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Recherche

Aperçu

Les soins que nous nous efforçons de donner à nos aînés sont étayés par de la recherche clinique et les meilleures preuves. Dans le cadre de notre engagement à donner les meilleurs soins possible aux aînés, nous sommes déterminés à faire de la recherche sur la santé et le vieillissement. Dans cette optique, depuis une décennie, les gériatres et les infirmières et infirmiers du Service de médecine gériatrique participent à un certain nombre d'activités de recherche, y compris à des essais cliniques et à de la recherche originale, dont certains résultats ont été présentés et publiés à l'échelle nationale et internationale.

Depuis 1994, nous avons participé à plus de 20 essais cliniques à titre de site d'essai sur la scène nationale et internationale. Nous avons participé à l'essai de plus de 10 médicaments existants et expérimentaux  sur le traitement de la démence, surtout de la maladie d'Alzheimer. Avec plusieurs autres sites, nous faisons partie du Consortium des centres canadiens pour la recherche cognitive. De plus, nous avons travaillé avec les Instituts de recherche en santé du Canada (IRSC) en tant que site d'essai et chercheurs collaborateurs.  Plus récemment, nous sommes le seul site néo-brunswickois de l'étude COMPASS-ND, qui fait partie  du Consortium canadien en neurodégénérescence associée au vieillissement.

La première recherche à laquelle nous avons participé vise à améliorer les soins cliniques et à mesurer les résultats qui ont influé sur l'établissement de pratiques exemplaires. Nous avons reçu des subventions de la Fondation de la recherche en santé du Nouveau-Brunswick, du Réseau de santé Horizon et de l'ancienne Fondation de recherche en sciences de la santé de l'Atlantique pour une partie de ce travail. Nous avons présenté plus de 50 affiches de recherche à des réunions nationales et internationales depuis 1997. De plus, nous avons publié plus de 10 documents de recherche dans des revues examinées par des pairs en tant qu'auteurs principaux ou co-auteurs.

Nous avons continué de développer des activités de recherche au Service de médecine gériatrique et au Programme Vieillissement en santé et nous continuons de collaborer avec d'autres fournisseurs de soins de santé et chercheurs universitaires. Dans notre programme, cette façon de faire est devenue une culture, et beaucoup d'autres professionnels alliés au domaine de la santé se sont joints à l'activité de recherche au cours des dernières années. Nous continuons de nous efforcer d'instaurer dans notre service et dans notre programme une culture qui favorise et encourage ce type d'activité, de sorte que nous puissions continuer de répondre aux questions cliniques importantes qui nous aideront à donner les meilleurs soins possible à nos patients.

La recherche défraie la manchette

Chercheurs

Service de médecine gériatrique de Saint John

Pamela Jarrett, M.D., FRCPC, FACP - Médecin responsable

Linda Yetman, I.I., B.Sc.Inf., Med, ACNP (dip), Ph.D. - Coordonnatrice de la recherche

Elizabeth MacDonald, M.D., FRCPC

Donna MacNeil, Ph.D., M.D., FRCPC

Chercheurs collaborateurs

Dalhousie Medicine New Brunswick

Université Dalhousie

Réseau de santé Horizon

London Health Sciences Centre

Maritime Medical Genetics Service

Unité de soutien SRAP des Maritimes

Programme de traumatologie du N.-B.

Régie de la santé de la Nouvelle-Écosse

Université du Nouveau-Brunswick

Université du Nouveau-Brunswick, Saint John

Université de Toronto

Réseau de santé Vitalité

Université Western

 

