Current Highlights


In a new study, researchers report that the frequency of depressive symptoms is directly linked to risk of heart disease or stroke events in older adults.

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Engaging in enjoyable and enriching lifestyle activities—as long they involve sustained and challenging mental effort—may be associated with maintaining cognitive vitality.

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According to a recent study, home blood pressure (HBP) monitoring data may be more accurate for revealing which patients have uncontrolled blood pressure.

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Low blood levels of bicarbonate may indicate an elevated risk of premature death in generally healthy older individuals, according to a study.

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New guidelines from the American Diabetes Association (ADA) address diabetes management in long-term care and skilled nursing facilities.

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Practical Research

The authors demonstrate that insulin pens can be used safely in the LTC setting and are clinically useful. View More
The inclusion of NPs in LTC nursing facility care teams potentially increases resident quality of life and reduces the cost of care by minimizing the use of costly, unwanted treatments....
The purpose of this study was to determine the accuracy of delirium recognition by licensed nurses and nursing assistants from eight nursing homes over a 12-month period....


This article focuses on three recently approved drugs that are marketed for chronic conditions that can affect older adults. View More
The authors address nonpharmacological interventions for insomnia disorders in older adults residing in long-term care facilities....
Given the promising results reported of nonpharmacologic BPSD treatments, it is worthwhile to implement these techniques as part of an individualized treatment plan for elderly long-term care residents....

Ask The Expert

We spoke with Dr. Bragg to gain a better understanding of hypertension in older adults. View More
We spoke with Carl E. Orringer, MD to discuss the development of the National Lipid Association's recommendations and the unique considerations that are associated with treating dyslipidemia in long-term care....
To better understand Parkinson's disease (PD) and ways to treat and care for patients with it, Annals of Long-Term Care: Clinical Care and Aging® (ALTC) spoke with Fulvio Lauretani, MD, University Hospital of Pharma, Italy....

Quality Improvement

In an attempt to stimulate reflection and reduce feelings of isolation, the authors joined residents and their providers in viewing films......
Some of what you can expect at the 34th annual GAPNA Conference in San Antonio, Texas this September 30-October 3, 2015. View More
A study to analyze the importance of quality communication among all parties in LTC facilities. View More

Case Reports/Photo Quiz

The authors present the case of a 89-year-old woman with zoster sine herpete along with tactics for treatment and prevention....
The authors present the case of cognitive dysfunction thought to be due to Alzheimer’s disease, but was SREAT. View More...
There is evidence to suggest that digoxin may be useful for managing symptoms of congestive heart failure in the palliative care setting. ...


Older adults living with any type of dementia find themselves in a continual decline in their cognitive capacity despite best available medical treatments....
The author reviews the challenges related to transitions to long-term care and explores the integral role of volunteers in aiding these transitions....
Building on past lessons from efforts to incorporate community-based long-term supports and services into traditional medical care models, such as care transitions, may help to inform successful future strategies to enable bundles to more...

Long-Term Care GPS

After more than 17 years of threatened implementation, the Medicare Sustainable Growth Rate (SGR) has been replaced with a new payment system. View More
Building on past lessons from efforts to incorporate community-based long-term supports and services into traditional medical care models, such as... View More
To prevent the inappropriate use and potential overuse of post-acute services, Medicare and other payers have rules to ensure that transfers to post-... View More

Clinical Experience

Special Articles/Ethics

The therapeutic potential of animals in numerous clinical areas has been increasingly recognized. View More
SNFs vary in their strengths and weaknesses, and some may not be equipped to care for the complex needs of individuals who are ill....