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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 2 - February 2007
Joseph Keenan, MD
Linda Hiddemen Barondess, Executive Vice-President
Medicare Part D:
Reimbursement Politics
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD
Kevin M. Terrell, DO, MS, and Douglas K. Miller, MD
Emergency departments (EDs) are major providers of nursing home (NH) residents, but transitions between the two sites of care are generally ineffective. Residents who transition between the two sites are challenging for NH, ambulance, and ED providers to properly care for. For this reason, the authors examined articles investigating NH-ED transitions to provide context and suggestions for future research. They identified 23 relevant articles and used qualitative methods to examine the literature. They found that one-fourth of NH residents are seen at least once each year in an ED, yet much remains to be understood about the patients and providers involved in this care. Current studies examined only a single site of care and a limited part of the overall process. The authors advocate closer examination of the NH-ED interface and development of definitions for quality transitional care, which would then inform the development of interventions to improve transitional care. (Annals of Lon
Melanie M. Brandabur, MD
Deanna Gray-Miceli, DNSc, APRN, BC, FAANP
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