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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 15 - Issue 10 - October 2007
Linda Hiddemen Barondess, Executive Vice-President
Zachary J. Palace, MD, FACP

Delirium in a Nursing Home Resident
Paula Lester, MD, and Tony Varghese, MD
Letter to the Editor:
End-of-Life Care in LTC Settings
Renate G. Justin, MD
Ellen Brown, EdD, MS, ARNP, Robert M. Kaiser, MD, MHSc, FACP, and Zvi D. Gellis, PhD
A critical need exists for an effective, valid, and reliable method for detecting late-life depression in home care recipients. There is good scientific evidence that training home care nurses to detect depression symptoms will increase appropriate mental health referrals for further evaluation. Depression screening and appropriate referral by the home care therapist (ie, physical, speech, and occupational) and social worker are additional untapped opportunities. Increasing physician awareness about options for depression evaluation in this setting will also help in better addressing this need. This article provides an overview of the issues and challenges in detecting late-life depression and offers strategies to improve detection of this prevalent and treatable medical condition. Annals of Long-Term Care: Clinical Care and Aging 2007;15[10]:27-32)
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD
Donna Fick, PhD, APRN, BC, FGSA, and Lorraine Mion, PhD, RN, FAAN


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