson’s Disease
- Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in Parkinson's disease
- Practice guideline update summary- Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache
- Antidopaminergic therapy for managing comorbidities in patients with Parkinson's disease.
- Parkinson’s disease in the older patient
- Parkinson’s disease: clinical features and diagnosis
- Parkinson’s Disease: From Pathogenesis to Pharmacogenomics
- Physical Therapist Interventions for Parkinson Disease
- The Movement Disorder Society Evidence-Based Medicine Review Update- Treatments for the non-motor symptoms of Parkinson's disease
- Treadmill training for patients with Parkinson’s disease (Review)
- Show all articles ( 25 ) Collapse Articles
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- Mortality, Independence in Living, and Re-fracture, One Year Following Hip Fracture in Canadians*
- Recommendations for preventing fracture in long-term care
- Strategies to overcome barriers to implementing osteoporosis and fracture prevention guidelines in long-term care: a qualitative analysis of action plans suggested by front line staff in Ontario, Canada
- Successful knowledge translation intervention in long-term care: final results from the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial.
- Survival and functional outcomes after hip fracture among nursing home residents
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- Additional Resources
- American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
- American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
- Consensus validation of the FORTA (Fit fOR The Aged) List- a clinical tool for increasing the appropriateness of pharmacotherapy in the elderly
- Deciding when to stop: towards evidence-based deprescribing of drugs in older populations
- Feasibility Study of a Systematic Approach for Discontinuation of Multiple Medications in Older Adults
- How to Use the American Geriatrics Society 2015 Beers Criteria
- Individualizing prevention for older adults
- Interventions that can Reduce Inappropriate Prescribing in the Elderly - A Systematic Review
- Managing Psychiatric Polypharmacy
- Polypharmacy in the elderly: a fait accompli?
- Reducing the Risk of Adverse Drug Events in Older Adults
- The war against polypharmacy: a new cost effective geriatric-palliative approach for improving drug therapy in disabled elderly people
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- Additional Resources
- Assessment and management of behavioral and psychological symptoms of dementia
- Effect of Citalopram on Agitation in Alzheimer's Disease – The CitAD Randomized Controlled Trial
- Efficacy of nonpharmacologic interventions for agitation in advanced dementia: a randomized, placebo-controlled trial.
- Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial
- Predictors of the impact of nonpharmacologic interventions for agitation in nursing home residents with advanced dementia.
- Progressively Lowered Stress Threshold Model: Understanding Behavioral Symptoms of Dementia
- Quantifying the unmet needs of caregivers of people with dementia: a critical review of the quality of measures
- Which unmet needs contribute to behavior problems in persons with advanced dementia?
- Escitalopram versus risperidone for the treatment of behavioral and psychotic symptoms associated with Alzheimer's disease: a randomized double-blind pilot study.
- Reduction of the Anticholinergic Burden Makes It Possible to Decrease Behavioral and Psychological Symptoms of Dementia.
- Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial
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- Age-related changes of circadian rhythms and sleep-wake cycles
- Age-related changes of circadian rhythms and sleep-wake cycles
- Association between difficulty initiating sleep in older adults and the combination of leisure-time physical activity and consumption of milk and milk products: a cross-sectional study
- Association between difficulty initiating sleep in older adults and the combination of leisure-time physical activity and consumption of milk and milk products: a cross-sectional study.
- Can sleep quality and wellbeing be improved by changing the indoor lighting in the homes of healthy, elderly citizens?
- Effectiveness of melatonin treatment on circadian rhythm disturbances in dementia
- Effectiveness of melatonin treatment on circadian rhythm disturbances in dementia. Are there implications for delirium? A systematic review
- Effects of Diet on Sleep Quality
- Insights into REM Sleep Behavior Disorder Pathophysiology in Brainstem-Predominant Lewy Body Disease
- Melatonin decreases delirium in elderly patients- a randomized placebo-controlled trial
- Music for insomnia in adults
- Narcolepsy - Review Article
- Narcolepsy in the older adult- epidemiology, diagnosis and management
- Pharmacotherapies for sleep disturbances in dementia (Review)
- Sleep Pathologies in Depression and the Clinical Utility of Polysomnography
- Sleep Problems in the Elderly
- Sleep Problems in the Elderly
- The Treatment of Sleep Disorders of Older People
- Winter is coming- nightmares and sleep problems during seasonal affective disorder
- Age-related changes of circadian rhythms and sleep-wake cycles
- Association between difficulty initiating sleep in older adults and the combination of leisure-time physical activity and consumption of milk and milk products: a cross-sectional study.
- Can sleep quality and wellbeing be improved by changing the indoor lighting in the homes of healthy, elderly citizens?
