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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:8
Since the Federal Nursing Home Reform Act of 1987—better known as “OBRA ‘87” because it was part of the Omnibus Budget Reconciliation Act of 1987—took effect 20 years ago, there has been progress toward its goal of ensuring high-quality care for nursing home residents, a recent General Accounting Office report finds. Even so, “a small but significant share of nursing homes nationwide continue to experience quality-of-care problems,” the report warns.
“In fiscal year 2006, nearly one in five nursing homes was cited for serious deficiencies—those that caused actual harm or
- Issue Number:8
This article is the second in a series of three from the author on Parkinson’s disease.
In his “Essay on the Shaking Palsy,”1 James Parkinson described a condition with both motor and nonmotor aspects. Until recently, however, most attention was given to the motor aspects of the disease such as tremor and gait disturbance. This was reinforced in the 1960s with the advent of levodopa therapy.2 The innovation of augmenting brain dopamine levels with oral levodopa was an elegant demonstration that pharmacologic replacement of a depleted neurotransmitter could actually improve func
- Issue Number:8
“Our treatment of folks in end-stage heart disease surely needs some improvement,” said the senior public health analyst in the Department of Health and Human Services (HHS). Recalling her thoughts as her mother entered advanced heart failure (HF), she said she felt the care was not well managed. It was troubling to her, and she is knowledgeable about medical treatment and how to deal with the medical system, much more so than the average person. For most others, it can be even more troublesome.
What the HHS official was concerned about was more the management than the treat
- Issue Number:8
The goal of many leaders is to get people to think more highly of the leader. The goal of a great leader is to help people to think more highly of themselves.
J. Carla Nortcutt1The competitive U.S. healthcare market today needs ethical, competent nursing leadership to ensure quality healthcare delivery to our citizens. As our population ages, the need for skilled professional nursing is expected to rise, resulting in a projected 29% shortfall of nurses by the year 2020.2 Much of this nursing care will be provided in long-term care facilities (LTCFs). Most LTCFs are already experi
- Issue Number:8
Digoxin Dosing for Heart Failure
The therapeutic range for digoxin in heart failure has recently become lower and narrower, and is associated with reduced mortality; however, methods for dosing have not changed. The authors of this study sought to develop a new method to determine the initial dose of digoxin in patients with heart failure. Over a 6-month period, medical records were screened and reviewed for hospitalized adult patients who had a steady-state digoxin concentration. A multiple linear regression was estimated relating digoxin concentration, digoxin dose, creatinine cleara - Issue Number:8
When my mother opens the door, I feel as if a bucket of cold water is being emptied over my head. No “Hello, glad you could come,” greets me, only her pent-up resentment of having to wait, being alone, getting old and infirm. I am met with a verbal barrage of criticism and anger.
“Why did you come so late? Why didn’t you bring the children? I don’t like your haircut!” There is not even time to answer one question before she blurts out the next one.
My mother lives in a comfortable apartment in a retirement home. She, as with many older people, has lost track of time. She fo
- Issue Number:8
The Medicare beneficiary is changing, and these changes are affecting how geriatric care providers practice. From the physical layout of the practice, to marketing, to management from an administrative and clinical aspect, all is about to change. The Medicare Payment Advisory Commission (MedPAC; www.MedPAC.gov) recently assessed for Congress the changing demographics of the Medicare beneficiary by identifying eight major changes,1 as follow:
Increase in Number of Beneficiaries as Baby Boomers Age
Everyone is aware of the aging baby boomers becoming Medicare-eligible, but the - Issue Number:8
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 D7, 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: Dementia impairs a person’s ability to communicate effectively. It reduces the ability to decode and understand information (receptive language) and the ability to encode and, therefore, express information (express
- Issue Number:8
House and Senate Consider Spending Measure That Would Guarantee Funding for Title VII Geriatrics Health Professions Programs in FY 2008
Title VII Geriatrics Health Professions Programs would receive $31.5 million in federal funding in fiscal year (FY) 2008 under a proposed measure the House and Senate were considering as this issue of Annals of Long-Term Care went to press in early July. Legislators included funds for the programs in the spending measure following an AGS Health in Aging Advocacy Center campaign on behalf of continued funding. If approved, the measure would guara
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