Annals of Long Term Care

Issue

  • Issue Number: 
    Volume 17 - Issue 8 - August 2009

    Introduction

    The treatment of patients with dementia is often complex and may be fraught with difficult decisions for the physician, care manager, and family. There are a number of conflicts and dilemmas that often arise as family members confront unacceptable changes in their parent or spouse, and attempt to negotiate community and governmental organizations that deal with aging and dementia.

    There is a growing literature on benefits of psychotherapeutic support for family caregivers.1,2 The reports generally focus on global outlines of approaches or specific tactics and practi

  • Issue Number: 
    Volume 17 - Issue 8 - August 2009

    As a gerontologist with 18 years of experience providing services to older adults and their families, mostly in nursing homes (NHs), I am curious about progressive models and innovative methods of caring for older adults. Increasingly, I have started to wonder about the experiences of other countries as they grapple with the issue of long-term care (LTC). What are their structures? How do their programs, services, and facilities compare to ours? Could our future be found somewhere else? Therefore, it was with great anticipation and excitement that I became a participant in The American Society

  • Issue Number: 
    Volume 17 - Issue 8 - August 2009

    Located in suburban San Diego, Edgemoor, a distinct part of the San Diego County Psychiatric Hospital, has become a referral site for patients with the neurological condition Huntington’s disease (HD). Best known for its choretic movements and its affliction of folk singer Woody Guthrie, HD is a hereditary and relentless disease that usually begins in persons at middle age and results in progressive decline over approximately 20 years.1 Staff at the University of California San Diego (UCSD) Huntington’s Disease care program, designated a Center of Excellence by the Huntington’s Disease S

  • Issue Number: 
    Volume 17 - Issue 8 - August 2009

    This article reviews and synthesizes the literature pertaining to the identification and care of the nursing home (NH) resident with diabetes. NH residents with diabetes have heavy illness burden with complex medical management of their comorbid conditions including depression and exacerbations of their other chronic conditions. Future research is necessary to determine models of care in the NH, with nurse practitioners driving improvement in standards of care, and how this may improve outcomes such as cognition and functional ability. Future research is also indicated to determine how residen

  • Issue Number: 
    Volume 17 - Issue 8 - August 2009

    While most studies examining the relationship between blood pressure and cognitive function find that high blood pressure in middle age is associated with cognitive impairment in later life, findings regarding the relationship between blood pressure in late life and even later cognitive function have been conflicting. Some suggest a link between high blood pressure in late life and subsequent cognitive decline; others do not.

    “The Effect of Age on the Association Between Blood Pressure and Cognitive Function Later in Life,” an important study in last month’s Journal of the American Ge

  • Issue Number: 
    Volume 17 - Issue 8 - August 2009

    In a major step forward for healthcare reform advocates, House Democratic leaders unveiled a reform bill, financed in large part by proposed tax increases for the wealthiest 1.2 % of U.S. households, that includes a public plan and would cover an additional 37 million Americans. After months of setbacks, House Democrats proposed the plan July 14, as this issue of Annals of Long-Term Care went to press.

    The three House committees that drafted the proposal—the committees on Ways and Means, Energy and Commerce, and Education and Labor—were to begin considering amendments to the bill on Ju

  • Issue Number: 
    Volume 17 - Issue 8 - August 2009



    2009 National Association Directors of Nursing Administration/Long Term Care National Conference

    July 11-15, 2009; Phoenix, AZ



    POSTER

    The Effects of Donepezil on Patients with Mild to Severe Alzheimer’s Disease Residing in ALFs

    Phoenix, AZ—In their study assessing the safety and efficacy of donepezil in patients with Alzheimer’s disease (AD) residing exclusively in assisted living facilities (ALFs), Adam Rosenblatt, MD, Johns Hopkins School of Medicine, Baltimore, MD, and colleagues concluded that donepezil treatment significantly improved







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