- Effectiveness of melatonin treatment on circadian rhythm disturbances in dementia
- Effects of Diet on Sleep Quality
- Insights into REM Sleep Behavior Disorder Pathophysiology in Brainstem-Predominant Lewy Body Disease
- Melatonin decreases delirium in elderly patients- a randomized placebo-controlled trial
- Music for insomnia in adults
- Pharmacotherapies for sleep disturbances in dementia (Review)
- Sleep Pathologies in Depression and the Clinical Utility of Polysomnography
- Sleep Problems in the Elderly
- Sleep Problems in the Elderly
- Winter is coming- nightmares and sleep problems during seasonal affective disorder
- Show all articles ( 17 ) Collapse Articles
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- Additional Resources
- Interventions for reducing benzodiazepine use in older people: meta-analysis of randomised controlled trials
- Minimal interventions to decrease long-term use of benzodiazepines in primary care: a systematic review and meta-analysis.
- Screening for alcohol use and misuse in older adults: using the Short Michigan Alcoholism Screening Test--Geriatric Version.
- Treatment of Benzodiazepine Dependence
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- An Approach to the Nonpharmacologic and Pharmacologic Management of Unintentional Weight Loss Among Older Adults
- Additional Resources
- Ageing Is Associated with Decreases in Appetite and Energy Intake—A Meta-Analysis in Healthy Adults
- Mechanisms of the anorexia of aging—a review
- Short Sleep Duration and Dietary Intake: Epidemiologic Evidence, Mechanisms, and Health Implications
- Unintentional Weight Loss in Older Adults
- An Approach to the Nonpharmacologic and Pharmacologic Management of Unintentional Weight Loss Among Older Adults
- Anorexia of ageing: a key component in the pathogenesis of both sarcopenia and cachexia
- Mechanisms of the anorexia of aging—a review
- Whey protein ingestion in elderly results in greater muscle protein accrual than ingestion of its constituent essential amino acid content
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- Articles coming soon
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- Clinically Organized Relevant Exam (CORE) Back Tool
- New Clinical Fibromyalgia Diagnostic Criteria
- The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
- The McGill Pain Questionnaire
- UHN Toronto Rehabilitation Institute - Patient Follow-Up Instructions Comprehensive Integrated Pain Program
-
- Abbey Pain Scale for Dementia Patients
- ABC Dementia Scale: A Quick Assessment Tool for Determining Alzheimer’s Disease Severity
- Additional & Online Resources
- Cognigram
- Dementia Observational System (DOS) Tool
- Effect of Citalopram on Agitation in Alzheimer's Disease – The CitAD Randomized Controlled Trial
- Lawton –Brody Instrumental Activities of Daily Living Scale (IADL)
- MoCA Test
- PAINAD
- Recommendations on screening for cognitive impairment in older adults.
- The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
- The GPCOG: a new screening test for dementia designed for general practice.
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- Articles coming soon
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- Berg Balance Scale
- Prospective Study of the Impact of Fear of Falling on Activities of Daily Living, SF-36 Scores, and Nursing Home Admission
- Public Health Agency of Canada: Report on Seniors' falls in Canada (2005)
- Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons
- The Cost of Injury in Canada - The clock is ticking...
- Tinetti Balance Assessment Tool
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- Diagnosis & Treatment Algorithm - AUA SUFU Guideline on Non-Neurogenic Overactive Bladder in Adults
- Diagnosis & Treatment Algorithm: AUA/SUFU Guideline on Non-Neurogenic Overactive Bladder in Adults
- The efficacy and tolerability of the b3-adrenoceptor agonist mirabegron for the treatment of symptoms of overactive bladder in older patients
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Search Knowledge Base by Keyword
Practice guideline update summary- Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache
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- Movement Disorders
- Practice guideline update summary- Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache
Simpson DM1, Hallett M1, Ashman EJ1, Comella CL1, Green MW1, Gronseth GS1, Armstrong MJ1, Gloss D1, Potrebic S1, Jankovic J1, Karp BP1, Naumann M1, So YT1, Yablon SA1.
Abstract
OBJECTIVE:
To update the 2008 American Academy of Neurology (AAN) guidelines regarding botulinum neurotoxin for blepharospasm, cervical dystonia (CD), headache, and adult spasticity.
METHODS:
We searched the literature for relevant articles and classified them using 2004 AAN criteria.
