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Advances in managing chronic disease. Research, performance measurement, and quality improvement are key
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Advances in managing chronic disease. Research, performance measurement, and quality improvement are key
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Advances in managing chronic disease. Research, performance measurement, and quality improvement are key
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Chronic Pain
Advances in managing chronic disease. Research, performance measurement, and quality improvement are key
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Articles by Topic
Dementia
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
Comparison of cognitive and neuropsychiatric profiles in hospitalised elderly medical patients with delirium, dementia and comorbid delirium-dementia
COVID-19 severity and age increase the odds of delirium in hospitalized adults with confirmed SARS-CoV-2 infection: a cohort study
COVID-19-challenges for dementia care and research
Dealing with Racist Patients
Diagnosis, Classification and Natural History of Degenerative Dementias
Escitalopram versus risperidone for the treatment of behavioral and psychotic symptoms associated with Alzheimer's disease: a randomized double-blind pilot study.
Folate, Vitamin B6 and Vitamin B12 Intake and Mild Cognitive Impairment and Probable Dementia in the Women’s Health Initiative Memory Study
Forecasting the global burden of Alzheimer's disease.
Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria.
Geriatric psychiatry review: differential diagnosis and treatment of the 3 D's - delirium, dementia, and depression
Improving identification of cognitive impairment in primary care
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.
Prevalence and Incidence Studies of Schizophrenic Disorders - A Systematic Review of the Literature
Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): a multicentre cohort study
Protocol for the development of versions of the Montreal Cognitive Assessment (MoCA) for people with hearing or vision impairment
Racism Reported by Direct Care Workers in Long-Term Care Settings
Recommendations on screening for cognitive impairment in older adults
Screening for mild cognitive impairment: If not now, when?
Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia.
Summary of the evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective
The assessment of cognition in visually impaired older adults
The association between mood and anxiety disorders with vascular diseases and risk factors in a nationally-representative sample
The Caregiver Burden of Delirium in Older Adults With Alzheimer Disease and Related Disorders
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.
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Responsive Behaviours
Additional Resources:
An international road map to improve pain assessment in people with impaired cognition: the development of the Pain Assessment in Impaired Cognition (PAIC) meta-tool.
Antipsychotic discontinuation after the initiation of selective serotonin reuptake inhibitors therapy for the treatment of behavioral and psychological symptoms associated with dementia
Cannabinoids for the Neuropsychiatric Symptoms of Dementia: A Systematic Review and Meta-Analysis
Delirium in Older People with COVID-19- Clinical Scenario and Literature Review
Development and Psychometric Evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale
Difficult Resident or Personality Disorder? A Long-Term Care Perspective
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
Identifying and Managing Pain in People with Alzheimer’s Disease and Other Types of Dementia: A Systematic Review
Intramuscular Olanzapine in the Management of Behavioral and Psychological Symptoms in Hospitalized Older Adults- A Retrospective Descriptive Study
Management of the behavioral and psychological symptoms of dementia
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.
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
Sexual disinhibition and dementia
Simulated presence therapy for dementia (Review)
Systematic review of systematic reviews of non-pharmacological interventions to treat behavioural disturbances in older patients with dementia. The SENATOR-OnTop series.
The MOBID-2 pain scale: Reliability and responsiveness to pain in patients with dementia
Which unmet needs contribute to behavior problems in persons with advanced dementia?
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Acute Changes/Deterioration Prevention
Additional Resources
Characterizing the Long-term Care and Community-dwelling Elderly Patients Use of the Emergency Department
Keeping Long-Term Care Patients Out of Hospital During Acute Medical Illness: Proposal for Common Elements of an Integrated Healthcare Delivery System for Long-Term Care
Wound Care & Pressure Injuries
A systematic review of electrical stimulation for pressure ulcer prevention and treatment in people with spinal cord injuries
Additional Resources
Developing a Wound Care Program in Long-term Care: Changing the Focus from Products to Prevention
Development and Implementation of a Hospital-Acquired Pressure Ulcer Incidence Tracking System and Algorithm
Dressings and topical agents for arterial leg ulcers (Review)
Dressings for treating foot ulcers in people with diabetes: an overview of systematic reviews (Review)
Electrical Stimulation for Pressure Injuries: A Health Technology Assessment.
Electromagnetic therapy for treating pressure ulcers.
