frailty: the joy of geriatrics may 2-4, 2019 halifax ... · geriatrics society. 11. impact of an...

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society. Frailty: The Joy of Geriatrics May 2-4, 2019 Halifax Marriott Harbourfront Hotel Upon completion of the conference, participants will be able to: describe the inter-relationship between geriatric conditions and frailty; apply the concept of frailty in a variety of medical care settings, including primary care; expertly manage common chronic conditions in older adults living with frailty; and identify and access reliable resources to manage frailty in the clinical setting. Thursday, May 2, 2019 Time Event Location 16:00 – 19:00 Registration: Check-In Nova Scotia Foyer, 2 nd floor 17:00 – 19:00 Exhibitor and Delegate Welcome Reception Friday, May 3, 2019 Time Event Location 07:00 – 08:00 Breakfast and Exhibits Nova Scotia Foyer, 2 nd floor 07:00 – 08:00 Registration: Check-In 07:00 – 08:00 Canadian Institutes of Health Research Institute of Aging (CIHR-IA) Breakfast Session Reaching the Age of Majority: The Life Trajectory of the CIHR Institute of Aging/Arriver à l’âge de la majorité : La trajectoire de vie de l’Institut du vieillissement des IRSC Acadia AB, main floor

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Page 1: Frailty: The Joy of Geriatrics May 2-4, 2019 Halifax ... · Geriatrics Society. 11. Impact of an Orthogeriatric Collaborative Care Model for Older Adults with Hip Fracture in a Community

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Frailty: The Joy of Geriatrics May 2-4, 2019 Halifax Marriott Harbourfront Hotel

Upon completion of the conference, participants will be able to:

describe the inter-relationship between geriatric conditions and frailty;

apply the concept of frailty in a variety of medical care settings, including primary care;

expertly manage common chronic conditions in older adults living with frailty; and

identify and access reliable resources to manage frailty in the clinical setting.

Thursday, May 2, 2019 Time Event Location

16:00 – 19:00 Registration: Check-In Nova Scotia Foyer, 2nd floor 17:00 – 19:00 Exhibitor and Delegate Welcome Reception

Friday, May 3, 2019 Time Event Location

07:00 – 08:00 Breakfast and Exhibits Nova Scotia Foyer, 2nd floor 07:00 – 08:00 Registration: Check-In

07:00 – 08:00 Canadian Institutes of Health Research – Institute of Aging (CIHR-IA) Breakfast Session Reaching the Age of Majority: The Life Trajectory of the CIHR Institute of Aging/Arriver à l’âge de la majorité : La trajectoire de vie de l’Institut du vieillissement des IRSC

Acadia AB, main floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

07:00 07:45 Primary Care SIG – Annual Meeting Chairs: Robert Lam and Jean Triscott Primary care physicians and nurse practitioners contribute significantly to the care of older adult Canadians and are often faced with challenging clinical scenarios. Come join us to share your experiences, exchange ideas with peers and learn how the Canadian Geriatrics Society can help.

Atlantic Suite, 2nd floor

07:00 – 07:45 Continence SIG – Annual Meeting This inaugural meeting of the Continence SIG will bring together those members with a clinical and research interest in continence with a single agenda item – to discuss and plan a role and action plan for the SIG over the next two years. All with an interest in continence in older people are invited to attend.

Acadia C, main floor

08:00 – 08:15 Welcome and Introductions Chris MacKnight, CGS 2019 ASM Conference Chair Indigenous Blessing

Yves Joanette, Scientific Director, CIHR-IA

Nova Scotia ABCD, 2nd floor

08:15 – 09:15

Keynote Address

Frailty Is Big, Right? Ken Rockwood At the end of the session, the participant will be able to:

describe the inter-relationship between geriatric giants and frailty;

and

apply the concept of frailty in a variety of medical care settings,

including primary care, recognizing its importance in care

planning.

Nova Scotia ABCD, 2nd floor

09:15 – 10:15 Poster Viewing Session Annapolis, main floor

10:15 – 10:45 Industry Partner Meet and Connect Nova Scotia Foyer, 2nd floor

10:45 – 12:00

Concurrent Sessions

Understanding and Treating Falls and Fractures as a Chronic and Combined Condition in Frail Older Adults Chairs: Manuel Montero-Odasso and Ken Madden Moderator: Alexandra Papaioannou Speakers: Manuel Montero-Odasso, Jenny Thain, Tahir Masud At the end of the session, the participant will be able to:

assess combined risk factors for falls and fractures based on

clinical evidence, including the emerging role of dual-task gait

assessments;

evaluate strengths and weaknesses of osteoporosis therapies for

older patients, including appropriate duration of use;

assess when they should be prescribed, for how long and, when it

is appropriate to offer a drug “holiday”; and

Nova Scotia ABCD, 2nd floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

implement a combined falls and fractures prevention approach in

community dwelling older adults.

Falls and Fractures SIG – Annual Meeting We are holding our 4th meeting during our symposium. Please join us to share your experiences dealing with patients with falls and fractures, exchange ideas with peers and get involved in our future “Falls and Fracture Educational Webinars,” which will be provided under the CGS umbrella.