RESULTS AND RECOMMENDATIONS:
Blepharospasm: OnabotulinumtoxinA (onaBoNT-A) and incobotulinumtoxinA (incoBoNT-A) are probably effective and should be considered (Level B). AbobotulinumtoxinA (aboBoNT-A) is possibly effective and may be considered (Level C). CD: AboBoNT-A and rimabotulinumtoxinB (rimaBoNT-B) are established as effective and should be offered (Level A), and onaBoNT-A and incoBoNT-A are probably effective and should be considered (Level B). Adult spasticity: AboBoNT-A, incoBoNT-A, and onaBoNT-A are established as effective and should be offered (Level A), and rimaBoNT-B is probably effective and should be considered (Level B), for upper limb spasticity. AboBoNT-A and onaBoNT-A are established as effective and should be offered (Level A) for lower-limb spasticity. Headache: OnaBoNT-A is established as effective and should be offered to increase headache-free days (Level A) and is probably effective and should be considered to improve health-related quality of life (Level B) in chronic migraine. OnaBoNT-A is established as ineffective and should not be offered for episodic migraine (Level A) and is probably ineffective for chronic tension-type headaches (Level B).
Resource: Neurology. 2016 May 10;86(19):1818-26.
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- Session 1: Dementia
- Session 2: Falls & Bone Health
- Session 3: Sleep Disorders
- Session 4: Responsive Behaviours
- Session 5: Advance Care Planning
- Session 6: Urinary Incontinence
- Session 7: Nutrition and Weight Loss
- Session 8: Polypharmacy
- Session 9: Frailty
- Session 10: Movement Disorders
- Session 11: Pain
- Session 12: Mood Disorders
- Session 13: Medical Cannabis Use in Older Adults
- Session 14: Driving and Dementia
- Session 15: Delirium
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- Session 1: Dementia
- Session 2: Frailty
- Session 3: Responsive Behaviours
- Session 4: Advance Care Planning
- Session 5: Movement Disorders
- Session 6: Sleep Disorders
- Session 7: Falls and Bone Health
- Session 8: Nutrition & Weight Loss
- Session 9: Medical Cannabis
- Session 10: Urinary Incontinence
- Session 11: Polypharmacy
- Session 12: Delirium
- Session 13: Mood Disorders
- Session 14: Pain Management
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- Session 1: Dementia
- Session 2: Frailty
- Session 3: Sleep Disorders
- Session 4: Delirium
- Session 5: Advance Care Planning
- Session 6: Pain Management
- Session 7: Polypharmacy
- Session 8: Falls & Bone Health
- Session 9: Responsive Behaviours
- Session 10: Driving & Dementia
- Session 11: Mood Disorders
- Session 12: Weight Loss & Appetite
- Session 13: Medical Cannabis
- Session 14: Incontinence
- Session 15: Movement Disorders
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- Dec 2018 - Advanced Care Planning/Goals of Care
- Nov 2018 - Caregiver Stress & Compassion Fatigue
- Oct 2018 - Delirium
- Oct 2018 - Falls in Older Adults
- Nov 2018 - Frailty
- Nov 2018 - Mood Disorders
- Dec 2018 - Pain Management in Older Adult
- Oct 2018 - Polypharmacy
- Sept 2018 - Responsive Behaviours
- Oct 2018 - Sleep Disorders
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- Mortality, Independence in Living, and Re-fracture, One Year Following Hip Fracture in Canadians*
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- Articles coming soon
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- Clinically Organized Relevant Exam (CORE) Back Tool
- New Clinical Fibromyalgia Diagnostic Criteria
- The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
- The McGill Pain Questionnaire
- UHN Toronto Rehabilitation Institute - Patient Follow-Up Instructions Comprehensive Integrated Pain Program
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- Abbey Pain Scale for Dementia Patients
- ABC Dementia Scale: A Quick Assessment Tool for Determining Alzheimer’s Disease Severity
- Additional & Online Resources
- Cognigram
- Dementia Observational System (DOS) Tool
- Effect of Citalopram on Agitation in Alzheimer's Disease – The CitAD Randomized Controlled Trial
- Lawton –Brody Instrumental Activities of Daily Living Scale (IADL)
- MoCA Test
- PAINAD
- Recommendations on screening for cognitive impairment in older adults.
- The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
- The GPCOG: a new screening test for dementia designed for general practice.
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- Articles coming soon
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- Berg Balance Scale
- Prospective Study of the Impact of Fear of Falling on Activities of Daily Living, SF-36 Scores, and Nursing Home Admission
- Public Health Agency of Canada: Report on Seniors' falls in Canada (2005)
- Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons
- The Cost of Injury in Canada - The clock is ticking...
- Tinetti Balance Assessment Tool
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- Diagnosis & Treatment Algorithm - AUA SUFU Guideline on Non-Neurogenic Overactive Bladder in Adults
- Diagnosis & Treatment Algorithm: AUA/SUFU Guideline on Non-Neurogenic Overactive Bladder in Adults
- The efficacy and tolerability of the b3-adrenoceptor agonist mirabegron for the treatment of symptoms of overactive bladder in older patients
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