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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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Aid Blockade Intensifies Ceasefire Standoff Between Israel and Hamas

In a significant escalation of tensions, Israel has halted the entry of all goods and supplies into the Gaza Strip, aiming to pressure Hamas into accepting a new ceasefire proposal. This move comes as the first phase of a fragile ceasefire expired, leaving both sides at an impasse over the terms of a potential extension.

The Israeli government, in coordination with U.S. Mideast envoy Steve Witkoff, proposed extending the ceasefire through Ramadan and Passover, which end on April 20. Under this plan, Hamas would release half of the remaining hostages on the first day, with the rest to follow upon reaching a permanent ceasefire agreement. However, Hamas has accused Israel of violating the truce and using aid as leverage, calling the blockade "cheap extortion" and a "war crime".

The first phase of the ceasefire, which began in January, saw a surge in humanitarian aid and the release of hostages on both sides. Yet, disputes over alleged violations marred the truce, with each side blaming the other for breaches. The blockade now threatens to exacerbate the humanitarian crisis in Gaza, where the population heavily relies on international aid for survival.

As negotiations stall, the international community watches closely, urging both parties to find a resolution that prioritizes peace and humanitarian needs. The situation remains precarious, with the potential for further escalation if an agreement is not reached soon.

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