Biology of Frailty: Insights from Mouse Models Susan Howlett At the end of the session, the participant will be able to:

describe similarities between frailty index data in humans and

in animals;

recognize that the frailty index is responsive to interventions; and

relate how novel biomarkers of frailty can be identified in

animal models.

Halifax A, 2nd floor

Assessment and Management of Frailty in Primary Care Chair: John Muscedere Speakers: Linda Lee, Tejal Patel, Antonina (Annette) Garm, Grace Park, Tim Stultz At the end of the session, the participant will be able to:

identify frailty and calculate the risk of developing frailty through

more thorough geriatric assessments in a primary care setting;

describe common components of interdisciplinary care models

that may be applied within their own primary care practices; and

discuss how three teams overcame barriers and challenges to

implement a similar care model.

Halifax BC, 2nd floor

Oral Abstract Presentations, Eligible for Thompson Award 1. The Legalization of Medical Marijuana: Perception and Planning

Responses of Nurse Clinical Leaders in Long-term Care

Raheesa Jina

2. The Predictive Value of the Clinical Frailty Scale on Complications and

Mortality in Older Hip Fracture Patients

Sarah Chan

3. Efficacy of a Medical Directive to Reduce Inappropriate Indwelling

Urinary Catheter Use on Orthopedic Wards

Si Jia Wang

Sable CD, main floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

4. Do Interest Groups Cultivate Interest? Evaluating Career Trajectories

Among Geriatric Interest Group Participants

Ari Cuperfain

5. Does Level of Frailty, in Addition to Geriatrician’s Clinical Impression,

Predict Outcomes for Patients with Dementia?

Alexander McCollum

6. How Residents Perceive and Enact Goals of Caring and Curing When

Looking after Older Adults

Rigya Arya

At the end of the session, the participant will be able to:

appraise recent research projects in geriatrics;

develop critical thinking on results of research projects; and

discuss the implications of recent research projects on current

clinical practice in geriatrics.

12:00 – 13:15 Lunch and Exhibits Nova Scotia Foyer, 2nd floor

13:15 – 14:15

Plenary

Sex and Gender Medicine for Frail Older Adults: Proper Care or Propaganda? Cara Tannenbaum At the end of the session, the participant will be able to:

review the science and principles of sex and gender medicine;

list reasons why sex and gender should be considered when

screening, diagnosing and treating frail older adults; and

describe strategies to incorporate sex and gender during teaching

and practice.

Nova Scotia ABCD, 2nd floor

14:30 – 15:45 Concurrent Sessions

Pragmatic Deprescribing and Medication Optimization Chair: Justin Turner Speakers: Susan Bowles, Laurie Mallery, James L. Silvius At the end of the session, the participant will be able to:

identify an approach to optimal medication use in both more

robust and more frail older adults;

describe considerations for deprescribing and medication

optimization that reflect the needs, desires, goals and

circumstances of an individual; and

apply approaches to deprescribing and medication optimization

that recognize considerations specific to the context of the

individual.

Nova Scotia ABCD, 2nd floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Exploring New Ways to Teach Geriatrics to Medical Students: The Role of Competencies and How to Include Frailty Speakers: Thiru Yogaparan, Martin Moran At the end of the session, the participant will be able to:

outline proposed changes to the CGS geriatric competencies for

undergraduate medical education;

describe the elements of a successful four-week mandatory

geriatrics clerkship rotation;

debate the opportunities and challenges of a mandatory geriatrics

clerkship rotation;

effectively teach and assess various geriatric concepts while

considering resource limitations and varied teaching settings; and

explore ways to effectively teach the specific concept of frailty to

undergraduate medical trainees at various settings and levels.

Halifax A, 2nd floor

Brain Health and Wellness Project: Helping Clinicians Promote Patients’ Brain Health, Independence and Wellbeing in Frontline Care Chair: Kiran Rabheru Speakers: Kiran Rabheru, Keri-Leigh Cassidy, Michael Vallis At the end of the session, the participant will be able to:

appraise the rationale, goals, evidence and results to date of The

Brain Health and Wellness Project;

confidently use the project’s paper-based tools and The Wellness

App to invite health behaviour change in their patients; and

describe opportunities to participate in the quality assurance

project and the available project supports.

Halifax BC, 2nd floor

Oral Abstract Presentations, Eligible for the Réjean Hébert Award 7. Admission Diagnosis of “Failure to Thrive” in Older Adults is Associated

with Delays in Hospital Care

Clara Tsui

8. Congenital Heart Disease in Seniors: A Retrospective Study

Krista Reich

9. Effect of Cognitive Training on Daily Function in Older People without

Dementia: A Systematic Review

Brian J.Y. Fan

10. Effectiveness of a Multicomponent Intervention Sign for Delirium

Prevention on an Orthopedic Unit

Christina Reppas-Rindlisbacher

Sable CD, main floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

11. Impact of an Orthogeriatric Collaborative Care Model for Older Adults

with Hip Fracture in a Community Hospital Setting

Janice Lee

12. Prescribing Outcomes of an Interdisciplinary Geriatric Clinical

Pharmacology and Psychiatry Telemedicine Service: A Feasibility Study

Eric To

At the end of the session, the participant will be able to:

appraise recent research projects in geriatrics;

develop critical thinking on results of research projects; and

discuss the implications of recent research projects on current

clinical practice in geriatrics.

