A5085004755- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Geriatric Care and Nursing Homes
- Patient Dignity and Privacy
- Dementia and Cognitive Impairment Research
- Elder Abuse and Neglect
- Complementary and Alternative Medicine Studies
- Health disparities and outcomes
- Interprofessional Education and Collaboration
- Health, psychology, and well-being
- Healthcare Decision-Making and Restraints
- Primary Care and Health Outcomes
- Psychological Well-being and Life Satisfaction
- Mental Health and Patient Involvement
- Pain Mechanisms and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Public Health
- Delphi Technique in Research
- Mindfulness and Compassion Interventions
- Health and Well-being Studies
- Telemedicine and Telehealth Implementation
- Healthcare professionals’ stress and burnout
- Schizophrenia research and treatment
- Cancer survivorship and care
- Psychosomatic Disorders and Their Treatments
Baycrest Hospital
2002-2024
University of Toronto
1993-2024
ObjectivesThe onset of the COVID-19 pandemic significantly challenged capacity long-term care (LTC) homes in Canada, resulting new, pressing priorities for leaders and health providers (HCPs) safety LTC residents. This study aimed to determine whether Project ECHO (Extension Community Healthcare Outcomes) Care Elderly Long-Term (COE-LTC): COVID-19, a virtual education program, was effective at delivering just-in-time learning best practices support teams residents during pandemic.DesignMixed...
Objectives To create a clinical tool to translate between the C linical F railty S cale ( CFS ), which geriatrics teams use, and P alliative erformance PPS palliative care common language help improve communication geriatric teams. Design Cross‐sectional. Settings Two academic health centers: inpatient chronic units, an outpatient clinic, referrals consultation service. Participants Older adults (≥65) aged 80.9 ± 8.0, with malignant (51%) nonmalignant (49%) terminal diagnoses (N = 120)....
Palliative care clinicians are increasingly involved in the of elderly patients suffering from chronic malignant and nonmalignant illnesses, which neuropathic pain is a prevalent problem. As person becomes more frail, medications such as opioid analgesics adjuvant can result unwanted effects sedation, confusion, increased risk falls. Treating with advanced dementia or neurodegenerative diseases that affect swallowing particularly challenging because most used to ameliorate must be taken...
COVID-19 has disproportionately impacted older adults in long-term care (LTC) facilities Canada. There are opportunities to learn from this crisis and improve systems of order ensure that LTC enjoy their right the highest attainable standard health. Measures needed mental health during COVID-19. The Canadian Academy Geriatric Psychiatry (CAGP) Coalition for Seniors’ Mental Health (CCSMH) have developed following position statements address needs facilities, family members, staff. We outlined...
The impact of the COVID-19 pandemic highlighted sys-temic problems in Canadian long-term care (LTC). While high mortality rates LTC received significant attention, also took an enormous toll on mental health residents, where conditions, including cognitive disorders, are already much higher than other community settings. resulted a renewed interest improving quality and led to recent development several National Standards Canada. newly available set ambitious targets, but many standards...
The intersection of bereavement and cognitive impairment presents unique clinical challenges that have been overlooked in the literature. Cognitive can interfere with normal ways coping aftermath loss. Elderly persons may difficulty processing their loss even forget loved one has died, repeatedly asking other family members when deceased is coming to visit. This prove devastating for such individuals families, who are forced keep reexperiencing grief. article examines phenomenology...
Abstract Purpose To revise the 2009 Canadian Geriatrics Society (CGS) Core Competencies in Care of Older Persons for Medical Students by applying current frameworks and using a modified Delphi process. Method The working group chose Geriatric 5Ms model CanMEDS framework to develop structure competencies. National (i.e., Canadian) participants were recruited, 3 survey rounds conducted from 2019 2021. Each round collected quantitative data 7-point Likert scale (LS) qualitative free-text...
Aim: The aim of this study was to characterize the attitudes older adults on an inpatient palliative care unit toward complementary and alternative medicine (CAM) therapies. Methods: A consecutive sample 33 inpatients (61 98 years old) completed a questionnaire that examined their CAM determine acceptability these Corresponding questionnaires were gathered from 10 substitute decision makers (SDMs). Preferences for specific modalities identified. Correlational analyses performed between...
Background: Older adults cared for in a geriatric mental health program often have medical co-morbidities causing physical symptoms which may be under-recognized. We explore the utility of palliative care tools this patient population to identify burden and impact on dignity. Methods: Participants were recruited from inpatient unit outpatient day hospital. Mood somatic tracked with self-report rating scales, including Geriatric Depression Scale (GDS) Anxiety Inventory (GAI) used psychiatry,...
Older adults are entering long-term care (LTC) homes with more complex needs than in previous decades, resulting demands on point-of-care staff to provide additional and specialty services. This study evaluated whether Project ECHO® (Extension for Community Healthcare Outcomes) Care of the Elderly Long-Term (COE-LTC)-a case-based online education program-is an effective capacity-building program among interprofessional health-care teams caring LTC residents.A mixed-method, pre-and-post...
Project Extension for Community Healthcare Outcomes (ECHO) enables healthcare providers to share knowledge and best practices via telementoring. The ECHO model builds provider capacity improves care patients with a variety of health conditions. This study describes Canada-wide National pilot project in the area geriatric mental reports on program's impact providers' practices. A mixed-methods approach was used analyze surveys completed by participating providers. Program evaluation measured...
Abstract Assigning paranoid diagnoses in the geriatric population can be a challenging endeavour. A survey was undertaken of selected ICD‐9 different hospital settings. Almost 50% were associated with combative/paranoid behaviour; yet, only 12% received ‘paranoid’ diagnoses. This article addresses problems case definition for states elderly.
This paper explores the impact of change on a psychiatry trainee's development through case presentation. During training residents are exposed to constant transitions with frequent shifts in sites and supervisors. Change is perhaps most consistent characteristic residency training. And yet, maintenance changeless, stable frame considered gold standard for psychotherapy. The effect constantly shifting framework therapist, patient, therapy itself considered. Reflecting multiple varied themes...
In Canada, adults 85 years and older represent one of the fastest growing segments population 1 . Mood disorders chronic illness often intersect, worsening health outcomes in late life 2 view demographic trends, medical schools should ensure trainees are equipped with knowledge, skills attitudes to work adults. However, there continues be much variation how incorporate geriatric content into their curricula. 2009, Canadian Geriatrics Society (CGS) outlined 20 competencies geriatrics inform...