AGS Position Paper
Pharmacotherapy Update 2002
**sub**What’s New About Old Medications **endsub**
J. Mark Ruscin, PharmD, Assistant Professor, Department of Pharmacy Practice, University of Colorado School of Pharmacy, Denver, CO, noted that the session would focus on seven studies published within the last year, several medications approved prior to 2001, and how these all fit into the practice of geriatric medicine.
Dr. Ruscin first discussed the Warfarin and Aspirin for the Prevention of Recurrent Ischemic Stroke (WARS) study, which compared warfarin and aspirin in secondary prevention. Dr. Ruscin stated that one could conclude
Assistive Technology and Mobility Aids for the Older Patient with Disability
Conceptually, assistive technology needs to be thought of simultaneously with adaptive techniques and environmental modifications, as they are typically used in conjunction with one another. Assistive technology refers specifically to devices used to compensate for physical limitations. The term assistive technology may be used narrowly to refer to special tools used to accomplish an activity (eg, a walker), or it may include orthotics (eg, braces, splints) and prosthetics (eg, artificial limbs) as well. Adaptive techniques refer to modifications in the way an activity is carried out. For exam
Implementing Palliative Care in the Nursing Home
Background
In a recent column in The New York Times, Jane Gross described her family’s experience of death in the nursing home setting. In the face of progressive illness and catastrophic debility, the columnist’s mother chose to refuse food and fluid. She died 13 days later after a very difficult time. Ms. Gross states, “For days my brother and I badgered the doctors and nurses to medicate her sufficiently to stay ahead of the discomfort. We cried. We screamed. We threatened to take her home...what good was medication on demand if she had to suffer to get it?” The author conclu
From the Physician Editor
I am pleased to introduce this month’s special issue of Annals of Long-Term Care: Clinical Care and Aging, highlighting presentations from the 2004 American Geriatrics Society Annual Meeting that convened in Las Vegas, NV, on May 17-21. Attracting over 2900 health professionals and 83 exhibitors, this meeting remains a rich source of up-to-date reviews for clinicians committed to serving older adults. The quality of this year’s presentations was high, and much of the material was clinically relevant to long-term care practitioners.
We have chosen a selection of these presentations to in
Is Aggressive Lipid-Lowering Therapy Appropriate in the Very Elderly?
But are these recommendations applicable to the very elderly, and, in particular, to residents of long-term care facilities? Despite the fact that many such individuals are indeed at very high risk, several factors militate against an overly aggressive approach to lowering LDL cholesterol in these patients.
First, as with virtually all major studies in cardiovascular medicine, patients over 85 years of age, those with multiple comorbidities, and residents of long-term care facilities were peremptorily excluded from participation in the lipid-lowering trials. Thus, the value of HMG-CoA reduc
Uses of Anticonvulsants in the Elderly and Long-Term Care
**sub**Overview of Anticonvulsants **endsub**
“The U.S. population over the age of 65 is growing at a rapid pace, and faster than the population in general,” began Lon S. Schneider, MD, Professor of Psychiatry, Neurology, and Gerontology, University of Southern California School of Medicine, Los Angeles, and Symposium Chairman. The speaker pointed out that epilepsy—often overlooked in the elderly because of the focus on dementia—has its highest incidence in the first year of life and after age 75. “The causes of seizures in the elderly include brain injury due to stroke and aneurys
Strategies for Financial Survival in Geriatric Practice: Managing a Primary Care Geriatric Practice Involved in Long-Term and A
In an attempt to describe how a private group practice in geriatrics operates and the various ways in which it can be successful, Jeffrey E. Escher, MD, Acting Associate Program Director for Gerontology, and Associate Professor of Clinical Medicine, New York Medical College, used his own metropolitan New York-based practice as an example. The 20-year-old practice is located mainly in the southern part of Westchester County and the northern section of Bronx County and has contracts primarily with nursing homes, assisted living facilities, outpatient clinics, physician practice members, and nurs
Pharmacotherapy Update: What’s New About Old Medications (Part II)
Continued from previous page
Clinical Trial: PCPT . The Prostate Cancer Prevention Trial (PCPT) was published in a July 2003 issue of the New England Journal of Medicine.7 Currently, no medical therapies are effective for the prevention of prostate cancer. The purpose of this study was to determine whether long-term treatment with the 5-a-reductase inhibitor finasteride could reduce the prevalence of prostate cancer in healthy men. The study enrolled 18,882 men 55 years of age or older (38% >=65 years of age) with a normal digital rectal exam, a prostatespecific antigen (P
2004 Annual Index
AUTHOR INDEX
Amin II. Family Communication in Long-Term Care: The Long-Term Care Specialist Perspective. 2004;12(12):35-38.
Armstrong L. Letter to the Editor. Dignity in the Terminally Ill. 2004; 12(3):18.
Aronow WS. Special Editorial. The NCEP III Guidelines Should Be Changed in Elderly and Younger Persons at High Risk for Cardiovascular Events. 2004;12(10):19-21.
Aronow WS, Taffet GE. Controversies in Geriatric Cardiology: Management of Heart Failure in Older Adults. 2004;12(8):25-27.
Barondess LH. AGS Viewpoint. 2004;12(5):14-15.
Barondess LH. AGS Viewpoint. Advocati
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