Sid Feldman
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View article: Technology‐enabled integrated care pathway (Tech‐ICP) for behavioral and psychological symptoms of dementia in long‐term care
Technology‐enabled integrated care pathway (Tech‐ICP) for behavioral and psychological symptoms of dementia in long‐term care Open
Background Majority of long‐term care (LTC) residents experience cognitive impairment and behavioral and psychological symptoms of dementia (BPSD). Managing BPSD in LTC is often sub‐optimal and variable, resulting in inappropriate use of p…
View article: Culturally sensitive CLEAR guidelines on disclosing and communicating a diagnosis of dementia
Culturally sensitive CLEAR guidelines on disclosing and communicating a diagnosis of dementia Open
Providing a dementia diagnosis is challenging, especially in primary care and considering diverse patient backgrounds. The Alzheimer Society of Canada (ASC), the College of Family Physicians of Canada, and the Canadian Consensus Conference…
View article: The Canadian Coalition for Seniors’ Mental Health Canadian Clinical Practice Guidelines for Assessing and Managing Behavioural and Psychological Symptoms of Dementia (BPSD)
The Canadian Coalition for Seniors’ Mental Health Canadian Clinical Practice Guidelines for Assessing and Managing Behavioural and Psychological Symptoms of Dementia (BPSD) Open
In Canada, approximately 730,000 people are currently living with dementia. Over 75% will experience behavioural and psychological symptoms of dementia (BPSD). There is a lack of consensus on best practices for the assessment and managemen…
View article: The Influence of Project ECHO Participation on Professional Isolation and Burnout Among Geriatric Mental Health Providers
The Influence of Project ECHO Participation on Professional Isolation and Burnout Among Geriatric Mental Health Providers Open
Professional isolation is a contributor to healthcare professionals’ burnout, a critical threat to the well-being and sustainability of the health workforce. One intervention that may be effective in mitigating professional isolation and d…
View article: Development of the Canadian Coalition for Seniors' Mental Health Canadian Guidelines on the Assessment and Management of Behavioural and Psychological Symptoms of Dementia
Development of the Canadian Coalition for Seniors' Mental Health Canadian Guidelines on the Assessment and Management of Behavioural and Psychological Symptoms of Dementia Open
Background Behavioural and psychological symptoms in dementia (BPSD) are common, can be distressing for persons living with dementia (PLWD), and challenging for caregivers and clinicians. There are few updated clinical practice guidelines …
View article: SUPPORTING SAFE AND HEALTHY SEXUAL EXPRESSION IN LONG-TERM CARE: A REVIEW OF CANADIAN RESOURCES
SUPPORTING SAFE AND HEALTHY SEXUAL EXPRESSION IN LONG-TERM CARE: A REVIEW OF CANADIAN RESOURCES Open
Little is known about what educational resources are available to practitioners in Canada for supporting the safe and healthy sexual expressions of persons living with dementia in long-term care (LTC). To address this gap, we conducted a c…
View article: Pain in Canadian Long-Term Care Homes: A Call for Action
Pain in Canadian Long-Term Care Homes: A Call for Action Open
Navigating the evaluation and management of pain in long-term care homes is a complex task. Despite an extensive body of literature advocating for a paradigm shift in pain assessment and management within long-term care homes, much more re…
View article: What Do We Know About Nurse Practitioner/Physician Care Models in Long-Term Care: Results of a Scoping Review
What Do We Know About Nurse Practitioner/Physician Care Models in Long-Term Care: Results of a Scoping Review Open
Although structural characteristics of NP and physician care models are described in-depth, there is less detail on the processes that occur within the NP and physician care models. We highlight structural barriers and enablers within the …
View article: Integration of hospital with congregate care homes in response to the COVID-19 pandemic
Integration of hospital with congregate care homes in response to the COVID-19 pandemic Open
The outcomes for older adults residing in congregate care homes improved steadily throughout the COVID-19 pandemic. While this finding is multifactorial, integration with a local hospital partner supported key interventions known to protec…
View article: Nurse practitioner/physician collaborative models of care: a scoping review protocol
Nurse practitioner/physician collaborative models of care: a scoping review protocol Open
Background Before the COVID-19 pandemic, many long-term care (LTC) homes experienced difficulties in providing residents with access to primary care, typically delivered by community-based family physicians or nurse practitioners (NPs). Du…
View article: Virtual Care by Family Physicians for People Living with Dementia and Their Caregivers in Canada: A Concurrent Mixed-Methods
