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This Month's CME Article in Clinical Geriatrics

Gait in Older Adults: A Review of the Literature with an Emphasis Toward Achieving Favorable Clinical Outcomes, Part II
Meredith H. Harris, PT, DPT, EdD, Maureen K. Holden, PT, PhD, Lawrence P. Cahalin, PT, MA, Diane Fitzpatrick, PT, DPT, MS, Susan Lowe, PT, DPT, MS, GCS, and Paul K. Canavan, PT, PhD

Changes in motor skills that occur with aging vary widely. It is generally accepted that many bodily functions decline with age, including the ability to walk. For older individuals, walking is one of the most important factors in maintaining an independent lifestyle and remaining in the community. As aging occurs, there can be distinct changes in gait patterns. There is some controversy in the field as to whether change occurs as a result of aging or as a result of pathology.

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Feature Article

2006 ANNUAL AUTHOR/SUBJECT INDEX

Annual Index: 2006 ANNUAL AUTHOR/SUBJECT INDEX Click here to download full article in PDF format

AUTHOR INDEX AGS Clinical Practical Guidelines. Alcohol Use Disorders in Older Adults. 2006;14(1):23-26. AGS Position Statement. Comprehensive Geriatric Assessment. 2006;14(3):34-35. AGS Position Statement. Two-Step PPD Testing for Nursing Home Patients on Admission. 2006;14(2):38-40. Aull L. Pharmacologic Management of Chronic Obstructive Pulmonary Disease in the Elderly. 2006;14(12):27-35. Ayello EA. Try This. Predicting Pressure Ulcer Risk. 2006;14(10):46-47. Barondess LH. AGS Viewpoint. A New Year’s Resolution: Make the Most of Medicare/Medicaid Coverage. 2006;14(12):10. Barondess LH. AGS Viewpoint. AGS Continues Efforts to Shape Pay-for-Performance Policy. 2006;14(1):12-13. Barondess LH. AGS Viewpoint. Does Mental and Physical Activity Promote Cognitive Vitality in Late Life? 2006;14(5):8. Barondess LH. AGS Viewpoint. Doorway Thoughts. 2006;14(6):10. Barondess LH. AGS Viewpoint. Eldercare at Home: A Resource for Choosing the Right Nursing Home. 2006;14(7):10. Barondess LH. AGS Viewpoint. How “Title VII” Cuts Hurt Older Adults and What You Can Do About It. 2006;14(4):9-10. Barondess LH. AGS Viewpoint. Raising Awareness About Long-Term Care. 2006;14(8):11. Barondess LH. AGS Viewpoint. Revised Nursing Facility CPT Codes Better Reflect Complexity of Care. 2006;14(3):10. Barondess LH. AGS Viewpoint. The “Donut Hole” and Other Complexities of Medicare Part D. 2006;14(9):11. Barondess LH. AGS Viewpoint. The Elder Justice Act. 2006;14(10):12. Barondess LH. AGS Viewpoint. White House Conference on Aging. 2006;14 (2):12. Benton TJ, Young RB, Leeper SC. Asymptomatic Bacteriuria in the Nursing Home. 2006;14(7):17-22. Bonner AF. Falling into Place: A Practical Approach to Interdisciplinary Education on Falls Prevention in Long-Term Care. 2006;14(6):21-29. Caprio TV. Physician Practice in the Nursing Home: Collaboration with Nurse Practitioners and Physician Assistants. 2006;14(3):17-24. Cefalu CA. Disaster Preparedness for Long-Term Care Facilities. 2006;14(9):31-33. Coll PP. Clinical Q & A with the Expert on: Nutritional Supplementation. Vitamin D Deficiency in Long-Term Care Residents. 2006;14(3):36-37. Cooper JK. Living Wills: They Were a Good Idea, Weren’t They? 2006;14(9):17-19. Dupee R. Clinical Q & A with the Expert on: Degenerative Brain Disease. Presentation and Diagnosis of Rapidly Progressing Encephalopathy. 