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 This Product Bulletin will discuss the dangers of hypoglycemia in diabetes patients residing in a long-term care environment. It will then discuss the possible advantages of incorporating Levemir into the treatment regimen of this patient group. 
THE BURDEN OF PARKINSON’S DISEASE AND THE NEED FOR EARLY DIAGNOSIS AND EARLY TREATMENT ASCP Official City Guide: Phoenix Senior Care Digest Interdisciplinary Report: A Steady Hand - Promoting Health in the Long-Term Care of Parkinson's Disease Closing the Mixed Dyslipidemia Treatment Understanding Opioid Dependence: Outcomes from HereTo Help ( Digital Edition ) |
Issue
- Issue Number:6
Introduction
Benign paroxysmal positional vertigo (BPPV) is the single most common cause of vertigo. BPPV accounts for 26% of all cases of vertigo1 and was found in 9% of geriatric patients in an urban clinic.2 The incidence of BPPV increases with age.1,3 BPPV affects the quality of life of elderly patients and is associated with reduced activities of daily living scores, falls, and depression.2 The purpose of this article is to review the evaluation and treatment of BPPV.Clinical Features of BPPV
BPPV is characterized by brief periods of vertigo triggered by a change in - Issue Number:6
Case 1
A 78-year-old widowed woman who lives in a nursing facility has an acute change in mental status. She is rushed to the local emergency department and found to have gallstone pancreatitis. As her condition begins to deteriorate, she is intubated and admitted to the intensive care unit. Surgery recommends an open cholecystectomy for the patient. When her family arrives to discuss treatment options, they reveal that she has severe dementia and has not been able to recognize anyone in her family for two years. They are not sure if her advanced dementia should impact their care deci - Issue Number:6
Residents of long-term care (LTC) facilities and their families often have questions about practices and policies in LTC settings. They may ask, for example, why medical staff recommend some, but not other, treatments for problems such as sleeplessness; why a particular exercise regimen has been recommended; or why a hospitalization should be followed by a stay at a rehabilitation center rather than immediate return to LTC. These are good questions, and they deserve thoughtful answers. The more residents and their loved ones understand the rationales behind protocols and suggestions, the more
- Issue Number:6
Congress Considers Legislation Authorizing Medicare to Cover Geriatric Assessments and Care Coordination
The Senate and House are mulling legislation that would fill a major gap in traditional “fee-for-service” Medicare by authorizing coverage of geriatric assessments and care coordination for beneficiaries with multiple chronic conditions.Lawmakers in both houses introduced the legislation, the Geriatric Assessment and Chronic Care Coordination (GACCC) Act, on May 9—the same day the Senate convened a hearing to examine the need for care coordination for beneficiaries with m
- Issue Number:6
Q: Should aortic valve replacement be performed in an 80-year-old person with symptomatic severe aortic stenosis?
A: Case Presentation
An 80-year-old, previously functionally independent woman taking no medications has a 6-month history of substernal chest pressure precipitated by exertion and relieved by rest, an episode of syncope 2 months ago, and dyspnea at rest for the past 2 days. Physical examination in her physician’s office revealed a blood pressure of 110/80 mm Hg, a regular pulse at a rate of 96/minute, and a respiratory rate of 26/minute. Abnormal physical find - Issue Number:6
alzheimer’s association
Best Practices in Nursing Care for Hospitalized Older Adults with dementia
from The John A. Hartford Institute for Geriatric Nursing and the Alzheimer’s AssociationIssue Number D2, Revised 2007
Series Editor: Marie Boltz, MSN, APRN, BC, GNP
Managing Editor: Sherry A. Greenberg, MSN, APRN, BC, GNP
New York University College of NursingWHY: There is no evidence that older adults with dementia physiologically experience less pain than do other older adults (American Geriatrics Society (AGS), 2002). Rather than being less sensitive
- Issue Number:6
The “B” in the Medicare Part B program may come to be known as “BIG,” as in big changes; both the physician reimbursement component of Medicare Part B, as well as the coverage of outpatient medications, are undergoing major changes. Medicare Part B, also known as medical insurance, covers physician services. Physician and other providers, such as nurse practitioners, are paid for by Medicare under a fee schedule dictated by Medicare. In addition to physician services, Medicare Part B also covers supplies such as durable medical services and medications provided within a physician offic
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