Foam dressings for healing diabetic foot ulcers (Review)
How We Decreased the Costs of Wound Care Supplies at a Hospital and Long‑term‑care Home
Hydrogel dressings for healing diabetic foot ulcers (Review)
Mobile Devices as Adjunctive Pain Management Tools
Negative pressure wound therapy for treating pressure ulcers (Review)
Phototherapy for treating pressure ulcers (Review)
Protease-modulating matrix treatments for healing venous leg ulcers (Review)
Repeated use of immersive virtual reality therapy to control pain during wound dressing changes in pediatric and adult burn patients
The Impact of Virtual Reality on Chronic Pain
The venous ulcer continues to be a clinical challenge: an update
Topical silver for treating infected wounds (Review)
Use of virtual reality for treating burned children: case reports
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Engaging Families in Care
‘Practical’ resources to support patient and family engagement in healthcare decisions: a scoping review
A Systematic Review of Family Meeting Tools in Palliative and Intensive Care Settings
Additional Resources
ARC Family Check-in for Engaging Families
Getting more health from healthcare: quality improvement must acknowledge patient coproduction
Innovation Implementation in the Context of Hospital QI: Lessons Learned and Strategies for Success
SBAR Worksheet - Engaging Families
Falls Prevention
2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary
A Pooled Analysis of Vitamin D Dose Requirements for Fracture Prevention
Additional Resources
An interdisciplinary knowledge translation intervention in long-term care- Study protocol for the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial
Comparative Effectiveness of Drug Treatments to Prevent Fragility Fractures- A Systematic Review and Network Meta-Analysis
Comparative trends in incident fracture rates for all long-term care and community-dwelling seniors in Ontario, Canada, 2002-2012.
Direct health-care costs attributed to hip fractures among seniors: a matched cohort study
Fracture Risk Scale (FRS) Added to MDS 2.0 Assessments
Freezing of gait and fall detection in Parkinson’s disease using wearable sensors: a systematic review
Hip Fractures in Long-Term Care: Is the Excess Explained by the Age and Gender Distribution of the Residents?
Hospitalization Rates of Nursing Home Residents and Community-Dwelling Seniors in British Columbia
Postmenopausal Osteoporosis
Quality of Care and Mortality among Long-term Care Residents with Dementia
Recommendations for preventing fracture in long-term care
Relationship between regulatory status, quality of care, and three-year mortality in Canadian residential care facilities- a longitudinal study
Risk of subsequent fracture after prior fracture among older women
Risk of subsequent fracture and mortality within 5 years after a non-vertebral fracture
Survey on Fall Detection and Fall Prevention Using Wearable and External Sensors
Survival and functional outcomes after hip fracture among nursing home residents
The current economic burden of illness of osteoporosis in Canada
The Effect of Fall Biomechanics on Risk for Hip Fracture in Older Adults- A Cohort Study of Video-Captured Falls in Long-Term Care
Type and Location of Wearable Sensors for Monitoring Falls during Static and Dynamic Tasks in Healthy Elderly- A Review
Video capture of the circumstances of falls in elderly people residing in long-term care- an observational study
Warning of an increased risk of vertebral fracture after stopping denosumab
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Movement Disorders
Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in 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
Parkinson’s disease dementia: a neural networks perspective
Pharmacological treatment of Parkinson disease: a review.
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
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
The hallmarks of Parkinson’s disease
Treatment of Cognitive, Psychiatric, and Affective Disorders Associated with Parkinson’s Disease
Diet, Nutrition, & Weight Loss
Additional Resources
Ageing Is Associated with Decreases in Appetite and Energy Intake—A Meta-Analysis in Healthy 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
Mixed methods developmental evaluation of the CHOICE program: a relationship-centred mealtime intervention for long-term care
Nutrition in Disguise: Development, Testing and Cost - Analysis of Nutrient-Enhanced Food for Residential Care.
Prevalence of inadequate micronutrient intakes of Canadian long-term care residents
Qualitative analysis of a virtual research meeting summarises expert-based strategies to promote hydration in residential care during COVID-19 and beyond.
