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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 8 - August 2007
Linda Hiddemen Barondess, Executive Vice-President
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD
Geriatrics Abstracts:
August 2007
Perspectives:
The Mother Exchange
Renate G. Justin, MD
James K. Cooper, MD, AGSF
Heart failure (HF) used to be considered simply decreased mechanical pumping action of the heart, often due to inadequate oxygen supply from narrowed heart arteries. It is now understood to be a complex neurohumoral phenomenon. The HF complex includes increased cytokines, such as tumor necrosis factor and interleukin 6, which cause discomfort and cachexia; changes in pulmonary compliance that cause stiffer lungs; and brain dysfunction unrelated to hypoxia. Treatment includes drugs and procedures; however, there is more to treatment, especially in advanced heart failure. One approach is to consider two domains: drugs and procedures, and patient and caregiver quality of life. (Annals of Long-Term Care: Clinical Care and Aging 2007;15[8]:21-25)
Melanie M. Brandabur, MD

The Servant-Leadership Worldview in Long-Term Care Nursing
Frances Civilette Downs, RN, MSN
Della Frazier-Rios, RN, MS, and Cora Zembrzuski, PhD, APRN, CS
Your HeartECPNlime