Annals of Long Term Care

Issue

  • Issue Number: 
    11

    A substantial number of older adults in long-term care have cognitive impairment, mood disturbances, movement disorders, or a combination of these. A 2006 study of nearly 200 elderly residents of assisted living facilities in Maryland, for example, found that 68% met criteria for dementia and 24% for depression.1 Cognitive, mood, and movement disorders often coexist in older adults in both institutional and community settings. Whether these disorders share an underlying biological basis was the subject of a recent conference initiated by the American Geriatrics Society and funded by

  • Issue Number: 
    11

    The first of a two-part article from the author on optimal aging.

    In 1997, the oldest person to have ever lived died at age 122 years and 164 days.1 Jeanne Louise Calment lived in France, took up fencing at age 85, and still rode a bicycle at 100. She was from a family of long-lived persons: her father died at age 93, her mother at 86, and her brother at age 97. She did quit smoking when she was 117, reportedly because she was nearly blind and felt embarrassed asking for a light. In 1965, when she was 90 and had no living heirs (she had outlived her daughter and grandson),

  • Issue Number: 
    11

    The Influence of Latent Viral Infection on Rate of Cognitive Decline over 4 Years
    Allison E. Aiello, PhD, Mary N. Haan, MPH, DrPH, Lynn Blythe, BS, Kari Moore, MS, Jeffrey M. Gonzalez, MS, and William Jagust, MD

    OBJECTIVES: To examine whether cytomegalovirus (CMV) and herpes simplex virus type-1 (HSV-1) are associated with cognitive decline over a 4-year period and to assess whether C-reactive protein (CRP) modifies these relationships.
    DESIGN: Prospective cohort study over a 4-year period.
    SETTING: Community-dwelling elderly population.
    PARTICIPAN

  • Issue Number: 
    11

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

    Issue Number D5, 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: About one fourth of older hospital patients have dementia.i Their dementia may never have been formally diagnosed, and even if it has been diagnosed, the diagnosis may not be noted in th

  • Issue Number: 
    11

    “The hospitalization, not the illness, may be the deciding factor in the functional ability of the frail, elderly at discharge”1

    As the number of older adults increases, it is our duty to provide them with comprehensive care, namely in the acute setting. Vulnerable, frail individuals are at increased risk for worsening functional status and delirium, falls, medication toxicity, nosocomial infections, malnutrition, dehydration, immobilization, and decubitus ulcers while in the hospital.2 Elderly patients are susceptible to complications not directly related t

  • Issue Number: 
    11

    Introduction
    Wound management in long-term care (LTC) can present many challenges to the ultimate goal of complete wound healing. Healthcare providers frequently encounter and manage pressure ulcers, ischemic ulcers, venous ulcers, and diabetic foot (neuropathic) ulcers. All residents should be assessed for their risk of developing an ulcer. If a resident is at high risk, staff should implement aggressive maneuvers like nutritional support or pressure reduction to prevent an ulcer from occurring. If an ulcer develops, the primary goal is to completely heal the ulcer as quickly as possi







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