Short Sleep Duration and Dietary Intake: Epidemiologic Evidence, Mechanisms, and Health Implications
Unintentional Weight Loss in Older Adults
Whey protein ingestion in elderly results in greater muscle protein accrual than ingestion of its constituent essential amino acid content
Sleep Disorders
Association between sleep, childhood trauma and psychosis-like experiences
Associations Between Trauma, Sleep, and Cognitive Impairment Among Latino and Asian Older Adults
Comparison of Sleep Patterns in Vietnam Veterans With and Without Posttraumatic Stress Disorder Using Wrist Actigraphy
Effectiveness of multicomponent nonpharmacological delirium interventions: a meta-analysis
Sleep disturbances among older adults following traumatic brain injury
The Nature of Trauma Pain and Its Association with Catastrophizing and Sleep
The Relationship Between Childhood Trauma and Poor Sleep Health in Adulthood
Trauma-Associated Sleep Disorder - A Post-traumatic Stress-REM Sleep Behavior Disorder Mash-Up
Trauma-Informed Hospice and Palliative Care
Palliative Care & End of Life
Additional Resources
Barriers to palliative care for advanced dementia: a scoping review
Comparison of Early Versus Late Palliative Care Consultation in End-of-Life Care for the Hospitalized Frail Elderly Patients
Depression and anxiety in patients with COPD
Efficacy of extended release quetiapine fumarate monotherapy in elderly patients with major depressive disorder: secondary analyses in subgroups of patients according to baseline anxiety, sleep disturbance, and pain levels
Guiding a Goals of Care Discussion
Congestive Heart Failure
A prospective study of hepatic safety of statins used in very elderly patients
Angiotensin–Neprilysin Inhibition versus Enalapril in Heart Failure
Canadian Cardiovascular Society consensus conference recommendations on heart failure 2006: Diagnosis and management
Cardiovascular Safety of β3-adrenoceptor Agonists for the Treatment of Patients with Overactive Bladder Syndrome
Circadian variation of variability and irregularity of heart rate in patients with permanent atrial fibrillation
Effect of Metoprolol Succinate in Patients with Stable Angina and Elevated Heart Rate Receiving Low-Dose β-Blocker Therapy
Geriatric Medicine Leadership of Health Care Transformation: To Be or Not To Be?
Interpretation of the evidence for the efficacy and safety of statin therapy
Nebivolol versus Carvedilol or Metoprolol in Patients Presenting with Acute Myocardial Infarction Complicated by Left Ventricular Dysfunction
Predictors of first-year nonadherence and discontinuation of statins among older adults- a retrospective cohort study
Spironolactone for Heart Failure with Preserved Ejection Fraction
Statins in the Prevention and Treatment of Heart Failure- a Review of the Evidence
The Effect of Spironolactone on Exercise Tolerance and Arterial Function in Older Patients with HEpEF
The first-in-man randomized trial of a beta3 adrenoceptor agonist in chronic heart failure: the BEAT-HF trial.
The neprilysin pathway in heart failure: a review and guide on the use of sacubitril/valsartan
The Prognostic Importance of Impaired Systolic Function in Heart Failure with Preserved Ejection Fraction and the Impact of Spironolactone
The Value of Admission Clinical Data for Diagnosing Heart Failure in Long-term Care
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Polypharmacy
Additional Resources
Adverse drug reactions in elderly- challenges in identification and improving preventative strategies
American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
Deciding when to stop: towards evidence-based deprescribing of drugs in older populations
Deprescribing antipsychotics for behavioural and psychological symptoms of dementia and insomnia: Evidence-based clinical practice guideline
Deprescribing Is an Essential Part of Good Prescribing
Feasibility Study of a Systematic Approach for Discontinuation of Multiple Medications in Older Adults
Individualizing prevention for older adults
Interventions that can Reduce Inappropriate Prescribing in the Elderly - A Systematic Review
Polypharmacy in the elderly: a fait accompli?
Polypharmacy: Evaluating Risks and Deprescribing
Reducing the Risk of Adverse Drug Events in Older Adults
STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers’ criteria
The war against polypharmacy: a new cost effective geriatric-palliative approach for improving drug therapy in disabled elderly people
Chronic Pain
Additional Resources
Advances in managing chronic disease. Research, performance measurement, and quality improvement are key
Assessment tools for problematic opioid use in palliative care: A scoping review
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)
Children's self-reports of pain intensity: scale selection, limitations and interpretation
Complex regional pain syndrome: diagnosis and treatment
Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale.