Études actuelles

  1. Comprehensive Assessment of Neurodegeneration and Dementia (Compass-ND) Study
  2. Caregivers of Persons with Dementia: What They Say is Meaningful and Important  to Them
  3. Timed Up and Go (TUG) Test for Discriminating Between Pre-Frailty and Cognitive Impairment
  4. Creating a Healing Environment for Care of the Aging and Elderly: What Patients, Families, and Nursing Staff Say is Required
  5. Who are the Fallers and why do They Fall? A Comprehensive Study of Falls in Older Adults in a Hospital Setting
  6. Managing Constipation in the Older Patient with Dementia: A Mixed Methods Study
  7. A Descriptive Study of the Use of Emergency Services and Acute Care Hospital by Residents living in Special Care Homes in New Brunswick
  8. Description of a family with Autosomal Dominant Kufs Disease: A rare cause of dementia in young adults
  9. Outcomes in  Older Adults with Isolated Hip Fractures: A Descriptive Epidemiological Study across Regional Hospitals in  New Brunswick
  10. Retrospective Chart Review of Patients Diagnosed with Mild Cognitive Impairment in an Outpatient Geriatric Assessment Clinic
  11. Experiences of Dementia Patients in a Collaborative Care Memory Clinic
  12. Successful  Aging in Place: Indicators from a Memory Clinic Population
  13. Alternate Level of Care: Using the Patient and Caregiver Experience to Guide Health System Performance Measurement
  14. Caring for Caregivers of Aging Canadians: Assessing and Prioritizing Promising Practices and Selecting Interventions for Future Implementation

Présentations de recherche et résumés publiés


1. Falls on Geriatric Hospital Units: What Information Can We Learn from Reports from Nurses? 37th Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2017.

2. Falls on Inpatient Geriatric Units: Which tools predict falls best? 37th Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2017.

3. Canadian Geriatrician and Care of the Elderly Human Resource Update: 2016. 37th Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2017.

4. Which Bedside Tools Predict Falls on Inpatient Geriatric Units? Interprofessional Health Research Day. Saint John, NB. March 2017.

5. Patient Falls in Geriatric Settings: Gleaning Information from Nurses' Reports. Interprofessional Health Research Day. Saint John, NB. March 2017.

6. Why do older adults in assisted living facilities use the emergency department: Are all these visits necessary? Canadian Association of Emergency Physicians 2016 Conference. Quebec City, QC. May 2016.

7. Why Residents from Assisted Living Facilities are admitted to Hospital from the Emergency Department. 36th Canadian Geriatrics Society Annual Scientific Meeting. Vancouver, BC. April 2016.

2015

8. How well does a Memory Clinic Support Patients in a Community? 8th Canadian Conference on Dementia. Ottawa, ON. October 2015.

9. What happens to Alternate Level of Care patients in hospital? Is Dementia a factor? 8th Canadian Conference on Dementia. Ottawa, ON. October 2015.

2013

10. What do We Know about the Patients who are Alternate Level of Care in Horizon Health Network? 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

11. A Pilot Study Comparing the Screen for the Identification of the Impaired Medically at Risk Driver: A Modification of the DemTect (SIMARD MD) to Clinical Impression of Patients with Dementia or Mild Cognitive Impairment. 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

12. Quality Improvement Initiative on an Inpatient Geriatric Ward to Improve Documentation and Frequency of Bowel Movements. 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

13. The Dementia Trilogy: Development of Three Original Booklets about Dementia for Patients and their Families. 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

14. Alternative Level of Care: Patient and Family Perspectives. American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

15. Measuring Outcomes on an Inpatient Geriatric Evaluation and Management Unit: The Effectiveness of Goal Attainment Scaling in Patients with Dementia. American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

16. Long Stay Hospital Patients in Acute Care Hospital beds: What does Dementia have to do with this? American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

17. The Relationship between Dementia and Falling in Long-stay Hospital Patients. American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

2012

18. Journey across the Care Continuum: Patient and Family Perspectives. The Gerontological Society of America 65th Annual Scientific Meeting. San Diego, CA. November 2012.

19. What do We Know about the Patients who are Alternate Level of Care in Horizon Health Network? 4th Annual New Brunswick Health Research Conference. Fredericton, NB. November 2012.

2011

20. The Relationship between Dementia and Falling in Long-stay Hospital Patients. 6th Canadian Conference on Dementia. Montreal, QC. October 2011.

21. Who are the Alternate Level of Care (ALC) Patients in one Atlantic Canada Community? A description from two New Brunswick Hospitals. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology. Ottawa, ON. October 2011.

22. The Effectiveness of a Hospital Based Falls Prevention Program for Geriatric Patients. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology. Ottawa, ON. October 2011.

23. Challenges of using home health monitoring devices with frail older adults. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology. Ottawa, ON. October 2011.

2010

24. An Evaluation of a Model of Care in a New Brunswick Nursing Home: Transition to Shared-Care with a Nurse Practitioner. The Gerontological Society of America 63rd Annual Scientific Meeting. New Orleans, LA. November 2010.

