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A Silent Trend in Canadian Long‑Term Care: Antipsychotic Use Without Diagnosis

  A recent report has revealed a troubling pattern in long‑term care (LTC) homes across Canada: one in four residents is being given antipsychotic medication despite having no diagnosis of psychosis . These drugs—intended to treat conditions involving delusions or hallucinations—are often being used instead to manage behavioural symptoms such as aggression or agitation, particularly among residents with dementia.  This trend has been growing in recent years. National data shows that potentially inappropriate antipsychotic use in LTC reached more than 24% in 2023–2024 , continuing an upward trajectory that began before the COVID‑19 pandemic. Rates vary widely across the country, with some jurisdictions approaching 35%. The pandemic intensified staffing shortages and disrupted person‑centred care practices, making it harder for facilities to rely on non‑pharmacological approaches.  Canada’s rate of inappropriate antipsychotic use is also high by international standards— ...
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How to prevent heart disease and stroke

Heart disease and stroke are two of the leading causes of death and disability worldwide. They are both caused by problems with the blood vessels that supply oxygen and nutrients to the heart and brain. The most common risk factors for heart disease and stroke are high blood pressure, high cholesterol, smoking, diabetes, obesity, physical inactivity, and unhealthy diet.

Fortunately, there are many ways to prevent heart disease and stroke, or to reduce their impact if they occur. Here are some tips to keep your heart and brain healthy:

1. Monitor your blood pressure and cholesterol levels regularly and follow your doctor's advice on how to control them.

2. Quit smoking or avoid exposure to secondhand smoke.

3. Manage your blood sugar levels if you have diabetes or prediabetes.

4. Maintain a healthy weight and avoid abdominal obesity.

5. Exercise regularly for at least 150 minutes per week of moderate-intensity aerobic activity, such as brisk walking, cycling, or swimming.

6.  Eat a balanced diet that is low in saturated fat, trans fat, salt, and added sugars, and high in fruits, vegetables, whole grains, nuts, seeds, fish, and lean meats.

7. Limit your alcohol intake to no more than one drink per day for women and two drinks per day for men.

8. Manage your stress levels and practice relaxation techniques, such as meditation, yoga, or deep breathing.

9. Seek medical attention promptly if you experience any signs or symptoms of heart attack or stroke, such as chest pain, shortness of breath, arm or leg weakness, facial drooping, slurred speech, or sudden severe headache.

By following these steps, you can lower your risk of heart disease and stroke and improve your quality of life. Remember that prevention is better than cure!


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