Diagnosis and Management of Neuropathic Pain: A Balanced Approach to Treatment
Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial
Guideline for opioid therapy and chronic noncancer pain
Management of chronic pain in older adults
Managing chronic pain in elderly patients requires a CHANGE of approach
Pain assessment for people with dementia: a systematic review of systematic reviews of pain assessment tools
Pain management in patients with dementia
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 Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
The McGill Pain Questionnaire
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
Virtual Reality as a Distraction Technique in Chronic Pain Patients
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Mood Disorders
A report on older-age bipolar disorder from the International Society for Bipolar Disorders Task Force
A tune in "a minor" can "b major": a review of epidemiology, illness course, and public health implications of subthreshold depression in older adults
Association of depression and gender with mortality in old age. Results from the Amsterdam Study of the Elderly (AMSTEL)
Canadian Guidelines on Prevention, Assessment and Treatment of Depression Among Older Adults
Cognitive functioning and late-life depression
Definitions and factors associated with subthreshold depressive conditions: a systematic review
Depression among older adults with diabetes mellitus
Depression and anxiety in patients with COPD
Diagnosing and Treating Depression in Patients with Alzheimer's Disease
Late-life depression among black and white elderly homecare patients
Loneliness among older adults in the community during COVID-19: a cross-sectional survey in Canada
Post-Stroke Depression: A Review
The association between loneliness and depressive symptoms among adults aged 50 years and older: a 12-year population-based cohort study
The pathobiology of vascular dementia
Psychosocial Care
Military Sexual Trauma in Older Women Veterans- Prevalence and Comorbidities
Providing Trauma-Informed Care
Workplace Mental Health
A better place to live, a better place to work- Ontario’s long-term care staffing plan 2020
Additional Resources
Assembling the Pieces - An Implementation Guide to the National Standard for Psychological Health and Safety in the Workplace
Characteristics and Work Life Quality of Nursing Home Care Aides in Canada
Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes
Ontario Long-Term Care Staffing Study 2020
Re-imagining Long-term Residential Care in the COVID-19 Crisis
The Association between the Perceived Adequacy of Workplace Infection Control Procedures and Personal Protective Equipment with Mental Health Symptoms: A Cross-sectional Survey of Canadian Health-care Workers during the COVID-19 Pandemic
The ROI in workplace mental health programs
Work and Wellbeing Survey Results - RNAO 2021
Workplace Mental Health Priorities - Mental Health and Well-Being
Long-Term Care Series Recordings
2021 Spring ECHO Long-Term Care
Session 01: Engaging Families in Care
Session 02: Dementia - Screening, Assessment and Diagnosis
Session 03: Behavioural and Psychological Symptoms of Dementia (BPSD)
Session 04: Depression and Delirium
Session 05: Congestive Heart Failure
Session 06: Pressure Injuries
Session 07: Palliative Care
Session 08: Movement Disorders
Session 09: Polypharmacy
Session 10: Acute Changes
Session 11: Sleep Disorders
Session 12: Falls and Bone Health
2019 Winter ECHO Long-Term Care
Session 01 - Responsive Behaviours
Session 02 - Pressure Injuries
Session 03 - Acute Changes
Session 04 - Dementia
Session 05 - Congestive Heart Failure
Session 06 - Palliative Care/End of Life
Session 07 - Fracture Prevention
Session 08 - Engaging Families
Session 09 - Movement Disorders
Session 10 - Polypharmacy
2019 Fall ECHO Long-Term Care
Session 01: Dementia
Session 02: Responsive Behaviours
Session 03: Preventing Acute Changes
Session 04: Engaging Families in Care
Session 05: Pressure Injuries
Session 06: Fracture Prevention
Session 07: Movement Disorders
Session 08: Nutrition & Weight Loss
Session 09: Polypharmacy
Session 10: Sleep Disorders
Session 11: Palliative Care
Session 12: Heart Failure
2022 Spring ECHO Long-Term Care
Session 1: Engaging Families in Care
Session 10: Depression
Session 11: Falls and Bone Health
Session 12: Sleep Disorders
Session 13: Movement Disorders
Session 14: Delirium
Session 2: Dementia
Session 3: Responsive Behaviours
Session 4: Pain
Session 5: Workplace Mental Health
Session 6: Diet and Nutrition
Session 7: Palliative Care
Session 8: Polypharmacy
Session 9: Sexuality and Aging