Annals of Long Term Care

Issue

  • Issue Number: 
    2

    Introduction
    Clinicians are often faced with concerns about adequate nutrition in older long-term care (LTC) residents. In the absence of demonstrated deficiency or clear risk, the benefit of supplementation may be debatable, but unquestionably, supplementation should not cause harm. This article addresses the supplementation of three vitamin groups: vitamin A, vitamin B complex, and vitamin D.

    A vitamin deficiency is defined as “Hypovitaminosis accompanied by physiological or biochemical abnormalities.”1 Simply stated, supplementation should be used to treat or prevent t

  • Issue Number: 
    2

    Recognizing and responding to the needs of lesbian, gay, bisexual and transgender elders will promote better services for ALL elders because it promotes sensitivity and respect for diversity in all its aspects, as well as creating a space where sexuality and aging in general can be explored and discussed
    --Quam (n.d.)

    Introduction
    Similar to other aging Americans who are constrained by ageist stereotyping and misconceptions, older lesbians and gay men face such problems as loss of family and friends, health concerns, increased isolation from community, fear of dependenc

  • Issue Number: 
    2

    Instituting Cognitive Rehabilitation in Post-Acute Care
    Hospital length of stay is dramatically shorter today than in the past. As a result, many older adults require post-acute care in order to regain lost functioning brought on by acute illnesses. While the emphasis in post-acute care is primarily physical rehabilitation, over two-thirds of older adults admitted to these facilities have at least one delirium symptom.1 Recent evidence supports the strong relationship between the resolution of delirium and functional recovery following hospitalization.2 Little clinical attention, howe

  • Issue Number: 
    2

    Anne, age 76, has a history of bipolar disorder and was diagnosed with Parkinson’s disease 11 years ago. Soon after her diagnosis, she moved to an assisted living facility in Maryland. Once there, she began seeing a geriatrician in addition to her primary care physician.

    “I take a lot of medications,” says Anne, who asked that her last name not be used. “She (the geriatrician) always asks me about any side effects I might have from medications. When I started seeing her, she and the doctor I see here cut back on some of the medications because I didn’t need them. Since then, they

  • Issue Number: 
    2

    AGS Continues Push for Proposed Geriatric Assessment and Chronic Care Act and Medicare Demonstration Based on the Act
    AGS continues to advocate for passage of the Geriatric Assessment and Chronic Care Coordination (GACCC) Act and a Medicare demonstration project based on the Act.

    The Society worked closely with Congressional sponsors of the GACCC Act, which would fill a gap in traditional Medicare by covering geriatric assessment and care coordination for beneficiaries with at least two chronic conditions, including dementia. Thanks to the ongoing efforts of AGS leaders, members, st

  • Issue Number: 
    2

    Best Practices in Nursing Care to Older Adults
    From The Hartford Institute for Geriatric Nursing, New York University, College of Nursing

    Issue Number 9, 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: While poor nutrition is not a natural concomitant of aging, older adults who experience several concurrent diseases are at higher risk for under- or malnutrition. Persons who are underweight (Body Mass Index < 19) and those who are overweight (Body Mass Index >







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