16:00 – 17:00 CGS Annual General Meeting (members only)

Nova Scotia ABCD, 2nd floor

19:00 CGS Gala Event: Cocktails and Dinner (ticket required)

Casino Nova Scotia, 1983 Upper Water Street, Halifax

Saturday, May 4, 2019 Time Event Location

06:00 – 07:30 5th Annual CGS Fun Run/Walk Meet in the hotel lobby at 6:00 a.m. sharp!

Hotel Lobby

07:30 – 08:30 Breakfast and Exhibits Nova Scotia Foyer, 2nd floor 07:30 – 08:30 Registration: Check-In

07:30 – 08:15 Deprescribing and Medication Optimization (DeMO) SIG Chairs: Justin Turner and James Silvius Grab a coffee and join us as together we will go ”finding DeMO”! Are you interested in deprescribing or are you just curious to learn more about it? Then join our passionate and enthusiastic SIG and see what we have planned for the coming year. During this session, we will discuss what can be done to provide education, tools, resources and support for healthcare providers across Canada to improve patient-centred outcomes through deprescribing and medication optimization. After this session, you will find that there are plenty of DeMO opportunities in the sea!

Acadia C, main floor

07:30 – 08:15 Nutrition SIG – Annual Meeting Chair: José A. Morais Nutrition is the cornerstone to healthy aging and since malnutrition has tremendous deleterious effects on health and physical function of older adults, a proposition to create a SIG in nutrition was endorsed by the CGS Executive in 2017. The objectives of this SIG are based on suggestions from members with an interest in nutrition and a goal to share knowledge and experiences and to advance the field. We held our foundational meeting during the 2018 ASM in Montreal. Membership is comprised of 12 members and the coordinators are Drs. José Morais (Montreal) and Peter Spadafora (Guelph). During the past year, Drs. Morais, Peitsch (Manitoba)

Acadia AB, main floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

and Powers (Ottawa) organized a workshop for the 2019 ASM: Malnutrition in Older Adults: One Cannot Treat What is Not Identified. We are holding our second annual meeting and wish to further develop our activities. Please join us if you find nutrition to be an important aspect of care, and if you want to become a leader on nutritional issues in your milieu.

08:30 – 09:30

Keynote Address

Frailty, Falls and Fractures Tahir Masud At the end of this session, participants will be able to:

identify a holistic approach to fracture prevention;

relate multifactorial and unifactorial approaches to falls

prevention; and

incorporate frailty and sarcopenia concepts in osteoporosis clinics.

Nova Scotia ABCD, 2nd floor

09:30 – 10:00 Industry Partner Meet and Connect Nova Scotia Foyer, 2nd floor

10:00 – 11:15 Concurrent Sessions

Malnutrition is Linked to Frailty in Older Adults: One Cannot Treat What is Not Identified Chair: José A. Morais Speakers: José A. Morais, Lorraine Peitsch, Barbara Power At the end of the session, the participant will be able to:

appreciate the consequences of malnutrition in older adults and

identify its potential risk factors;

interpret several of the validated tools, physical signs and

laboratory indices to diagnose malnutrition in older adults; and

collaborate with a dietitian to propose an intervention plan for

reversing malnutrition.

Nova Scotia ABCD, 2nd floor

Mobilizing Older Adults in Clinical Settings Olga Theou At the end of the session, the participant will be able to:

assess physical activity/sedentary behaviour within clinical

settings;

describe how inactive/sedentary older people are; and

counsel older adults on ways to increase their level of physical

activity and reduce their sedentary time.

Halifax A, 2nd floor

Frailty and Critical Illness Sam Searle At the end of the session, the participant will be able to:

summarize our current understanding of frail older adults who are

critically ill; and

Halifax BC, 2nd floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

discuss benefits of dynamic prognostication in critically ill, frail

individuals.

Oral Abstract Presentations, Eligible for the Jack MacDonell Award 13. Factors Associated With a Diagnosis of Failure to Cope in Older

Medical Inpatients: A Case-Control Study

Alishya Burrell

14. A Case Study in Medical Assistance in Dying (MAiD) and Frailty

Genevieve Casey

15. “The Last Medical Stigma”: A Quality Improvement Project

Examining Addressment of Urinary Incontinence in Female Patients

Enrolled in the Deer Lodge Centre PRIME Program

Kristina Swain

16. Improving Outcomes in Geriatric Trauma Patients: A Pilot Project

Investigating Geriatric Medicine Consultation in a Tertiary Trauma

Centre

Allison Pridham

17. Describing Practice Patterns Among Geriatric-Focused Physicians in

Ontario by Using Administrative Claims Data

Amina Jabbar

18. Improving Osteoporosis Treatment In Patients Admitted With a Hip

Fracture: A Quality Improvement Project

Armeen Jafri

At the end of the session, the participant will be able to:

appraise recent research projects in geriatrics;

develop critical thinking on results of research projects; and

discuss the implications of recent research projects on current

clinical practice in geriatrics.

