Karen Fruetel

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OBJECTIVES To implement and evaluate an evidence-informed multicomponent strategy to reduce physical restraint use in older adults admitted to acute care medical units. DESIGN Stepped-wedge trial. SETTING Four acute care medical units in Calgary, Alberta, over a 4-month time period. PARTICIPANTS Data were collected from individuals aged 65 and older(More)
BACKGROUND Although primary care physicians (PCPs) are often responsible for the routine care of older adults with chronic kidney disease (CKD), there is a paucity of evidence regarding their perspectives and practice of conservative (non-dialysis) care. We undertook a qualitative study to describe barriers, facilitators and strategies to enhance(More)
BACKGROUND Guideline committees have identified the need for research to inform the provision of conservative care for older adults with stage 5 chronic kidney disease (CKD) who have a high burden of comorbidity or functional impairment. We will use both qualitative and quantitative methodologies to provide a comprehensive understanding of barriers and(More)
BACKGROUND AND OBJECTIVES Conservative management of adults with stage 5 CKD (eGFR<15 ml/min per 1.73 m(2)) is increasingly being provided in the primary care setting. We aimed to examine perceived barriers and facilitators for conservative management of older adults by primary care physicians. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS In 2015, we(More)
BACKGROUND older adults are sometimes hospitalized with the admission diagnosis of failure to thrive (FTT), often because they are not felt safe to be discharged back to their current living arrangement. It is unclear if this diagnosis indicates primarily a social admission or suggests an acute medical deterioration. The objective of this study was to(More)
Setting/Participants: 208 consecutive patients seen in an outpatient memory clinic in London, Ontario, Canada (63 with diagnosis of mild dementia, 86 with diagnosis of mild cognitive impairment, 59 with normal cognition) for whom both a MoCA and RUDAS could be completed. Measurements: The MoCA and the RUDAS were administered to all participants, sensitivity(More)
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