2006;14(2):25-26. Epplin J. Clinical Q & A with the Expert on: Elder Abuse. Identifying Elder Abuse in the Home Care Setting. 2006;14(1):15-16. Feil D, Weinreb J, Sultzer D. Psychiatric Disorders and Psychotropic Medication Use in Elderly Persons with Diabetes. 2006;14(7):39-47. Feinsod FM, Wagner C. 10 Ethical Principles in Geriatrics and Long-Term Care. 2006;14(9):16. Fine PG, Herr KA. Efficacy, Safety, and Tolerability of Pharmacotherapy for Management of Persistent Pain in Older Adults. 2006;14(3):25-33. Gwyther LP, Weinberg AD. Clinical Q & A with the Expert on: Communicating with Families. Discontinuing Medications for a Resident with Advanced Alzheimer’s Disease. 2006;14(5):46-48. Hargrave R. Caregivers of African-American Elderly with Dementia: A Review and Analysis. 2006;14(10):36-40. Holroyd-Leduc JM, Lyder CH, Tannenbaum C. Practical Management of Urinary Incontinence in the Long-Term Care Setting. 2006;14(2):30-37. Johnson T, Tickerhoof TC. Diabetes Management in Long-Term Care. 2006;14 (3):13-16. Justin RG. The Time to Leave Your Homestead Is Now. 2006;14(7):15-16. Kamel H. Clinical Q & A with the Expert on: Falls. Preventing Falls in the Nursing Home. 2006;14(10):42-45. Kapo JM, Casarett D. Prognosis in Chronic Diseases. 2006;14(2):18-23. Kennedy RD, Cullamar K. Try This. Immunizations for Older Adults. 2006;14(12):19-20. Kevorkian R. Cytokines and the Care of the Older Adult. 2006;14(9):34-40. Lee KW, Murrell E. Influenza Prevention and Treatment Strategies in the Elderly. 2006;14(9):20-27. [Correction in: Annals of Long-Term Care: Clinical Care and Aging 2006;14(11):15] Leigh-Pemberton RA, von Moltke LL, Greenblatt DJ. Psychopharmacology in the Elderly Person with Cardiovascular Disease. 2006;14(5):34-45. Levine JM, Savino F, Siegel F. Introduction to the Revised Federal Guidelines for Nursing Home Medical Directors: F-Tag 501. 2006;14(12):36-40. Lyder CH. Implications of Pressure Ulcers and Its Relation to Federal Tag 314. 2006;14(4):19-24. Mason MES. Multiple Myeloma in an Elderly Woman. 2006;14(8):18-24. Messinger-Rapport BJ, McCallum TJ, Hujer ME. Impact of Dementia Caregiving on the Caregiver in the Continuum of Care. 2006;14(1):34-41. Norman KM, Yoshikawa TT. Bacterial Pneumonia Acquired in Nursing Homes. 2006;14(4):26-32. Odegard PS, Setter SM. Geriatric Pharmacotherapy Update: New Medications, Recent Releases, and Coming Attractions. 2006;14(5):20-27. Pukstas K, Parker V, Brandeis G, Hardt E, Geron SM, Tyler D, Leigh J, Engle R. Improving Intercultural Staff Communication in the Long-Term Care Setting. 2006;14(8):34-37. Riesenburger RI, Mahn K, Yao K. Gamma Knife Radiosurgery for Intractable Trigeminal Neuralgia in the Geriatric Population. 2006;14(12):21-24. Roehl B, Talati A, Parks S. Medication Prescribing for Older Adults. 2006;14(6):33-39. Rogerson SL, Weiss LJ, Phillips SL. What Do Our Seniors Need? Outcomes of At-Home Comprehensive Geriatric Assessments. 2006;14(10):31-34. Sahni M, Borst SE, Mulligan T. Should We Offer Testosterone Replacement Therapy to Men Who Live in Nursing Homes? 2006;14(1):27-33. Srinivasan S, Weinberg AD. Pharmacologic Treatment of Sexual Inappropriateness in Long-Term Care Residents with Dementia. 2006;14(10):20-28. Stefanacci RD. Medicare Part D Update. Avoiding a New Liability for Nursing Homes. 2006;14(5):10-12. Stefanacci RD. Medicare Part D Update. Clarifying Medicare Part D Enrollment Numbers. 