This article addresses some of the reasons why antibiotic therapy is often overprescribed and proposes recommendations for a new stepwise approach to diagnosing UTIs in residents of long-term care facilities, including determining when antibiotic therapy is the appropriate course of action.

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Probiotics have shown to mitigate disease burden associated with Clostridium difficile, but not much is known about the efficacy of coadministration of probiotics and antibiotics for preventing C difficile infection. A recent systematic review attempted to fill in this knowledge gap.

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Short-chain carbs tend to be difficult to digest and are fermented by bacteria, causing bloating and abdominal discomfort. These effects can compound over time, prolonging or increasing symptoms in adults with IBS.

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Practical Research


This article provides a brief overview of HBO2 therapy indications, safety and side effects, and its potential role in nursing home care. View More
The prevalence of atrial fibrillation (AF) increases with age and is projected to escalate in coming decades. View More

Ask The Expert

This Q&A with Ramona Rhodes, MD, reviews the balance between medical evidence and emotional investment in the decision to place a feeding tube in patients with advanced dementia. View More
There has been nationwide reporting of greater frequency and severity of Clostridium difficile infection. View More
There is major potential in the year 2014 for improving the quality of nutritional care in long-term care settings. View More

Quality Improvement

A QI project involving a specialized NP led to significant improvements in patient outcomes. View More
The authors describe the perceptions of nursing home providers who participated in a PIPP-funded QI project and completed a survey addressing a variety of QI-related concerns. View More

Case Reports/Photo Quiz


AGS Viewpoint/Resources

Nonpharmacological strategies for managing these problems are preferred. View More
Providing high-quality care for older adults, many of whom have multiple complex chronic conditions, requires specific knowledge and skills. View More

Medicare Update

How will long-term care be financed and delivered in the future? The 15-member Commission on Long-Term Care recently submitted its final report to Congress outlining its answers to this important question. View More

Special Articles/Ethics

SNFs vary in their strengths and weaknesses, and some may not be equipped to care for the complex needs of individuals who are ill. View More
There is increasing interest in the potential of health information technology (HIT) to improve quality of care, prevent medical errors, and increase administrative efficiencies in the nursing home setting. View More