Annals of Long Term Care

Issue

  • Issue Number: 
    4

    Back in 2004, the American Geriatrics Society (AGS) and the National Institute on Aging (NIA) launched a series of research conferences focused on important but poorly understood age-associated health problems. Each of the three annual AGS-initiated, NIA-funded conferences explored problems that had been identified by clinicians working with older patients.

    Known as the “Bedside to Bench” conferences, the annual sessions covered topics of vital interest to all of us who care for older adults. The first two conferences, led by Drs. Linda Fried and G. Darryl Wieland, respectively, examine

  • Issue Number: 
    4

    Following Intense Advocacy Campaign on Behalf of Title VII Geriatrics Health Professions Program Funding, President Signs Measure Restoring Funds

    In a victory for older Americans, President Bush signed legislation in February that restored funding for Title VII Geriatrics Health Professions Programs, federal initiatives that train a wide array of healthcare providers to better meet the unique healthcare needs of older adults. The Senate and House had earlier approved the legislation, which was part of a $463.5 billion budgetary Continuing Resolution (CR).

    The legislation earmarks $31.5

  • Issue Number: 
    4

    Q: How do you manage constipation in the long-term care setting?

    A: There is no clinical definition of constipation. Physicians describe constipation as less than three bowel movements per week, while patients describe constipation as passing hard stools or straining to have a bowel movement. Thus, there is no agreement between the patient and physician. Because of this dispute about the definition, there is little correlation between self-reported constipation and number of bowel movement in epidemiologic surveys. The Rome Criteria defines constipation as outlined in Table I, a consensus

  • Issue Number: 
    4

    INTRODUCTION
    An important skill of any healthcare provider is the ability to effectively communicate, an especially key element in the relationship between physician and patient. Successful and effective communication results in conveying and listening to information in a manner that is most appropriate to both the recipient and the provider of the information. Being “most appropriate” means that the goals of the interchange, including content, intent, and expectations, are met and understood by those involved. The approach in communicating information, predictions, and prognoses to pati

  • Issue Number: 
    4

    INTRODUCTION
    Lower gastrointestinal (GI) bleeding is a significant cause of increased morbidity and mortality in the elderly. The incidence of lower GI bleeding increases with age, with a greater than 200-fold increase from the third to the ninth decade of life. The incidence of lower GI bleeding in the United States ranges from 20.5 to 27 per 100,000 persons per year, and is more common in men than women.1 The increased incidence of lower GI bleeding in the elderly corresponds to the increased incidence of specific GI diseases, the increased incidence of comorbid illnesses, and more polypha

  • Issue Number: 
    4

    Best Practices in Nursing Care for Hospitalized Older Adults with dementia from the John A. Hartford Institute for Geriatric Nursing and the Alzheimer’s Association

    Issue Number D3, Revised 2007
    Series Editor: Marie Boltz, MSN, APRN, BC, GNP
    Managing Editor: Sherry A. Greenberg, MSN, APRN, BC, GNP
    New York University College of Nursing

    WHY: A hospital admission may surface a previously undetected dementia in some older adults. While at home in a familiar environment, patients and family members may fail to recognize subtle, slowly progressive cognitive changes. Such changes

  • Issue Number: 
    4

    ABSTRACTS FROM MEDICAL LITERATURE FOR THE GERIATRICS PRACTITIONER

    DEPRESSION AND RISK FOR AD
    A history of depression may increase risk for developing Alzheimer’s disease (AD) later in life. Clarifying this relation might improve understanding of risk factors for and disease mechanisms in AD. The authors’ objective was to systematically review and complete a meta-analysis on the relationship of depression and AD. They conducted electronic bibliographic searches of MEDLINE, PsychLit, EMBASE, and BIOSIS, using search terms sensitive to studies of etiology combined with searches on terms







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