2006;14(6):13-15. Stefanacci RD. Medicare Part D Update. Freedom of Speech. 2006;14(9):12-14. Stefanacci RD. Medicare Part D Update. How to Help Your Patients Choose the ‘Right’ Prescription Drug Plan. 2006;14(4):17-18. Stefanacci RD. Medicare Part D Update. Implementation of the Medicare Prescription Drug Program: Issues and Answers. 2006;14(2):13-15. Stefanacci RD. Medicare Part D Update. Medicare Gets Tough. 2006;14(12):16-17. Stefanacci RD. Medicare Part D Update. Preventing Medication Errors. 2006;14(10):15-17. Stefanacci RD. Medicare Part D Update. The Danger of Being a Deer Caught in the Headlights. 2006;14(3):11-12. Stefanacci RD. Medicare Part D Update. Who Controls the Prescription? 2006;14(8):14-16. Stefanacci RD. Medicare Part D Update. Why Doesn’t CMS Understand the LTC Difference? 2006;14(7):12-14. Stern L, Fogler J. Keep in Mind Situational Factors When Assessing Changes in Mental Status. 2006;14(9):28-30. Sutor B, Rummans TA, Lapid MI. Atypical Neuropsychiatric Symptoms in the Elderly. 2006;14(6):40-45. Takahashi P. Chronic Ischemic, Venous, and Neuropathic Ulcers in Long-Term Care. 2006;14(7):26-31. Tangalos EG, Zarowitz BJ. Medication Management in the Elderly. 2006;14(8):27-31. Tariq SH. Clinical Q & A with the Expert on: Fecal Incontinence. Managing an Elderly Resident with Fecal Incontinence. 2006;14(4):33-36. Walker S. Letter to the Editor. Physical Therapy for Chronic Ulcers in Long-Term Care. 2006;14(10):18. Wallace M, Shelkey M. Try This. Katz Index of Independence in Activities of Daily Living (ADL). 2006;14(11):26-27. Washington Update. 2006;14(2):16-17. Washington Update. 2006;14(4):11-12. Washington Update. CMS Proposes Changes in Physician Fee Schedule; Title VII Funding Remains Uncertain; Medicare Part D Update. 2006;14(8):12-13. Washington Update. Medicare Payments to Physicians, Title VII Funding, Payments to SNFs and Home Health Agencies, Elder Neglect and Abuse. 2006;14(10):13-14. Washington Update. Title VII Funding, Medicare Part D Deadline, Influenza Pandemic. 2006;14(6):19-20. Washington Update. CMS’ Physician Fee Rule, Assistance for Medicare Part D, Part B Premium Surcharge, Older Americans Act. 2006;14(12):14-15. Weinberg AD, Weinberg AD. The Physician’s Role in Screening Long-Term Care Facility Admissions. 2006; 14(5):28-33. Wick JY. Beyond the Basics: Special Issues in Venous Thromboembolism Prevention. 2006;14(1):17-22. Wilde MH, Getliffe K. Urinary Catheter Care for Older Adults. 2006;14(8):38-42. Worz CR. Medicare Part D Update. Seeing Through the Political Spin. 2006;14 (6):16-18. SUBJECT INDEX Admissions Weinberg AD, Weinberg AD. The Physician’s Role in Screening Long-Term Care Facility Admissions. 2006;14(5):28-33. AGS Guidelines/Position Statements AGS Clinical Practical Guidelines. Alcohol Use Disorders in Older Adults. 2006;14(1):23-26. AGS Position Statement. Comprehensive Geriatric Assessment. 2006;14(3):34-35. AGS Position Statement. Two-Step PPD Testing for Nursing Home Patients on Admission. 2006;14(2):38-40. AGS Viewpoint Barondess LH. AGS Viewpoint. A New Year’s Resolution: Make the Most of Medicare/Medicaid Coverage. 2006;14(12):10. Barondess LH. AGS Continues Efforts to Shape Pay-for-Performance Policy. 2006;14(1):12-13. Barondess LH. Eldercare at Home: A Resource for Choosing the Right Nursing Home. 2006;14(7):10. Barondess LH. Doorway Thoughts. 