Virtual Care by Family Physicians for People Living with Dementia and Their Caregivers in Canada: A Concurrent Mixed-Methods Open
CONTEXT: Among people living with dementia (PLWD), in-person care for ongoing follow-up and management may become challenging due to declining mobility and increasing reliance on caregivers. Family physicians (FPs) have been rapidly adopti…
View article: Virtual primary care for people living with dementia in Canada: Cross-sectional surveys of patients, care partners, and family physicians
Virtual primary care for people living with dementia in Canada: Cross-sectional surveys of patients, care partners, and family physicians Open
Background: Despite the importance of virtual primary care, the evidence informing optimal and sustainable provision of virtual care (VC) for people living with dementia (PLWD) and their care partners is scarce. We aimed to describe VC pro…
View article: 431 - Establishing a Canadian National ECHO Educational Program focused on Mental Health of Older Adults
431 - Establishing a Canadian National ECHO Educational Program focused on Mental Health of Older Adults Open
Background Project ECHO is a virtual, case-based capacity-building education program for healthcare providers. It was developed in New Mexico, USA but, due to its effectiveness, the model has now spread to 40 countries around the globe. Ba…
View article: The DWQ-EMR Embedded Tool to Enhance the Family Physician-Caregiver Connection: A Pilot Case Study
The DWQ-EMR Embedded Tool to Enhance the Family Physician-Caregiver Connection: A Pilot Case Study Open
The number of family caregivers to individuals with dementia is increasing. Family physicians are often the first point of access to the health care system for individuals with dementia and their caregivers. Caregivers are at an increased …
View article: ECHO Care of the Elderly: Innovative Learning to Build Capacity in Long-term Care
ECHO Care of the Elderly: Innovative Learning to Build Capacity in Long-term Care Open
Background
Older adults are entering long-term care (LTC) homes with more complex care needs than in previous decades, resulting in demands on point-of-care staff to provide additional and specialty services. This study evaluated whether…
View article: Medical Care Delivery in U.S. Nursing Homes: Current and Future Practice
Medical Care Delivery in U.S. Nursing Homes: Current and Future Practice Open
The delivery of medical care services in U.S. nursing homes (NHs) is dependent on a workforce that comprises physicians, nurse practitioners, and physician assistants. Each of these disciplines operates under a unique regulatory framework …
View article: Canadian Guidelines on Opioid Use Disorder Among Older Adults
Canadian Guidelines on Opioid Use Disorder Among Older Adults Open
BackgroundIn Canada, rates of hospital admission from opioid overdose are higher for older adults (≥ 65) than younger adults, and opioid use disorder (OUD) is a growing concern. In response, Health Canada commissioned the Canadian Coalitio…
View article: Importance of Team Functioning as a Target of Quality Improvement Initiatives in Nursing Homes: A Qualitative Process Evaluation
Importance of Team Functioning as a Target of Quality Improvement Initiatives in Nursing Homes: A Qualitative Process Evaluation Open
Introduction: Quality improvement interventions demonstrate variable degrees of effectiveness. The aim of this work was to (1) qualitatively explore whether, how, and why an academic detailing intervention could improve evidence uptake and…
View article: Caring for older patients in primary care: Wisdom and innovation from Canadian family physicians.
Caring for older patients in primary care: Wisdom and innovation from Canadian family physicians. Open
Most seniors are independent but many have multiple chronic conditions and meet criteria for frailty. For these people, traditional models and organization of care might not be ideal. The senior-friendly hospital (SFH) model has been promo…
View article: Brain Function Is Linked to <scp>LDL</scp> Cholesterol in Older Adults with Cardiovascular Risk
Brain Function Is Linked to <span>LDL</span> Cholesterol in Older Adults with Cardiovascular Risk Open
Objectives To determine how cardiovascular risk is associated with working memory task performance and task‐related suppression of default‐mode network ( DMN ) activity in cognitively intact older adults. Design A cross‐sectional functiona…
View article: Osteoporosis guideline implementation in family medicine using electronic medical records: Survey of learning needs and barriers
Osteoporosis guideline implementation in family medicine using electronic medical records: Survey of learning needs and barriers Open
Objective To identify family physicians’ learning needs related to osteoporosis care; determine family physicians’ preferred modes of learning; and identify barriers to using electronic medical records (EMRs) to implement osteoporosis gui…