Canadian Journal on Aging-Revue Canadienne Du Vieillissement最新文献_第10页

Latest Canadian Consensus Conference on the Diagnosis and Treatment of Dementia: What's in It for Primary Care? 最新的加拿大痴呆症诊断和治疗共识会议：它对初级保健有什么意义？

IF 1.7 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-10-19 DOI: 10.1017/S0714980823000521

Laura Rojas-Rozo, Linda Lee, Vladimir Khanassov, Saskia Sivananthan, Zahinoor Ismail, Serge Gauthier, Isabelle Vedel

{"title":"Latest Canadian Consensus Conference on the Diagnosis and Treatment of Dementia: What's in It for Primary Care?","authors":"Laura Rojas-Rozo, Linda Lee, Vladimir Khanassov, Saskia Sivananthan, Zahinoor Ismail, Serge Gauthier, Isabelle Vedel","doi":"10.1017/S0714980823000521","DOIUrl":"10.1017/S0714980823000521","url":null,"abstract":"In 2020, the fifth Canadian Consensus Conference on the Diagnosis and Treatment of Dementia (CCCDTD5) published up-to-date recommendations for the clinical management of persons living with dementia (PLWD) and their caregivers. During the CCCDTD5 meetings, a list of recommendations for dementia care was compiled. With the aid of family physicians and the Canadian Consortium on Neurodegeneration in Aging, we selected the most relevant CCCDTD5 recommendations for primary care and tailored and summarized them in the present manuscript to facilitate their reference and use. These recommendations focus on (a) risk reduction, (b) screening and diagnosis, (c) deprescription of dementia medications, and (d) non-pharmacological interventions. The development of recommendations for the ongoing management of dementia is an iterative process as new evidence on interventions for dementia is published. These recommendations are important in the primary care setting as the entry point for PLWD into the health system.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"185-196"},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

At the Epicentre of the COVID-19 Pandemic in Canada: Experiences and Recommendations of Family Care Partners of an Older Person Living in a Long-Term Care Home. 在加拿大新冠肺炎大流行的中心：长期护理院老年人家庭护理伙伴的经验和建议。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-09-29 DOI: 10.1017/S0714980823000466

Anne Bourbonnais, Geneviève Lachance, Jennifer Baumbusch, Amy Hsu, Stéphanie Daneau, Susan Macaulay

{"title":"At the Epicentre of the COVID-19 Pandemic in Canada: Experiences and Recommendations of Family Care Partners of an Older Person Living in a Long-Term Care Home.","authors":"Anne Bourbonnais, Geneviève Lachance, Jennifer Baumbusch, Amy Hsu, Stéphanie Daneau, Susan Macaulay","doi":"10.1017/S0714980823000466","DOIUrl":"10.1017/S0714980823000466","url":null,"abstract":"The roles of family care partners of older persons living in long-term care homes (LTCH) were severely disrupted during the coronavirus disease (COVID-19) pandemic. Our aim was to describe their experiences and to solicit their recommendations for supportive actions. We conducted a critical ethnography with 24 care partners who cared or had cared for an older person living in an LTCH in Québec during the COVID-19 pandemic. We collected data during interviews and used Spradley's method to analyse them. Care partners experienced a forced separation from the older persons they cared for, which resulted in significant distress. Care, including post-mortem care, was considered inadequate and sometimes even inhumane. Communication was inconsistent, and this variability was also noted in visitation rules. Care partners perceived LTCHs as a neglected community. Supportive actions were recommended. The results illustrated the essential contribution of care partners, and the supportive actions they recommended must be a catalyst for change toward more humane care in LTCH settings.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"244-256"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Sondage sur les pratiques des médecins de famille et sur la collaboration interprofessionnelle avec des ergothérapeutes en GMF quant au dépistage des conducteurs à risque]. [家庭医生实践调查及与GMF职业治疗师在识别危险司机方面的跨专业合作]。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-11-14 DOI: 10.1017/S0714980823000673

Sandrine Brière-Dulude, Lucas Melgares, Justine Labourot, Tania Deslauriers, Isabelle Gélinas, Géraldine Layani, Brigitte Vachon