Sable CD, main floor

11:30 – 12:30

Plenary

Delirium and Long-term Cognitive Outcomes: Finding Answers in the Population Daniel Davis At the end of the session, the participant will be able to:

identify limitations in our current understanding of the natural

history of delirium;

apply epidemiological methods to clinical problems in delirium;

and

Nova Scotia ABCD, 2nd floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

describe how research from longitudinal studies can develop

prognostic models for cognitive outcomes after delirium.

12:30 – 13:45 Lunch, Posters and Exhibits Nova Scotia Foyer, 2nd floor and Annapolis, main floor

12:45 – 13:45 CGS Frailty SIG Chairs: Alexandra Papaioannou and Ken Rockwood Geriatric medicine plays an essential role in leading education, research and clinical care across the frailty spectrum. The CGS Frailty Special Interest Group will aim to create a community of practice amongst geriatricians with an interest in frailty, encouraging collaboration and sharing of expertise and provide a forum through which the CGS can collaborate with external organizations with a shared goal to improve care to the benefit of CGS members and the patients that we care for. We invite you to attend this meeting to learn more!

Acadia C, main floor

13:45 – 15:00 Concurrent Sessions

Influenza and Vaccination in Older Adults Melissa Andrew At the end of the session, the participant will be able to:

appreciate that frailty is an important factor in how older adults

present with influenza illness and how it impacts vaccine

effectiveness (if we don’t consider frailty and atypical

presentations we will tend to miss influenza cases and

underestimate vaccine benefits);

discuss the contribution of vaccine-preventable illness to

outcomes in older adults, focusing on influenza, shingles and

pneumococcal illness; and

review the vaccine products available for older adults, including

national advisory body recommendations for their use.

Halifax A, 2nd floor

National Guidelines for Older Adults: Prevention, Assessment and Treatment of Alcohol, Benzodiazepine, Cannabis and Opioid Use Disorders Chair: Claire Checkland Speakers: Keri-Leigh Cassidy, Kiran Rabheru, Amanjot Sidhu, Peter Butt At the end of the session, the participant will be able to:

demonstrate overall CCSMH Guidelines for alcohol,

benzodiazepine, cannabis and opioid use disorders among older

adults in Canada;

discuss the impact of frailty on the clinical implementation of

specific recommendations from each Guideline; and

identify and describe the unique paths, opportunities and

challenges in implementation and knowledge translation.

Nova Scotia ABCD, 2nd floor

Using Frailty to Inform Medical and Surgical Decision-Making Halifax BC, 2nd floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Laurie Mallery and Paige Moorhouse At the end of the session, the participant will be able to:

review the significance of frailty for surgical outcomes;

become familiar with the PATH model for pre-operative care;

evaluate the results of the PATH model in the pre-operative

setting using cases and quantitative data from the PATH program;

and

understand the process for implementing a PATH model in pre-op

and other clinical settings.

Oral Abstract Presentations, Eligible for the Edmund V. Cowdry Award 19. Frailty Impairs Obstacle Negotiation While Walking: Results from

the Gait and Brain Study

Frederico Pieruccini-Faria

20. Steps per Day Post-fracture. What’s the Story?

Ahmed Abou-Sharkh

21. Predictive Validity of Patient Belief and Attitude Questionnaires on

Successful Deprescribing Among Older Adults

Justin Turner

22. The Association of Frailty with Mortality in Emergency Department

Patients Referred to Internal Medicine

Mohammad Pulok

23. Consideration of Medication and Polypharmacy in Frailty

Assessment and Screening Tools

Marci Dearing

24. Usage of Clinical Biomarkers in Frailty Prediction Models

Palina Piankova

At the end of the session, the participant will be able to:

appraise recent research projects in geriatrics;

develop critical thinking on results of research projects; and

discuss the implications of recent research projects on current clinical practice in geriatrics.

Sable CD, main floor

15:05 – 16:05

Plenary

Top 10 Research Papers Maia von Maltzahn At the end of the session, the participant will be able to:

critically appraise recent literature regarding geriatric giants and medicine in the older adult;

Nova Scotia ABCD, 2nd floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

assess how these papers may practically impact clinical practice; and

analyze the limitations of applying the findings of these papers in clinical practice.

16:05 – 16:35 CGS Awards, Poster Awards, Oral Abstract Awards and Closing Remarks Nova Scotia ABCD, 2nd floor

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Poster Abstracts

No. POSTER ABSTRACT

25. Real-Time Auditory Feedback Induced Adaptation to Walking Among Seniors Using Heel2Toe Sensor: A Proof-of-Concept Study Ahmed Abou-Sharkh, Kedar Mate, José Morais, Nancy Mayo

26. Health & Aging Program Interdisciplinary Staff Education Survey: An Education Quality Improvement Initiative Usman Ahmed

27. Common Typical Features of a Rare But Important Cause of Dementia Usman Ahmed

28. Outcomes with Biological Disease-modifying Anti-rheumatic Drugs (bDMARDs) in Older Patients Treated for Rheumatoid Arthritis Ripa Akter, Walter Maksymowych, Liam Martin, David Hogan