2006;14(6):10. Barondess LH. Does Mental and Physical Activity Promote Cognitive Vitality in Late Life? 2006;14(5):8. Barondess LH. How “Title VII” Cuts Hurt Older Adults and What You Can Do About It. 2006;14(4):9-10. Barondess LH. Raising Awareness About Long-Term Care. 2006;14(8):11. Barondess LH. Revised Nursing Facility CPT Codes Better Reflect Complexity of Care. 2006;14(3):10. Barondess LH. The “Donut Hole” and Other Complexities of Medicare Part D. 2006;14(9):11. Barondess LH. The Elder Justice Act. 2006;14(10):12. Barondess LH. White House Conference on Aging. 2006;14(2):12. Alzheimer’s Disease/Dementia Gwyther LP, Weinberg AD. Clinical Q & A with the Expert on: Communicating with Families. Discontinuing Medications for a Resident with Advanced Alzheimer’s Disease. 2006;14(5):46-48. Hargrave R. Caregivers of African-American Elderly with Dementia: A Review and Analysis. 2006;14(10):36-40. Messinger-Rapport BJ, McCallum TJ, Hujer ME. Impact of Dementia Caregiving on the Caregiver in the Continuum of Care. 2006;14(1):34-41. Srinivasan S, Weinberg AD. Pharmacologic Treatment of Sexual Inappropriateness in Long-Term Care Residents with Dementia. 2006;14(10):20-28. Cancer Mason MES. Multiple Myeloma in an Elderly Woman. 2006;14(8):18-24. Cardiovascular Disease Leigh-Pemberton RA, von Moltke LL, Greenblatt DJ. Psychopharmacology in the Elderly Person with Cardiovascular Disease. 2006;14(5):34-45. Caregiving Messinger-Rapport BJ, McCallum TJ, Hujer ME. Impact of Dementia Caregiving on the Caregiver in the Continuum of Care. 2006;14(1):34-41. Hargrave R. Caregivers of African-American Elderly with Dementia: A Review and Analysis. 2006;14(10):36-40. Chronic Diseases Aull L. Pharmacologic Management of Chronic Obstructive Pulmonary Disease in the Elderly. 2006;14(12):27-35. Kapo JM, Casarett D. Prognosis in Chronic Diseases. 2006;14(2):18-23. Communication Gwyther LP, Weinberg AD. Clinical Q & A with the Expert on: Communicating with Families. Discontinuing Medications for a Resident with Advanced Alzheimer’s Disease. 2006;14(5):46-48. Pukstas K, Parker V, Brandeis G, Hardt E, Geron SM, Tyler D, Leigh J, Engle R. Improving Intercultural Staff Communication in the Long-Term Care Setting. 2006;14(8):34-37. COPD Aull L. Pharmacologic Management of Chronic Obstructive Pulmonary Disease in the Elderly. 2006;14(12):27-35. Cultural Issues Hargrave R. Caregivers of African-American Elderly with Dementia: A Review and Analysis. 2006;14(10):36-40. Pukstas K, Parker V, Brandeis G, Hardt E, Geron SM, Tyler D, Leigh J, Engle R. Improving Intercultural Staff Communication in the Long-Term Care Setting. 2006;14(8):34-37. Diabetes Feil D, Weinreb J, Sultzer D. Psychiatric Disorders and Psychotropic Medication Use in Elderly Persons with Diabetes. 2006;14(7):39-47. Johnson T, Tickerhoof TC. Diabetes Management in Long-Term Care. 2006;14(3):13-16. Disaster Preparedness Cefalu CA. Disaster Preparedness for Long-Term Care Facilities. 2006;14(9):31-33. Elder Abuse Barondess LH. AGS Viewpoint. The Elder Justice Act. 2006;14(10):12. Epplin J. Clinical Q & A with the Expert on: Elder Abuse. Identifying Elder Abuse in the Home Care Setting. 2006;14(1):15-16. Ethics Cooper JK. Living Wills: They Were a Good Idea, Weren’t They? 2006;14(9):17-19. Feinsod FM, Wagner C. 10 Ethical Principles in Geriatrics and Long-Term Care. 2006;14(9):16. Falls/Mobility Bonner AF. Falling into Place: A Practical Approach to Interdisciplinary Education on Falls Prevention in Long-Term Care. 2006;14(6):21-29. Kamel H. Clinical Q & A with the Expert on: Falls. Preventing Falls in the Nursing Home. 2006;14(10):42-45. Fecal Incontinence Tariq SH. Clinical Q & A with the Expert on: Fecal Incontinence. Managing an Elderly Resident with Fecal Incontinence. 