{"title":"[Sondage sur les pratiques des médecins de famille et sur la collaboration interprofessionnelle avec des ergothérapeutes en GMF quant au dépistage des conducteurs à risque].","authors":"Sandrine Brière-Dulude, Lucas Melgares, Justine Labourot, Tania Deslauriers, Isabelle Gélinas, Géraldine Layani, Brigitte Vachon","doi":"10.1017/S0714980823000673","DOIUrl":"10.1017/S0714980823000673","url":null,"abstract":"Cette étude a sondé 46 médecins de famille québécois quant à leurs pratiques pour l'évaluation et le dépistage des conducteurs à risque afin 1) de mieux comprendre leur niveau de compétence perçu; 2) de recenser les difficultés rencontrées dans le processus de prise de décision et 3) de documenter leurs besoins et attitudes quant à une collaboration plus étroite avec les ergothérapeutes. Les participants (femmes : 84,8 %; moyenne d'expérience : 15,7 (±12,1) ans) ont répondu à un sondage en ligne de 30 questions. Les résultats de cette étude démontrent que malgré un certain confort à effectuer l'évaluation et le dépistage des conducteurs à risque, les médecins ne se considèrent pas comme les professionnels les mieux qualifiés pour ce faire. Ils reconnaissent également le rôle que jouent les ergothérapeutes dans le dépistage de cette clientèle et l'intervention auprès d'elle. Ils voient ainsi la pertinence d'avoir accès aux services de ces professionnels en soins de première ligne.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"266-274"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A "Patient Preference" Model of Recruitment for Research from Primary-Care-Based Memory Clinics: A Promising New Approach. 从初级保健记忆诊所招募研究人员的 "患者偏好 "模式：一种大有可为的新方法

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-09-11 DOI: 10.1017/S0714980823000533

Linda Lee, Loretta M Hillier, Tejal Patel, Susie Gregg, Kathy Hickman, Stephanie K Lu, Michael Lee, Michael J Borrie

{"title":"A \"Patient Preference\" Model of Recruitment for Research from Primary-Care-Based Memory Clinics: A Promising New Approach.","authors":"Linda Lee, Loretta M Hillier, Tejal Patel, Susie Gregg, Kathy Hickman, Stephanie K Lu, Michael Lee, Michael J Borrie","doi":"10.1017/S0714980823000533","DOIUrl":"10.1017/S0714980823000533","url":null,"abstract":"Recruiting persons with dementia for clinical trials can be challenging. Building on a guide initially developed to assist primary-care-based memory clinics in their efforts to support research, a key stakeholder working group meeting was held to develop a standardized research recruitment process, with input from patients, care partners, researchers, and clinicians. Discussions in this half-day facilitated meeting focused on the wishes and needs of patients and care partners, policy and procedures for researchers, information provided to patients, and considerations for memory clinics. Patients and care partners valued the opportunity to contribute to science and provided important insights on how to best facilitate recruitment. Discussions regarding proposed processes and procedures for research recruitment highlighted the need for a new, patient-driven approach. Accordingly, a key stakeholder co-designed \"Memory Clinic Research Match\" program was developed that has the potential to overcome existing barriers and to increase recruitment for dementia-related research.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"275-286"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10203818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Older Adults' Experiences with Remote Care for Specialized Health Service During the COVID-19 Pandemic: A Descriptive Qualitative Study. 新冠肺炎大流行期间老年人远程护理专业卫生服务的经验：描述性定性研究。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-10-23 DOI: 10.1017/S0714980823000636