29. Educational Goal-Setting on an Inpatient Geriatric Medicine Rotation Jillian Alston, Dov Gandell, Evelyn Cheung

30. The Function of Care Management to Support Seniors Living in the Community with Combined Medical and Mental Health Concerns – A Multipronged Approach Involving Interprofessional Team, Monpharmacological Approaches and Navigational Support Reenu Arora, Ewa Kundid, Amna Ali, Grace Martin, Judith Versloot

31. Cognition and Drug Adherence to Oral Hypoglycemic and Antihypertensive Agents in Older Adults Hamzah Bakouni, Lia Gentil, Helen-Maria Vasiliadis

32. Chronic Diseases Among Seniors – Population-based Data from the Canadian Chronic Disease Surveillance System Sharon Bartholomew, Cynthia Robitaille, Sieara Plebon-Huff

33. Screening for Older Inpatients at Risk for Long Length of Hospital Stay: Which Clinical Tool to Use? Olivier Beauchet, Shek Fung, Cyrille Launay, Julia Chabot

34. Prediction of Unplanned Hospital Admissions in Older Community Dwellers Using the 6-Item Brief Geriatric Assessment: Results From REPERAGE, an Observational Prospective Population-based Cohort Study Olivier Beauchet, Kevin Galery, Julia Chabot, Sylvie Dejager, Sebastien Bineau, Gilles Berrut, Cyrille Launay

35. Geriatrics in Germany in the Post-2003 DRG Era – Literature Review of Effects on Geriatric Care Christoph Bobrowski

36. Antipsychotic Stewardship: A Stepping Stone to Addressing Responsive Behaviours in Older Adults Deborah Brown, Jesika Contreras, Mireille Norris, Dov Gandell, Robert Jaunkalns, Barbara Liu

37. What is Planned for Phase 2 of the CCNA (Canadian Consortium on Neurodegeneration in Aging) Howard Chertkow, Michael Borrie, Kenneth Rockwood, Howard Feldman, Victor Whitehead, Jane Rylett, Kathy McGilton, Sandra Black, Mario Masellis

38. The Frequency and Quality of Delirium Documentation in Discharge Summaries

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Victoria Chuen, Adrian Chan, Shabbir Alibhai, Vicky Chau

39. A Scoping Review on the Clinical Frailty Scale Sophie Church, Emily Rogers, Emma Squires, Kenneth Rockwood, Olga Theou

40. First and Second Year Medical Students’ Attitudes Towards Physical Activity and Its Role in Medical Practice Alyson Colborne, Peri Fenwick, Leah Cahill, Olga Theou

41. I Don’t Want to Visit Grandma: Gerontophobia and Gothicism Krista Collier-Jarvis, Jasmine Mah

42. Walking Performance Decline Across the Cognitive Spectrum in a Clinical Setting Stephanie Cullen, Michael Borrie, Susan Carroll, Manuel Montero-Odasso

43. Aging Without a Place to Call Home: Comprehensive Review with a Systematic Approach on Pathways into Homelessness for Older Adults Lauren R. Cuthbertson, Kelli Stajduhar, Denise Cloutier

44. A Needs Assessment for the Implementation of a Geriatric Medicine Online Education Program Alex Day, Karen Ng, Eric Wong, Vicky Chau

45. Self-referral for Cognitive Study Enrollment: An Advertising-based Recruitment Strategy for Participants with Early Cognitive Decline Joseph Dubé, Julia Truemner, Sarah Best, Patricia Sargeant, Michael Borrie

46. User Feedback of Electronic Medication Adherence Products for Older Adults: A Qualitative Analysis Sadaf Faisal, Jessica Ivo, Aidan McDougall, Jillian Bauer, Sarah Pritchard, Feng Chang, Tejal Patel

47. Factors Predicting Health Care Utilization in a Sex-stratified, Older Adult Population Colin Faulkner, Susan Bronskill, Laura Rosella, Nathan Stall, Rachel Savage, Lynn Zhu, Doug Manuel, Paula Rochon

48. Medical Students’ Perceptions of Nutrition in Medical Education and Future Practice Peri Fenwick, Alyson Colborne, Olga Theou, Leah Cahill

49. Long-term Care Admissions Following Hospitalization: The Role of Social Vulnerability Judith Godin, Karen Black, Olga Theou, Shelly A. McNeil, Melissa K. Andrew

50. Interventions to Reduce the Rate of Inappropriate Oral Anticoagulant and Antiplatelet Therapy Prescription at Hospital Discharge: A Quality Improvement Report Zhaowei Gong, Haoyuan Song, Samuel Thrall, Xuyi Mimi Wang, Joye St. Onge, Cheryl Allaby, Alexandra Papaioannou

51. CFS Changes During Geriatric Rehabilitation Mary Gorman, Michelle MacGrath, Olga Theou, Kenneth Rockwood

52. Brain Perivascular Space Volume is Associated with Poor Gait Reserve in Vascular Cognitive Impairment Seyyed Mohammad Hassan Haddad, Frederico Pieruccini-Faria, Christopher J.M. Scott, Stephen R. Arnott, Miracle Ozzoude, Richard H. Swartz, Jennifer Mandzia, Donna Kwan, Derek Beaton, Robert Bartha, Manuel Montero-Odasso

