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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 9: September 2004 - September 2004
M. Susan Burke, MD, FACP

One Patient, Many Places: Managing Health Care Transitions, Part I: Introduction, Accountability, Information for Patients in Transition
Eric A. Coleman, MD, MPH, and Peter D. Fox, PhD, on behalf of the HMO Care Management Workgroup
This three-part series addresses how health care organizations (ie, organized or integrated care systems or large provider groups that receive payment under either a capitated or fee-for-service basis) can improve the quality of transitions among care venues for patients with complex care needs. Poorly executed transitions are associated with inefficiencies and duplication of services that needlessly increase the cost of care and potentially lead to greater utilization of hospital, emergency, post-acute, and ambulatory services. This three-part article includes recommendations for actions that health care organizations can take to improve the quality of care delivered to their patients undergoing transitions. Part I begins with an introduction that is followed by ensuring accountability for patients in transition and facilitating the effective transfer of information. Part II focuses on enhancing practitioners’ skills and support systems and enabling patients and caregivers to play a m

Sexuality in Long-Term Care: Ethics and Action
Michael Gordon, MD, MSc, FRCPC, CRCP (Edin), and  Marcia Sokolowski, BA, Dip. CS, MA

Assistive Technology and Mobility Aids for the Older Patient with Disability
Helen Hoenig, MD, MPH
Rehabilitation interventions can help to reverse or to compensate for physical impairments. Interventions to reverse physical impairments include exercise of various types and physical modalities such as heat and ultrasound. Interventions to compensate for physical impairment include adaptive techniques, environmental modifications, and assistive technologies.

Pharmacotherapy Update: What’s New About Old Medications (Part I)
Sunny A. Linnebur, PharmD, BCPS

Pharmacotherapy Update: What’s New About Old Medications (Part II)
Sunny A. Linnebur, PharmD, BCPS

AGS Viewpoint
Input from AGS Helps Shape Medicare Reform
Your HeartECPNlime