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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

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Annals of Long-Term Care - ISSN: 1524-7929 - Volume 12 - Issue 12 - December 2004
Peter Winn, MD, CMD
Statistics show that the one-year mortality rate of residents in nursing homes is 25%, and 66% of residents in 1999 remained in the nursing facility to die rather than being transferred to the hospital for the final days of their life. Therefore, comfort care that includes palliative and hospice care is critical in long-term care facilities to ensure that residents have the highest quality care. All members of the long-term care team must be given the skills, attitudes, and competencies to enable them to provide residents with successful care at the end of life. (Annals of Long-Term Care: Clinical Care and Aging 2004;12[12]:17-23)
Iris F. Boettcher, MD, CMD, Betsy Kemeny, MS, CTRS, and Rachele Boerman, MPA

Family Communication in Long-Term Care: The Long-Term Care Specialist Perspective
Iqbal I. Amin, MD, PhD, CMD
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