53. Family and Palliative Care Physicians’ Perceived Barriers, Facilitators and Strategies to Improve Supportive Care at End of Life for Older Adults with Frailty in Long-term Care: A Qualitative Descriptive Study Patricia Harasym, Sarah Brisbin, Patrick B. Quail, Lorraine Venturato, Aynharan Sinnarajah, Navjot Virk, Sharon Kaasalainen, Tamara Sussman, Heather Hanson, Straus Sharon, Jayna Holroyd-Leduc

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

54. Implementing Early Mobility Recommendations for Older Adults After a Fragility Hip Fracture: A Mixed Methods Study Lynn Haslam, Vincent DePaul, Kevin Woo, Catherine Donnelly, Mohammad Auais

55. Which Comes First, Optimism or Good Health? A Longitudinal Study of Adults Aged 50 to 104 Clove Haviva, Olga Theou, Zachary Zimmer, Kenneth Rockwood

56. Older Adult – Caregiver Dyad Discrepancies in Older Adult’s Capacity to Manage Medications Jessica Ivo, Sadaf Faisal, Aidan McDougall, Jillian Bauer, Sarah Pritchard, Feng Chang, Tejal Patel

57. Resistance Training But Not Leucine Can Reverse Frailty by Increasing Basal Muscle Protein Synthesis in Older Women Consuming Optimized Protein Intake Kathryn Jacob, Vita Sonjak, Guy Hajj, Stéphanie Chevalier, Marie Lamarche, José Morais

58. Impact of Visual, Auditory and Dual Sensory Impairment on Functional Status in Older Adults Amber Janower, Philip St. John

59. The Recommended Intakes of Fatty Acids to Prevent Frailty and Mortality in Adult Kulapong Jayanama, Olga Theou, Judith Godin, Leah Cahill, Kenneth Rockwood

60. The Availability of Recreation Therapy Across Horizon Health Network and the Perceived Benefits for Seniors Emma Jeffrey, Usman Ahmed

61. Family Physicians’ Perspectives on Advanced Care Planning in Community-Dwelling Elderly: A Qualitative Study Angela (Tianshu) Ji, Jordan Ho, Margaret McGregor, Janet Kow

62. The Impact of Cardiac Rehabilitation on Frailty: Do the Frailest Benefit the Most? Scott Kehler, Nicholas Giacomantonio, Wanda Firth, Chris Blanchard, Kenneth Rockwood, Olga Theou

63. A Comparative Study of Hip Geometry in Older Patients with Acetabular Versus Hip Fractures Sara Kelly, Jennifer Thain, Amanda Lorbergs, Richard Crilly

64. Comparing N100 Latencies Between Mild Cognitive Impairment (MCI) and Cognitively Normal (CN) Subjects Using Event-Related Potentials (ERP) of the NeuroCatchTM Platform Frank Knoefel, Iman Sabra, Bruce Wallace, Michael Breau, Lisa Sweet, Rafik Goubran, Andrew Frank

65. Frailty in the Context of Rehabilitation Interventions for Adults: A Scoping Review Kristina Kokorelias, Shawna Cronin, Parvin Eftekhar, Sarah Munce, Katherine McGilton, Susan Jagal, Shirin Vellani, Chen Wang, Nancy Salbach, Tracey Colella, Pia Kontos, Alisa Grigorovich, Brian Chau, Jill Cameron

66. Creation of an Administrative Triage Tool for an Outpatient Geriatrics Clinic Katie Krause, Barbara Liu

67. Does Physician Retirement Affect Patients? A Systematic Review Kenneth Lam, Cameron Arnold, Rachel Savage, Nathan Stall, Lynn Zhu, Wei Wu, Katrina Piggott, Susan Bronskill, Paula Rochon

68. Collaboration in Dementia Care Between Primary Care Physicians and Specialist Physicians: Does it Exist? A Scoping Review

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Linda Lee, Ruchi Parikh, Loretta M. Hillier, Stephanie K. Lu, Victoria Gevaert, Sasha Walker

69. Measuring Quality of Life for Persons Living with Dementia in Primary Care Collaborative Memory Clinics: Is It Feasible? Linda Lee, Stephanie Lu, William Wong, Victoria Gevaert, Susie Gregg

70. Patient and Healthcare Professional Perspectives on “C5-75”: A Primary Care Program to Identify and Support Older Adults Living with Frailty Linda Lee, Stephanie Lu, Loretta M. Hillier, Wende Bedirian, Kara Skimson, James Milligan

71. The Prevalence of Frailty and Sarcopenia in Older Adults Screened for Elective Joint Replacement Maggie Lovett, Alexandra Papaioannou, Ahmed Negm, George Ioannidis, Danielle Petruccelli, Mitchell Winemaker

72. A New Behavioural Assessment and Intervention Response Inventory: LuBAIR (in Persons with Dementia) Atul Sunny Luthra

73. Withdrawn

74. Frailty and Associated Factors of Old People in Vulnerable Context: A Longitudinal Study in Primary Health Care Isabela Thaís Machado de Jesus, Aline Cristina Martins Gratão, Carla Manuela Crispim Nascimento, Fabiana de Souza Orlandi, Grace Angélica de Oliveira Gomes, Karina Gramani Say, Ariene Angelini dos Santos, Márcia Regina Cominetti, Sofia Cristina Iost Pavarini, Marisa Silvana Zazzetta

