Are chronic pain patients with dementia being undermedicated?

WP Achterberg, A Erdal, BS Husebo… - Journal of Pain …, 2021 - Taylor & Francis
In dementia, neuropathological changes alter the perception and expression of pain. For
clinicians and family members, this knowledge gap leads to difficulties in recognizing and …

Inappropriate use of clinical practices in Canada: a systematic review

JE Squires, D Cho-Young, LD Aloisio, R Bell… - CMAJ, 2022 - Can Med Assoc
Background: Inappropriate health care leads to negative patient experiences, poor health
outcomes and inefficient use of resources. We aimed to conduct a systematic review of …

Comparison of medication prescribing before and after the COVID-19 pandemic among nursing home residents in Ontario, Canada

MA Campitelli, SE Bronskill, LC Maclagan… - JAMA Network …, 2021 - jamanetwork.com
Importance COVID-19 has had devastating effects on the health and well-being of older
adult residents and health care professionals in nursing homes. Uncertainty about the …

Potential unintended consequences of antipsychotic reduction in Ontario nursing homes

DA Harris, LC Maclagan, A Iaboni, PC Austin… - Journal of the American …, 2022 - Elsevier
Objective Antipsychotic reduction in nursing homes has been a focus of research and policy
attention for several decades; however, there is evidence that these initiatives may have had …

Time trends in opioid use by dementia severity in long-term care nursing home residents

HB Mehta, YF Kuo, M Raji, S Li, J Westra… - Journal of the American …, 2021 - Elsevier
Objective Current information on opioid use in nursing home residents, particularly those
with dementia, is unknown. We examined the temporal trends in opioid use by dementia …

Long-term opioid use in seniors following hip and knee arthroplasty in Ontario: a historical cohort study

A Johnson, B Milne, M Pasquali, N Jamali… - Canadian Journal of …, 2022 - Springer
Purpose Canadian seniors who undergo hip and knee arthroplasty often experience
significant postoperative pain, which could result in persistent opioid use. We aimed to …

A systematic review of interventions to improve analgesic use and appropriateness in long-term care facilities

LA Dowd, AJ Cross, F Veal, CE Ooi, JS Bell - Journal of the American …, 2022 - Elsevier
Objectives To systematically review the effectiveness of interventions to improve analgesic
use and appropriateness in long-term care facilities (LTCFs). Design Systematic review …

Variation and correlation of potential unintended consequences of antipsychotic reduction in Ontario nursing homes over time

DA Harris, LC Maclagan, P Pequeno, A Iaboni… - Medical …, 2023 - journals.lww.com
Background: Potentially inappropriate antipsychotic use has declined in nursing homes over
the past decade; however, increases in the documentation of relevant clinical indications …

Greater opioid use among nursing home residents in Ontario, Canada during the first 2 waves of the COVID-19 pandemic

CJ Maxwell, MA Campitelli, CA Cotton… - Journal of the American …, 2022 - Elsevier
Objectives To examine the association between the COVID-19 pandemic and opioid use
among nursing home residents followed up to March 2021, and possible variation by …

Nurse Practitioner Opioid Prescribing and Safety Measure Utilization Patterns in Ontario: An Explanatory Sequential Mixed Methods Study

G Pittman, J Ralph, M Freeman, L Freeman… - Journal of Nursing …, 2021 - Elsevier
Background: Across Canada, opioid-related hospitalizations, emergency department visits,
and mortality have increased. A literature gap exists related to opioid prescribing and safety …