On-line Registration

Time

Session, Speaker(s), Synopsis and Learning Objectives

7:30–8:30

Registration & Continental Breakfast

8:30-8:45

Welcoming Remarks

Robert Lam, MD, CCFP (Care of the Elderly)
Assistant Professor, Department of Family Medicine, University of Toronto 

8:45-9:45

You Could Live a Long Time: Are You Ready?

Lyndsay Green
Sociologist and Author

Lyndsay Green will talk about what she learned from 40 wise and inspiring seniors, ages 75 to 100 years, who gave her tips for what she should be doing now to live well at their age. After summarizing the findings, Lyndsay will explore the impact the research has had on her and her attitudes towards aging.

9:45-10:05

Nutrition Break and Exhibit Viewing

10:05-11:05

Workshop #1:
The Pitfalls of Polypharmacy in the Elderly

Bill Sylvester, BScPharm, Rph
Clinical Site Leader, Department of Pharmacy, Toronto Rehabilitation Institute – UHN

 This presentation will provide an overview of the deposition of drugs in the elderly and the prevalence of polypharmacy and the dangers of complex drug therapies and overprescribing.

- Review the effect of aging on drug absorption, distribution, metabolism and excretion
- Review common agents that are significantly altered with aging and how best to identify
- How to conduct a best possible medication history and what next
- Strategies to improve compliance with complex medication regimens

10:05-11:05

Workshop #2:
Part A: Helping Elderly Persons with Aphasia Navigate Community Services

Rochelle Cohen-Schneider, Med
Speech-Language Pathologist reg. CASLPO; Director, Clinical and Educational Services, Aphasia Institute, Toronto

This presentation will provide an overview of the challenges and solutions to providing services for elderly persons with aphasia. The Aphasia Institute has over 30 years of experience developing innovative solutions to reducing language barriers and helping people with aphasia live successfully.

- Understand the specific challenges  of living with aphasia
- Demonstrate an understanding of basic techniques and resources to help reduce the communication barriers for “those who know more than they can say”

 Part B: Community Services for Seniors

Marta Rodrigues, MSW, RSW
Case Coordinator, Toronto Central Community Care Access Centre

This presentation will provide an overview of the various community services that are available to seniors in their communities.

- Identify and describe some of the services that are tailored to the needs of different senior populations within Toronto

- List the most common services that are provided to seniors in the community
- Discuss and share resources for seniors

10:05-11:05

Workshop #3:
Too Much, Too Little, Too Late: Care, Capacity and the Geriatric Client

Ann Heesters, PhD (ABD)
Associate Director of Bioethics, UHN; Vice-Chair, Rehab Science and Medicine Research Ethics Board; Member, Joint Centre for Bioethics, University of Toronto

This presentation will provide an overview of the variety of ethical challenges arising in the care of geriatric clients. A special emphasis will be placed on cases where capacity for decision-making is unclear or variable.

- Describe some ethical challenges associated with caring for geriatric clients presenting with capacity issues
- Be able to identify some ethical features of cases presented
- Recognize implications for clinical practice and resources available

10:05-11:05

Workshop #4:
Office Management of Gait Disorders in the Elderly

Robert Lam, MD, CCFP (Care of the Elderly)
Assistant Professor, Department of Family Medicine, University of Toronto

Andrea Diaz Domonkos, PT
Physiotherapist & Professional Practice Leader, Geriatric Rehabilitation Program, Toronto Rehabilitation Institute – UHN

This presentation will provide an approach to management of gait disorders in primary care. Prescription of gait aids will be reviewed.

- Describe normal gait changes with aging
- Classify gait disorders in the elderly based on sensori-motor levels
- Ensure safe us of appropriate gait aids for patients and identify the need for physiotherapy

11:05-11:15

Transition Time to Next Set of Workshops

11:15-12:15

Second Set of Workshops – Please refer to the descriptions listed above

12:15-1:15

Networking Lunch and Sponsor/Exhibit Viewing

1:15-2:15

Elder-Abuse:
Identification, Implications, and Theory Application

Mark Yaffe, MD, CM
Professor, Department of Family Medicine, McGill University and St. Mary’s Hospital Center

This presentation will provide an overview of elder abuse and important causes of morbidity and mortality in older adults. It will discuss what mistreatment looks like, how to identify it, and what to do with the findings.

- Define elder abuse and describe the signs and symptoms
- Discuss elder abuse prevalence and barriers to identification
- Summarize risk factors for elder abuse and related theories of causation
- Use the Elder Abuse Suspicion Index (EASI)© as an aide in detection
- Describe options for follow up once elder abuse is suspected

2:15-2:35

Nutrition Break and Exhibit Viewing

2:35-3:36

Geriatric Medicine: Where Did We Come From, Where Are We Going? 

Barry Goldlist, MD, FRCPC, FACP, AGSF
Professor of Medicine, University of Toronto; Staff Physician, General Internal Medicine and Geriatrics, University Health Network/Mt. Sinai Hospital Department of Medicine

This presentation will briefly review the history of geriatric medicine in Canada and the future role of geriatric medicine as Ontario develops its senior care strategy.

- Explain how geriatric medicine and care of the elderly developed in Canada
- Identify the unique contributions of specialists in geriatric medicine to our health care system
- Identify the contribution of geriatric medicine to acute hospital care of the elderly 

3:35

Closing Remarks