75. Blood Pressure Measurement and the Prevalence of Postprandial Hypotension Ken Madden, Boris Feldman, Graydon Meneilly

76. Do Older Adults with Overactive Bladder Demonstrate Impairment in Executive Function Compared to Their Peers without OAB? Asad Makhani, Sameea Qureshi, Kathleen F. Hunter, Adrian Wagg, William Gibson

77. Characteristics and Outcomes of Older Patients Presenting to Medical Assessment Unit (MAU): A Retrospective Analysis Mohd Ikhwan Marion, Aiman Monor, Syed Malik, Caoilfhionn O’Donoghue

78. Developing a Centralized Intake System for Specialized Geriatric Services: Care Provider Perspectives Sharon Marr, Jane McKinnon Wilson, Jeff Doleweerd, Tim Berezny, Loretta M. Hillier

79. Comprehensive Evaluation of Physical Activity and Potential Function Benefits for Older Adults Andrea Mayo, Martin Senechal, Jonathan Boudreau, Mathieu Belanger, Danielle Bouchard

80. The Pictorial Fit-Frail Scale: Feasibility and Reliability in Outpatient Settings Lisa McGarrigle, Emma Squires, Lindsay Wallace, Judith Godin, Mary Gorman, Kenneth Rockwood, Olga Theou

81. The Responsiveness of Goal Attainment Scaling in Relation to Goal Number in a Multidisciplinary, Community-based Intervention in Frail Older Adults Lisa McGarrigle, Susan E. Howlett, Kenneth Rockwood

82. Dementia 2.0: An Exploratory Analysis of Twitter and Health Forum Data Nishila Mehta, Lynn Zhu, Wei Wu, Rachel Savage, Kenneth Lam, Ishinder Ghuman, Susan Bronskill, Paula Rochon

83. Comparison of Treatment Tolerability and Effectiveness in Pulmonary NTM Patients Younger and Older Than 65 Years of Age

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Mauli Mehta, Sarah Brode, Matty Mehrabi, Vicky Chau, Theodore Marras

84. Detecting Apathy in Individuals with Parkinson’s Disease: A Systematic Review Bria Mele, Daria Merrikh, Zahinoor Ismail, Zahra Goodarzi

85. The Impact of Identifying and Managing Frailty on Post-discharge Care Transitions Susan Mercer, Kim Babb

86. Virtual Interactive Patients as an Innovative Tool to Address Geriatric Medicine Needs in Preclerkship and Clerkship Curricula Shara Nauth, Gordon Tait, Dan Liberman, Luke Devine

87. Distribution of Serotypes Causing Invasive Pneumococcal Disease (IPD) in Older Canadian Adults, According to the Coverage by the Current and Next Generation Pneumococcal Conjugate Vaccines Rajeev M. Nepal, Jelena Vojicic, Stephane Dion, Maria Major, Raul E. Isturiz

88. Changes in Gait Speed and Mortality: Where the Past Meets the Present Quoc Dinh Nguyen

89. Exploring the Longitudinal Patterns, Polypharmacy and Health Care Use in the Context of Multimorbidity Among Older Adult Primary Health Care Patients in Canada Kathryn Nicholson, Martin Fortin, Lauren Griffith, Amanda Terry, Tyler Williamson, Dee Mangin, Saverio Stranges

90. The Ethics of Physician-Assisted Suicide and Major Neurocognitive Disorders Felix Pageau

91. Knowledge Translation: Supporting the Implementation Fracture Prevention Recommendations in Long-Term Care Alexandra Papaioannou, George Ioannidis, Mary-Lou van der Horst, Caitlin McArthur, Loretta M. Hillier, Ravi Jain, Susan Jaglal, Jonathan D. Adachi, Lora Giangregorio

92. Healthcare Workforce Training in Supporting Family Caregivers of Seniors-in-Care Jasneet Parmar, Suzette Brémault-Phillips, Wendy Duggleby, Lesley Charles, Peter George Jaminal Tian

93. Fostering Resilience in Family Caregivers of Seniors in Care Jasneet Parmar, Lesley Charles, Suzette Brémault-Phillips, Peter George Jaminal Tian

94. The Feasibility of Implementing the Edmonton Frail Scale (EFS) in Home Care – A Qualitative Analysis Rania Bedaba, Darryl Rolfson, Jasneet Parmar, Suzette Brémault-Phillips

95. A Primary Care Network-Based Clinical Pathway for Decision-Making Capacity Assessment Lesley Charles, Jacqueline Torti, Jasneet Parmar, Suzette Brémault-Phillips, Bonnie Dobbs, Peter George Jaminal Tian, Sheny Khera, Marjan Abbasi, Karenn Chan, Frances Carr

96. The Care-of-the-Elderly Health Guide Jean Triscott, Bonnie Dobbs, Lesley Charles, James Huang, David Moores, Peter George Jaminal Tian, Judith Cerna

97. People of Dementia Jeffrey Jamieson, Bonnie Dobbs, Lesley Charles, Karenn Chan, Peter George Jaminal Tian

98. Transitions in Care from Acute Care to Home Lisa Jensen, Lesley Charles, Claire Johnson

99. Deprescribing Benzodiazepines in Hospitalized Seniors Using a Patient-Education Intervention Frances Carr, Peter George Jaminal Tian, Jeffrey Chow, Jennifer Guzak, Jean Triscott, Pamela Mathura, Xing Sun, Bonnie Dobbs

