Spiritual Care as a Fundamental Component of Quality Palliative Care Gets a Major Boost
- Mon, 10/18/10 - 1:58pm
- 0 Comments
- 1644 reads
Urinary Tract Infections in LTC
- Wed, 7/21/10 - 9:11am
- 0 Comments
- 906 reads
To the Editor:
When I received the February 2010 issue and saw on the cover that it was the “Infectious Diseases Issue,” I was excited. I take care of 80 long-term care (LTC) patients, and previously had 160. I consider my specialty the treatment and prevention of urinary tract infection (UTI) and the prevention of antibiotic resistance.
Medical Futility in LTC
- Wed, 7/21/10 - 9:09am
- 0 Comments
- 1210 reads
Medication Reconciliation in LTC
- Wed, 7/21/10 - 9:07am
- 0 Comments
- 1391 reads
To the Editor:
I enjoyed reading “Medicine Reconciliation and Seamless Care in the Long-Term Care Setting.”1 My main admitting hospital is very "quality” concerned. Therefore, they have initiated a mandatory medicine reconciliation form at discharge.
Making End-of-Life Decisions
- Tue, 6/15/10 - 2:24pm
- 0 Comments
- 589 reads
To the Editor:
“Rationing Healthcare or the Right to Die?”1 was an excellent article that highlights a difficult, politically sensitive, and clinically relevant dilemma. The fact that we have not defined futility in no way signifies that we cannot, only that we have not.
Pouring endless amounts of money into care that is futile and pointless—almost always demanded by people who do not pay for it—will bankrupt the healthcare system in an era of growing longevity, greater comorbidities, and ever-improving and costly technologic care, and is thus not a
Treatment for Depression in Older Persons with Dementia
- Fri, 5/8/09 - 11:28am
- 0 Comments
- 1567 reads
To the Editor:
I read with interest the review article by Gellis et al1 about treatment for depression in older persons with dementia. I would like to contribute to the discussion by highlighting three salient observations.
First, depressive features in dementia are often subsyndromal and not severe enough to meet the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM- IV) criteria for major depressive disorder (MDD).2,3 Some authors propose a distinct set of criteria for depression of Alzheimer’s disease (dAD), which is increasingly recognized as a distinct en
Letters to the Editor
- Wed, 4/22/09 - 11:22am
- 0 Comments
- 3295 reads
To the Editor:
I am disappointed to see the author of “Nursing Home Violence: Occurrence, Risks, and Interventions”1 stating, “Traditionally, NHs [nursing homes] have relied on physical restraints,” then later continue with, “Generally the hierarchy of restraints goes from a Posey vest or reclining chair with or without lockable tray to a two-point restraint….” I don't know how long ago this author stepped foot in a NH in Wisconsin, but this is NOT true in Wisconsin—and especially not true in the facility where I am the Director of Nursing. Hospitals still hav
