Author Affiliations: Dr. Ryan Hall is an Affiliate Instructor at the University of South Florida, and is a 2006 Rappaport Fellow; Dr. Richard Hall is Courtesy Clinical Professor of Psychiatry, University of Florida, and Affiliate Professor, Department of Psychiatry and Behavioral Medicine, University of South Florida, Tampa; and Ms. Chapman is Research Assistant to Dr. Richard Hall.

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Nursing Home Violence Prevalence

Nursing assistants working in long-term care facilities have the highest incidence of workplace violence of any America

Author Affiliations: Dr. Kobylarz is Associate Professor, Center for Healthy Aging at Parker Stonegate Department of Family Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ; Ms. Clark is Director of Medical Informatics, Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee; and Dr. Brummel-Smith is Charlotte Edwards Maguire, MD, Chair, and Professor, Department of Geriatrics, Florida State University College of Medicine.

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Introduction

The use of clinical informatics i

To the Editor:

I wanted to add a point to Dr. Finestone and Gail Inderwies’ excellent article “Quo Vadis ICU Hospitalization for End-of-Life Care?”1 A major problem we encounter with hospice enrollment is competition with the Medicare skilled benefit for patients leaving the hospital and going to a nursing home. It is financially advantageous for families and facilities to “skill” patients even when they are at the end of life, and we see numerous patients die without hospice. This not only deprives the patient of services while alive, but also deprives the family of 13 months of

Dear Readers,

On behalf of the staff of Annals of Long-Term Care: Clinical Care and Aging, I would like to wish you and your families a New Year filled with good health, and to thank you for continually striving to provide optimum care for the ever growing population of older patients.

We also would like to thank all of those who contribute to making the Journal an authoritative source for the highest quality, peer-reviewed, evidence-based information to which the interdisciplinary team practicing in long-term care settings can turn each month: our dedicated Editorial Advisory Board; ou

PROGRESS IN GERIATRICS

Hypodermoclysis to Treat Dehydration: A Review of the Evidence

Ruth Remington, PhD, RN, and Todd Hultman, PhD, RN

Dehydration is a serious acute condition in older adults associated with significant morbidity and mortality. Hypodermoclysis (HDC; the infusion of fluids into the subcutaneous tissue) can provide an alternative to intravenous (IV) rehydration of older adults.

This article reviews the relevant literature on the use of HDC to treat mild to moderate dehydration in older adults. A comprehensive search of the literature was cond