Dr St Martin

9 physicians for 1350 LTC patients and growth at 4% a year in Sudbury Ontario

In search of a silver lining - Editorial (add your voice)

venous wound healing

a meta-analysis that was unable to demonstrate a significant difference between hydrocolloid, foam, hydrogel , alginate or low adherent dressing in venous ulcer healing.....

Dressings for venous leg ulcers: systematic review and meta-analysis

hip replacement

it certainly is..........The operation of the century: total hip replacement

EMR and osteoporosis

The first study to link improved osteoporosis management outcomes to the use of an EMR


Outreach Improves Osteoporosis Management after Fracture

sleep

A brief review article from today's New York Times on sleep. Problems seem to present after 60.....mostly causing secondary sleep disorders

The Elderly Always Sleep Worse, and Other Myths of Aging

aging in China

No system in place for older people. Traditionally families have cared for older relatives. This article from today's China Daily


Aging population 'a challenge'

Influenza A in Calgary LTC

Outbreak reveals early start to flu season

antipsychotics and dementia

More evidence........

observational study but the concerns aren't diminishing for these meds in dementia 22-29% vs 14%

Mortality Risk in Patients With Dementia Treated With Antipsychotics Versus Other Psychiatric Medications

feeding tubes

Review of a book on feeding tubes in last Saturdays's Jerusalem post. Geriatrician Mark Clarfield identifies absurd financial incentives in Israeli centres in relation to complex care and feeding tubes.

A completely unpalatable situation

reform of LTC in UK

“Our failure to support frail and vulnerable older people has been one of the unrecognised scandals of our time.."

“This move represents a bold first step at addressing one of the greatest social challenges facing the government. For too long this has been a no-go area for politicians since the Royal Commission on Long Term Care reported in 1999."

Well, until this is recognized as primarily an issue of health , nothing will change
......
King's Fund welcomes ‘historic move' on the future of long term care for millions of older people and their carers

edentulousness and dementia

more than simply forgetting to put in your teeth I suspect.......

Tooth loss, dementia may be linked, JADA study suggests

donepezil and agitation

small short study with no significant effect

Donepezil for the Treatment of Agitation in Alzheimer's Disease

another NSAID

This must be a record for time from approval to withdrawl

Withdrawal of Market Authorization for Prexige

dementia care

one scholar's perspective from observations of dementia care in the UK......more support for primary care physicians, couldn't agree more


Fulbright Scholar back from the U.K. with ideas for treating dementia