2006;14(4):33-36. Federal Guidelines Levine JM, Savino F, Siegel F. Introduction to the Revised Federal Guidelines for Nursing Home Medical Directors: F-Tag 501. 2006;14(12):36-40. Lyder CH. Implications of Pressure Ulcers and Its Relation to Federal Tag 314. 2006;14(4):19-24. Weinberg AD, Weinberg AD. The Physician’s Role in Screening Long-Term Care Facility Admissions. 2006;14(5):28-33. Geriatric Assessment AGS Position Statement. Comprehensive Geriatric Assessment. 2006;14(3):34-35. Rogerson SL, Weiss LJ, Phillips SL. What Do Our Seniors Need? Outcomes of At-Home Comprehensive Geriatric Assessments. 2006;14(10):31-34. Stern L, Fogler J. Keep in Mind Situational Factors When Assessing Changes in Mental Status. 2006;14(9):28-30. Wallace M, Shelkey M. Katz Index of Independence in Activities of Daily Living (ADL). 2006;14(11):26-27. Home Care Epplin J. Clinical Q & A with the Expert on: Elder Abuse. Identifying Elder Abuse in the Home Care Setting. 2006;14(1):15-16. Infectious Disease AGS Position Statement. Two-Step PPD Testing for Nursing Home Patients on Admission. 2006;14(2):38-40. Lee KW, Murrell E. Influenza Prevention and Treatment Strategies in the Elderly. 2006;14(9):20-27. [Correction in: Annals of Long-Term Care: Clinical Care and Aging 2006;14 (11):15] Norman KM, Yoshikawa TT. Bacterial Pneumonia Acquired in Nursing Homes. 2006;14(4):26-32. Immune Function Kevorkian R. Cytokines and the Care of the Older Adult. 2006;14(9):34-40. Medicare Part D Barondess LH. AGS Viewpoint. The “Donut Hole” and Other Complexities of Medicare Part D. 2006;14(9): 11. Barondess LH. AGS Viewpoint. A New Year’s Resolution: Make the Most of Medicare/Medicaid Coverage. 2006; 14(12):10. Stefanacci RD. Avoiding a New Liability for Nursing Homes. 2006;14(5):10-12. Stefanacci RD. Clarifying Medicare Part D Enrollment Numbers. 2006;14 (6):13-15. Stefanacci RD. Freedom of Speech. 2006;14(9):12-14. Stefanacci RD. How to Help Your Patients Choose the ‘Right’ Prescription Drug Plan. 2006;14(4):17-18. Stefanacci RD. Implementation of the Medicare Prescription Drug Program: Issues and Answers. 2006;14(2):13-15. Stefanacci RD. Medicare Gets Tough. 2006;14(12):16-17. Stefanacci RD. The Danger of Being a Deer Caught in the Headlights. 2006; 14(3):11-12. Stefanacci RD. Who Controls the Prescription? 2006; 14(8):14-16. Stefanacci RD. Why Doesn’t CMS Understand the LTC Difference? 2006; 14(7):12-14. Worz CR. Seeing Through the Political Spin. 2006;14(6):16-18. Medication Use Odegard PS, Setter SM. Geriatric Pharmacotherapy Update: New Medications, Recent Releases, and Coming Attractions. 2006;14(5):20-27. Roehl B, Talati A, Parks S. Medication Prescribing for Older Adults. 2006;14(6):33-39. Tangalos EG, Zarowitz BJ. Medication Management in the Elderly. 2006;14(8):27-31. Neurology Dupee R. Clinical Q & A with the Expert on: Degenerative Brain Disease. Presentation and Diagnosis of Rapidly Progressing Encephalopathy. 2006;14(2):25-26. Sutor B, Rummans TA, Lapid MI. Atypical Neuropsychiatric Symptoms in the Elderly. 2006;14(6):40-45. Nutritional Deficiency Coll PP. Clinical Q & A with the Expert on: Nutritional Supplementation. Vitamin D Deficiency in Long-Term Care Residents. 