25. The Feasibility of Using Home Based Technology in Frail Older Adults. Independent@Home: A Pilot Study. 2nd Annual New Brunswick Health Research Conference. Saint John, NB. November 2010.

26. The Effectiveness of Using Goal Attainment Scaling as a Tool to Measure Individualized Outcomes for Patients on a Geriatric Evaluation and Management Unit. 2nd Annual New Brunswick Health Research Conference. Saint John, NB. November 2010.

27. Are we Meeting Guideline Recommendations for Dementia Care in an Outpatient Setting? 2nd Annual New Brunswick Health Research Conference. Saint John, NB. November 2010.

28. Effectiveness of a Review and Reduction Strategy for Patients Receiving Atypical Neuroleptic Treatment for Behavioural and Psychological Symptoms of Dementia (BPSD) on Transitional Care Units (TCUs). 30th Canadian Geriatrics Society Annual Scientific Meeting. Ottawa, ON. April 2010.

29. Patient Related Outcomes of Geriatric Medicine Inpatient Services. 30th Canadian Geriatrics Society Annual Scientific Meeting. Ottawa, ON. April 2010.

30. Effectiveness of Multi-Sensory Stimulation as an Intervention in Treating Behavioural Problems in Patients with Dementia on a Transitional Care Unit. Interprofessional Health Research Day. Saint John, NB. March 2010.

Publications

1. McCloskey, R., Jarrett, P., & Stewart, C. (2015). The Untold Story of Being Designated an Alternate Level of Care Patient. Healthcare Policy, 11(1), 76.

2. McCloskey, R., Jarrett, P., Stewart, C., & Keeping‐Burke, L. (2015). Recruitment and Retention Challenges in a Technology‐Based Study with Older Adults Discharged from a Geriatric Rehabilitation Unit. Rehabilitation Nursing, 40(4), 249-259.

3. McCloskey, R., Jarrett, P., Stewart, C., & Nicholson, P. (2014). Alternate level of care patients in hospitals: what does dementia have to do with this? Canadian Geriatrics Journal, 17(3), 88.

4. Wernham, M., Jarrett, P. G., Stewart, C., MacDonald, E., MacNeil, D., & Hobbs, C. (2014). Comparison of the SIMARD MD to clinical impression in assessing fitness to drive in patients with cognitive impairment. Canadian Geriatrics Journal, 18(2), 134.

5. Hogan, D. B., Borrie, M., Basran, J. F., Chung, A. M., Jarrett, P. G., Morais, J. A., ... & Stultz, T. (2012). Specialist physicians in geriatrics-report of the Canadian Geriatrics Society Physician Resource Work Group. Canadian Geriatrics Journal, 15(3), 68.

6. McCloskey, R., Jarrett, P., Knudson, C., Quinn, S., and Stewart, C. (2009). Exploring the Role of a Nurse Practitioner in Long-Term Care. Canadian Journal of Geriatrics, 12(4), 10-15.

7. Rockwood, K., Fay, S., Jarrett, P., & Asp, E. (2007). Effect of galantamine on verbal repetition in AD A secondary analysis of the VISTA trial. Neurology, 68(14), 1116-1121.

8. Kamel, S. J., Jarrett, P., & MacDonald, E. (2005). Effectiveness of geriatric evaluation and management units in caring for older adults. Geriatrics Today, 8(3), 104.

9. Jarrett, P.G., Deschenes, P.J., MacDonald, E.A., Thompson, C. (2005). Pharmacy Review Rounds and Medication Appropriateness on a GEMU. Geriatrics Today, 8(1), 21-26.

10. Rockwood, K., Cosway, S., Carver, D., Jarrett, P., Stadnyk, K., & Fisk, J. (1999). The risk of dementia and death after delirium. Age and ageing, 28(6), 551-556.

11. Jarrett, P. G., Rockwood, K., Carver, D., Stolee, P., & Cosway, S. (1995). Illness presentation in elderly patients. Archives of Internal Medicine, 155(10), 1060-1064.

12. Rockwood, K., Cosway, S., Stolee, P., Kydd, D., Carver, D., Jarrett, P., & O'Brien, B. (1994). Increasing the recognition of delirium in elderly patients. Journal of the American Geriatrics Society, 42(3), 252-256.

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