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

100. Becoming Consciously Competent – Experiences of a Competency by Design Pilot in Calgary Paula Pearce, Erika Dempsey, Amy Mahon

101. Thyroid Stimulating Hormone Levels and Geriatric Syndromes: A Nested in Cohort Case-Control Secondary Analysis of the Mexican Health and Aging Study Ulises Pérez-Zepeda, Miguel-German Borda, Paloma Almeda-Valdés, Matteo Cesari

102. Person-Centered Language for Responsive Behaviours: A Product of a Senior Friendly Community of Practice (Preliminary Results) Mary-Lynn Peters, Sylvia Davidson, Katherine Reece, Nicole Spira, Christopher Uranis, Lori Whelan, David Patrick Ryan, Deborah Margaret Brown

103. Azathioprine Induced Delirium Aditi Saha, Shanojan Thiyagalingam, Jessica Wachtel, Dhanasekaran Ramasamy

104. An Analysis of Pain in Older Adults Admitted to a Trauma Service Kozue Schmidt, Sonia Nobleza, Cailie Gordon, Melody Hung, Lynn Haslam, Mariana Thangaraja, Dov Gandell

105. In Acutely Hospitalized Older Individuals, Standard Laboratory Tests Measured on Admission Identify Those with Short- and Long-term Adverse Outcomes Samuel D. Searle, Hugh Logan Ellis, David Ramlakhan, Daniel Davis

106. Telehealth and the Rural Dementia Population: A Systematic Review Harmehr Sekhon, Olivier Beauchet

107. Development of a Standalone Electronic Frailty Index Based on the Comprehensive Geriatric Assessment (eFI-CGA) Kattie Sepehri, Xiaowei Song, Betty Chinda, McKenzie Braley, Macy Zou, Brandon Tang, Antonina Garm, Grace Park, Kenneth Rockwood

108. Sex Differences in Motor and Cognitive Trajectories before Dementia Luxey Sirisegaram, Yanina Sarquis-Adamson, Manuel Montero-Odasso

109. Integration of Geriatrics Content into the Foundations Curriculum – Student Perspectives Jeff Smallbone, Ada Posner, Thirumagal Yogaparan

110. Validation of the Frailty Index Based on the Comprehensive Geriatric Assessment (eFI-CGA) on the Electronic Medical Records System (EMR) Xiaowei Song, Grace Park, Antonina Garm, Ron Kelly, Sonia Singh, Kate Keetch, Samar Heiazi, Macy Zou, Mckenzie Braley, Betty Chinda Joyce Sandercock, Casper Shyr, Ryan D’Arcy, Robert McDermid, Olga Theou, Barry Clarke, Kenneth Rockwood

111. Self-rated Health and the Risk of Mortality in the Manitoba Follow-up Study Philip St. John, Christian Hanson, Robert Tate

112. Do Not Resuscitate: What Does It Mean? Shanojan Thiyagalingam, Nikhil Shah, Jordan Resnick, Saad Amin, Saima Manzoor, Nirav Mistry, Kristin Fless, Fariborz Rezai, Vagram Ovnanian, Paul Yodice

113. The Pearly Bird Gets the Worm: A Qualitative and Quantitative Analysis of the Geriatric Update: Clinical Pearls Conference Lindsay Torbiak, Heidi Schmaltz

114. Description of the Population of Older Adults with Dementia in Nova Scotia 2005-2018 Shanna Trenaman, Susan Bowles, Susan Kirkland, Melissa Andrew

115. Geriatric Pharmacology Infographics: Efficient Knowledge Translation of Medication Optimization for Clinicians Caring for Older Adults Jennifer Tung, R. Jack Bodkin, Karen Wang, Vithusha Ganesh, Cameron Neat,

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Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Caylee Raber, Sophiya Benjamin, Howard An, Nadia Beyzaei, Curtis Lau, Fiona Lee, Lindsay Cox, Joanne Ho

116. Defining Minimally Important Difference for the Frailty Index in a Longitudinal Clinical Cohort of Hospitalized Older Patients Alex van der Valk, Olga Theou, Judith Godin, Melissa Andrew, Janet McElhaney, Shelly McNeil, Kenneth Rockwood

117. A Cognitive Vital Sign for Daily Delirium Screening on an Acute Care of the Elderly Unit: How Feasible is It? Timothy Wong, Jennifer Thain, Laurie McKellar, Monidipa Dasgupta, Akshya Vasudev, Amer Burhan, Niamh O’Regan

118. Self-rated Health and Mortality after Non-cardiac Surgery Caleb Yeung, Philip St. John, Sadeesh Srinathan

119. Mapping Items in the Construction of the Frailty Index Using Comprehensive Geriatric Assessment and InterRAI Datasets Macy Zou, Ron Kelly, Betty Chinda, Mckenzie Braley, Rabiah Dhaliwal, Grace Park, Annette Garm, Robert McDermid, Kenneth Rockwood, Xiaowei Song