“Doctor, I’m taking too many pills”: Tackling therapeutic competition in the elderly

Dina Baras CPSA, Messenger, Optimized Prescribing with Seniors 4 Comments

Dr. Vivian Ewa, MBBS, CCFP (CoE), PG DipMedEd, FCFP, FRCP Edin Section Chief- Seniors Care and Clinical Assistant Professor, Department of Family Medicine, University of Calgary. Mrs. Poly is a 78-year-old woman who resides in a seniors’ retirement home. Her past medical history is significant for hypertension; type 2 diabetes; dyslipidemia; coronary artery disease with previous NSTEMI; gastritis; hypothyroidism; chronic …

Management of Chronic Non-cancer Pain in Older Adults

Dina Baras CPSA, Optimized Prescribing with Seniors 9 Comments

Contributed by: Dr. Darren Burback John is a 78-year-old man who has experienced chronic low-back pain for several years, with gradual worsening over time. He has a history of degenerative disc disease and moderate lumbar spinal stenosis. There is no indication for surgical intervention. His history includes mild cognitive impairment, hypertension, diabetes mellitus type 2, mild chronic renal impairment and …

Pharmacological treatment of urinary incontinence in the elderly

Dina Baras CPSA, Messenger, Optimized Prescribing with Seniors Leave a Comment

Phyllis, a 78-year-old woman with mild COPD comes to your office for a routine disease-monitoring visit. During the consultation, she tells you that she has been experiencing severe urinary urgency for many months and has had several accidents on the way to the washroom over the last few weeks.  She hadn’t mentioned this before as she was embarrassed and thought …