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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:Volume 17 - Issue 5 - May 2009
Schizophrenia is a disease marked by delusions, hallucinations, and disordered thinking. Currently, the overall worldwide prevalence of schizophrenia is 1%, with two-thirds of cases becoming chronic. As more people survive into their later years, the number of people over age 65 years with schizophrenia is likely to increase.
Below we describe a case of an elderly single female, living in a supportive residence, with a history of many hospitalizations from chronic paranoid schizophrenia. Her case illustrates the factors influencing the prognosis of aging persons with schizophrenia, includi
- Issue Number:Volume 17 - Issue 5 - May 2009
Comprehensive Interdiscipilinary Geriatric Assessment has been shown to be associated with mixed outcomes in various clnical settings.1 However, studies evaluating Comprehensive Interdisciplinary Geriatric Assessment in the long-term care (LTC) setting are nonexistent. A very similar process in the nursing home (NH) setting involves the Interdisciplinary Care Plan process, which must be performed on admission, quarterly, and with acute change of condition of the patient. Federal regulations indicate that a facility must develop a comprehensive care plan for each resident. It must include measu
- Issue Number:Volume 17 - Issue 5 - May 2009
Dehydration is a serious complication that is associated with significant morbidity and mortality for many older adults with concomitant chronic illnesses, diminished thirst sensation, and reduced kidney function. Dehydration is also a common complication of acute infections in older adults, which oftentimes requires hospitalization for intravenous rehydration. Hypodermoclysis is an optimal means of administering nonemergency fluids for families and patients who wish to be treated at home or in the nursing home in a familiar environment, without the stress, expense, and inconvenience of hospit
- Issue Number:Volume 17 - Issue 5 - May 2009
Strategies for Improving Care for Patients with Advanced Dementia and Eating Problems: Optimizing Care Through Physician and Speech Pathologist Collaboration
Problems with eating, swallowing, and poor caloric intake are common in patients with advanced dementia and often develop during an acute medical event when the immediate prognosis is unclear.1 For healthcare professionals, managing a patient with advanced dementia and swallowing problems and guiding caregivers through a process of decision making present enormous clinical challenges and require an interdisciplinary ap
- Issue Number:Volume 17 - Issue 5 - May 2009
The American Geriatrics Society’s commitment to professionalism, the advancement of knowledge, and advocacy make me proud that I've been a member of the Society for nearly 25 years.
As a clinical geriatrician, I value my association with the AGS, as it most closely represents my focus on the health and well-being of older adults. The Society has been integral to building and enhancing our profession in many ways, such as by supporting its state affiliates, publishing leading journals and educational materials on aging and health, developing practice guidelines, supporting research, and ad
- Issue Number:Volume 17 - Issue 5 - May 2009
To the Editor:
I read with interest the review article by Gellis et al1 about treatment for depression in older persons with dementia. I would like to contribute to the discussion by highlighting three salient observations.
First, depressive features in dementia are often subsyndromal and not severe enough to meet the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM- IV) criteria for major depressive disorder (MDD).2,3 Some authors propose a distinct set of criteria for depression of Alzheimer’s disease (dAD), which is increasingly recognized as a distinct en
- Issue Number:Volume 17 - Issue 5 - May 2009
- Issue Number:Volume 17 - Issue 5 - May 2009
American Association for Geriatric Psychiatry Annual Meeting
Honolulu, Hawaii; March 5-8, 2009American Academy of Allergy, Asthma & Immunology Meeting; Washington, DC; March 13-17, 2009
________________________
New Data Showed That Combination Asthma Therapy Significantly Improved Small Airway Function in Patients
Washington, DC—Results from three newly presented studies evaluating the maintenance combination asthma therapy budesonide/formoterol fumarate dihydrate showed significant improvement in small airway function in patients ages 12 year
- Issue Number:Volume 17 - Issue 5 - May 2009
Randomized, Placebo-Controlled Trial of the Cognitive Effect, Safety, and Tolerability of Oral Extended-Release Oxybutynin in Cognitively Impaired Nursing Home Residents with Urge Urinary IncontinenceThomas E. Lackner, PharmD, Jean F. Wyman, PhD, Teresa C. McCarthy, MD, Melinda Monigold, MS, and Cynthia Davey, MS
OBJECTIVES: Determine the cognitive effect, safety, and tolerability of oral extended-release oxybutynin in cognitively impaired older nursing home residents with urge urinary incontinence.
DESIGN: Randomized, double-blinded, placebo-controlled trial.
Springfield , Massachusetts
Anytown, Alabama
ALTC Blogs
Thomas T. Yoshikawa, MD
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