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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 7 - July 2007
Linda Hiddemen Barondess, Executive Vice-President
Ericka E. Tung, MD, Agnes M. Schipper, JD, and Paul Y. Takahashi, MD

10 Ethical Principles in Geriatrics and Long-Term Care
Fred M. Feinsod, MD, MPH, CMD, and Cathy Wagner, RN, MSN, MBA
JAGS Abstracts:
July 2007
Giuseppe Bellelli, MD, and Marco Trabucchi, MD; Response from Elliot Davis, PhD
Julian Offsay, MD
Alcoholism in the elderly is underdiagnosed and undertreated. As important as the situation is presently, it will become more imperative with the aging of the baby boom generation. Greater clinician awareness of the problem will, hopefully, improve our ability to identify and help these patients. This can be done in general medical settings, using efficient screening tools and brief questioning. People identified as having a drinking problem can often be helped by brief, cost-effective counseling sessions. The provider need not be a mental health professional. More severe problems will require specialist intervention. Medications are available for detoxification and for relapse prevention. Attention also must be paid to medical and psychiatric comorbidities. Older adults will differ in terms of what their optimal treatment setting may be. Some will do best in a program for seniors, and others may benefit from a mixed-age setting. An optimistic, supportive approach, devoid of ageist pes
James W. Cooper, Jr, RPh, PhD, BCPS, CGP, FASCP, FASHP, and Allison H. Burfield, MSN, RN
Carla Graf, MS, APRN, BC
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