This research paper takes into account how the experiences of diversity, in particular age, gender identity, and sexual orientation, contribute to the quality of care in the last stages of life. Many of Canada's LGBT elderly at some point have experienced systematic and open discrimination, homophobia, and even criminalization, to the detriment of their psychosocial well-being. In recognition of these unique contexts, the research team conducted a literature review and facilitated focus groups to address a number of research goals.
This qualitative study and discussion paper focuses on the relationship between suffering and capacity for patients at the end of their lives. The researchers conducted interviews with 14 health care providers in Ontario who have expertise in treating patients at the end-of-life. The initial findings were categorized into three areas (a) provider perspectives on the relationship between suffering and capacity; (b) suffering is beyond the patient; and (c) disparities between the end of life care context and the legal notion of capacity.
This research paper reviews the legal framework within Ontario, positioning Advance Care Planning (ACP), Goals of Care (GOC) and Health Care Consent (HCC) as part of the person-centred decision making process. It also clarifies the linkages between informed consent, ACP and GOC, highlighting the conncections to the Health Care Consent Act. 91 pages. Last reviewed January 4, 2017.
This artcile reviews the neurocognitive and neuropathologic changes after TBI with particular focus on the potential risk for cognitive decline across the life span in military service members. Implications for monitoring and surveillance of cognition in the aging military population are discussed.
The aim of this study was to describe the change in Health Quality-of-Life (HQoL) one year after admission for treatment of depression as well as the explore if improved HQoL was associated with remission of depression at follow-up and to compare these individuals with a reference group of older adults without depression.
The study of human anxiety disorders has benefited greatly from functional neuroimaging approaches. Individual studies, however, vary greatly in their findings. The authors searched for common and disorder-specific functional neurobiological deficits in several anxiety disorders. The authors also compared these deficits to the neural systems engaged during anticipatory anxiety in healthy subjects.
The authors reviewed data to assess the prevalence of suicide ideation among community-dwelling older adults and the relationship between suicide ideation, major psychiatric disorder, and mental health service.
Suicide in later life is a global public health problem. The aim of this review was to conduct a systematic analysis of studies with comparison groups that examined the associations between social factors and suicidal behavior (including ideation, non-fatal suicidal behavior, or deaths) among individuals aged 65 and older.