Alice Gaudine, Karen Parsons, Joanne Smith-Young

{"title":"Older Adults' Experiences with Remote Care for Specialized Health Service During the COVID-19 Pandemic: A Descriptive Qualitative Study.","authors":"Alice Gaudine, Karen Parsons, Joanne Smith-Young","doi":"10.1017/S0714980823000636","DOIUrl":"10.1017/S0714980823000636","url":null,"abstract":"The coronavirus disease (COVID-19) pandemic necessitated a rapid uptake of remote health care services. This qualitative descriptive study was designed to gain an understanding of older adults' experiences of remote care (telephone or online video conference appointments) for specialized health services during the COVID-19 pandemic. Twenty-one older adults (ages 65 years and older; 8 men and 13 women) living in eastern Canada participated in a semi-structured telephone interview. Data were analysed using qualitative content analysis. The vast majority of older adults were overall satisfied with their remote experiences of specialist care. Advantages to remote care for specialized services included convenience, safety during the pandemic, comfort, efficiency, and ease of visit. Disadvantages included communication not as effective, feeling depersonalized or disembodied, missing the human relationship, and wanting reassurance of physical assessment. It is important that health professionals understand the disadvantages for older adults of remote care visits in order to mitigate them.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"257-265"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Programme d'été sur le vieillissement de l'Institut du vieillissement des Instituts de Recherche en Santé du Canada : trois pistes de réflexion de participants du Québec]. [加拿大健康研究所老龄化研究所夏季老龄化计划：魁北克参与者的三点感想]。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-03-13 DOI: 10.1017/S0714980824000035

Alexandre Campeau Calfat, Élise Roger, Caroline Sirois

引用次数: 0

[L'impossible quête des préposées aux bénéficiaires pour actualiser la bientraitance visée dans les politiques publiques du Québec.The impossible quest of health care aides to actualize the good treatment targeted in Quebec's public policies.] [医护人员为实现魁北克公共政策中的善待目标而进行的不可能的探索]。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-03-11 DOI: 10.1017/S0714980824000023

Sophie Ethier, Anne Myrand, Anna Andrianova, Sandra Smele, Éric Gagnon, Mélanie Couture, François Aubry

{"title":"[L'impossible quête des préposées aux bénéficiaires pour actualiser la bientraitance visée dans les politiques publiques du Québec.The impossible quest of health care aides to actualize the good treatment targeted in Quebec's public policies.]","authors":"Sophie Ethier, Anne Myrand, Anna Andrianova, Sandra Smele, Éric Gagnon, Mélanie Couture, François Aubry","doi":"10.1017/S0714980824000023","DOIUrl":"https://doi.org/10.1017/S0714980824000023","url":null,"abstract":"Notre recherche visait à mettre en lumière les pratiques bientraitantes des préposées aux bénéficiaires en milieux d'hébergement pour aînés au Québec. L'objet de l'article est de faire ressortir la dichotomie entre les définitions de la bientraitance et son opérationnalisation. Dans la première partie, la notion de bientraitance dans le cadre de deux politiques gouvernementales québécoises est présentée. Ensuite, il est question du travail des préposées aux bénéficiaires en tant que vectrices de cette bientraitance dans la pratique. La troisième partie présente les résultats de notre recherche qui viennent soulever trois constats remettant en cause l'applicabilité des politiques publiques en cette matière : l'absence de reconnaissance d'un métier par définition bientraitant; les injonctions normatives à l'encontre du sens attribué à la bientraitance, et les obstacles organisationnels et sociopolitiques à la bientraitance. Ces constats sont réexaminés à la lumière des écrits dans la discussion, laquelle ouvre sur la notion de maltraitance organisationnelle.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

You've Got E-Mail: A Pilot Study Examining the Feasibility and Impact of a Group-Based Technology-Training Intervention Among Older Adults Living in Residential Care. 你有电子邮件一项试点研究，探讨在居住在养老院的老年人中开展以小组为基础的技术培训干预的可行性和影响。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-03-01 Epub Date: 2023-07-28 DOI: 10.1017/S0714980823000375

Renate Ysseldyk, Thomas A Morton, Catherine Haslam, S Alexander Haslam, Jennifer Boger, Emily Giau, Erin P Macdonald, Amy Matharu, Madeline McCoy