2006;14(3):36-37. Pain Management Fine PG, Herr KA. Efficacy, Safety, and Tolerability of Pharmacotherapy for Management of Persistent Pain in Older Adults. 2006;14(3):25-33. Riesenburger RI, Mahn K, Yao K. Gamma Knife Radiosurgery for Intractable Trigeminal Neuralgia in the Geriatric Population. 2006;14(12):21-24. Perspectives Cefalu CA. Disaster Preparedness for Long-Term Care Facilities. 2006;14(9):31-33. Justin RG. The Time to Leave Your Homestead Is Now. 2006;14(7):15-16. Physician Collaboration Caprio TV. Physician Practice in the Nursing Home: Collaboration with Nurse Practitioners and Physician Assistants. 2006;14(3):17-24. Psychiatry Feil D, Weinreb J, Sultzer D. Psychiatric Disorders and Psychotropic Medication Use in Elderly Persons with Diabetes. 2006;14(7):39-47. Srinivasan S, Weinberg AD. Pharmacologic Treatment of Sexual Inappropriateness in Long-Term Care Residents with Dementia. 2006;14(10):20-28. Stern L, Fogler J. Keep in Mind Situational Factors When Assessing Changes in Mental Status. 2006;14(9):28-30. Sutor B, Rummans TA, Lapid MI. Atypical Neuropsychiatric Symptoms in the Elderly. 2006;14(6):40-45. Radiosurgery Riesenburger RI, Mahn K, Yao K. Gamma Knife Radiosurgery for Intractable Trigeminal Neuralgia in the Geriatric Population. 2006;14(12):21-24. Sexuality Srinivasan S, Weinberg AD. Pharmacologic Treatment of Sexual Inappropriateness in Long-Term Care Residents with Dementia. 2006;14(10):20-28. Wallace M. Sexuality Assessment for Older Adults. 2006;14(12):19-20. Testosterone Therapy Sahni M, Borst SE, Mulligan T. Should We Offer Testosterone Replacement Therapy to Men Who Live in Nursing Homes? 2006;14(1):27-33. Try This Ayello EA. Predicting Pressure Ulcer Risk. 2006;14(10):46-47. Kennedy RD, Cullamar K. Immunizations for Older Adults. 2006;14(12):19-20. Wallace M, Shelkey M. Katz Index of Independence in Activities of Daily Living (ADL). 2006;14(11):26-27. Urinary Disorders Benton TJ, Young RB, Leeper SC. Asymptomatic Bacteriuria in the Nursing Home. 2006;14(7):17-22. Holroyd-Leduc JM, Lyder CH, Tannenbaum C. Practical Management of Urinary Incontinence in the Long-Term Care Setting. 2006;14(2):30-37. Wilde MH, Getliffe K. Urinary Catheter Care for Older Adults. 2006;14(8):38-42. Venous Thromboembolism Wick JY. Beyond the Basics: Special Issues in Venous Thromboembolism Prevention. 2006;14(1):17-22. Washington Update Washington Update. 2006;14(2):16-17. Washington Update. 2006;14(4):11-12. Washington Update. CMS Proposes Changes in Physician Fee Schedule; Title VII Funding Remains Uncertain; Medicare Part D Update. 2006;14(8):12-13. Washington Update. Title VII Funding, Medicare Part D Deadline, Influenza Pandemic. 2006;14(6):19-20. Washington Update. CMS’ Physician Fee Rule, Assistance for Medicare Part D, Part B Premium Surcharge, Older Americans Act. 2006;14(12):14-15. Wound Care Ayello EA. Try This. Predicting Pressure Ulcer Risk. 2006;14(10):46-47. Lyder CH. Implications of Pressure Ulcers and Its Relation to Federal Tag 314. 2006;14(4):19-24. Takahashi P. Chronic Ischemic, Venous, and Neuropathic Ulcers in Long-Term Care. 2006;14(7):26-31. Walker S. Letter to the Editor. Physical Therapy for Chronic Ulcers in Long-Term Care. 2006;14(10):18.

Annals of Long-Term Care - ISSN: 1524-7929 - Volume 14 - Issue 12 - December 2006 - Pages: 43 - 47

Annals of Long-Term Care

Clinical Care & Aging

A Journal of the American Geriatrics Society