{"title":"You've Got E-Mail: A Pilot Study Examining the Feasibility and Impact of a Group-Based Technology-Training Intervention Among Older Adults Living in Residential Care.","authors":"Renate Ysseldyk, Thomas A Morton, Catherine Haslam, S Alexander Haslam, Jennifer Boger, Emily Giau, Erin P Macdonald, Amy Matharu, Madeline McCoy","doi":"10.1017/S0714980823000375","DOIUrl":"10.1017/S0714980823000375","url":null,"abstract":"Older adults living in residential care often experience challenges in sustaining meaningful social relationships, which can result in compromised health and well-being. Online social networking has the potential to mitigate this problem, but few studies have investigated its implementation and its effectiveness in maintaining or enhancing well-being. This pilot study used a cluster-randomized pre-post design to examine the feasibility of implementing a 12-week group-based technology-training intervention for older adults (n = 48) living in residential care by exploring how cognitive health, mental health, and confidence in technology were impacted. Analysis of variance revealed significant increases in life satisfaction, positive attitudes toward computer use, and self-perceived competence among participants who received the intervention, but increased depressive symptoms for the control group. These findings suggest that, despite challenges in implementing the intervention in residential care, group-based technology training may enhance confidence among older adults while maintaining or enhancing mental health.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"45-56"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9884094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating a Standardized Self-Report Tool into Geriatric Medicine Practice during the COVID-19 Pandemic: A Mixed-Methods Study. 在 COVID-19 大流行期间将标准化自我报告工具纳入老年医学实践：混合方法研究。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-03-01 Epub Date: 2023-07-28 DOI: 10.1017/S0714980823000387

Melissa Northwood, Nicole Didyk, Sophie Hogeveen, Amanda Nova, Elizabeth Kalles, George Heckman

{"title":"Integrating a Standardized Self-Report Tool into Geriatric Medicine Practice during the COVID-19 Pandemic: A Mixed-Methods Study.","authors":"Melissa Northwood, Nicole Didyk, Sophie Hogeveen, Amanda Nova, Elizabeth Kalles, George Heckman","doi":"10.1017/S0714980823000387","DOIUrl":"10.1017/S0714980823000387","url":null,"abstract":"Specialized geriatric services care for older adults (≥ 65 years of age) with dementia and other progressive neurological disorders, frailty, and mental health conditions were provided both virtually and in person during the pandemic. The objective of this study was to implement a software-enabled standardized self-report instrument - the interRAI Check-Up Self-Report - to remotely assess patients. A convergent, mixed-methods research design was employed. Staff found the instrument easy to use and the program-level metrics helpful for planning. Most patients urgently needed a geriatrician assessment (72%) and had moderate to severe cognitive (34%) and functional impairments (34%), depressive symptoms (53%), loneliness (57%), daily pain (32%), and distressed caregivers (46%). Implementation considerations include providing ongoing support and facilitating intersectoral collaboration. The Check Up enhanced the geriatric assessment process by creating a system to track all needs for immediate and future care at both the patient and program level.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"12-22"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9938243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social Connectedness Between Family Caregivers and Older Adults Living in Long-Term Care Homes in the Context of COVID-19. 新冠肺炎背景下家庭护理人员与长期护理院老年人之间的社会联系。

IF 1.9 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-03-01 Epub Date: 2023-09-20 DOI: 10.1017/S0714980823000351

Anna Garnett, Hannah Pollock, Natalie Floriancic, Kristin Prentice, Lorie Donelle, Carri Hand, Abe Oudshoorn, Yolanda Babenko-Mould, Cheryl Forchuk

{"title":"Social Connectedness Between Family Caregivers and Older Adults Living in Long-Term Care Homes in the Context of COVID-19.","authors":"Anna Garnett, Hannah Pollock, Natalie Floriancic, Kristin Prentice, Lorie Donelle, Carri Hand, Abe Oudshoorn, Yolanda Babenko-Mould, Cheryl Forchuk","doi":"10.1017/S0714980823000351","DOIUrl":"10.1017/S0714980823000351","url":null,"abstract":"The coronavirus disease (COVID-19) pandemic and resulting restrictions on physical access to long-term care homes culminated in health declines for older adults living there and their families. Knowledge gaps exist regarding maintaining social connectedness when physically separated. The study aimed to explore family members' perceptions of the impact that restrictions on physical access to long-term care homes had on the experience of social connectedness between family members and older adults living in long-term care. The method used was a qualitative description, using in-depth semi-structured interviews. Themes arising from inductive qualitative content analysis of 21 interviews with family members included: (a) lack of connection threatening mental, emotional health, and physical health; (b) navigating trust in the unknown; (c) feelings of stress and anxiety for family members; and (d) technology - an asset, but not for everyone. Study findings suggest more emphasis should be placed on supporting social connections between older adults and their families in the context of long-term care beyond COVID-19.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"33-44"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41171579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0