Annals of Long Term Care

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Are Joint Contractures in Patients with Alzheimer’s Disease Preventable?

ISSN: 1524-7929 VOLUME: 18 PUBLICATION DATE: Aug 15 2010
Issue Number: 
Volume 18 - Issue 8 - August 2010

Joint contractures impair quality of life and lead to further complications and disability. In severe dementia, many patients are seen in a fetal position. This position causes flexion of the muscles at joints, causing the muscles to undergo shortening, resulting in degenerative tissue changes, and then leading to potential irreversible deformity. The authors discuss the development of joint contractures in Alzheimer’s disease (AD), where it is thought that the natural progression of AD terminates with patients in the fetal position.

In this Month's Issue

Nonpharmacologic Approaches to Insomnia in Older Adults

ISSN: 1524-7929 VOLUME: 18 PUBLICATION DATE: Aug 15 2010
Issue Number: 
Volume 18 - Issue 8 - August 2010

This review discusses options for nonpharmacologic management of insomnia in older adults. A proposed model provides insights into the multidimensional nature of insomnia as a geriatric syndrome and provides a framework for evaluation and treatment. Practical nonpharmacologic interventions (sleep hygiene, sleep restriction, stimulus control, relaxation techniques, cognitive interventions) have demonstrated effectiveness in older adults and may be considered as a component in a multifaceted approach to improve sleep quality.

Try This Series




The General Assessment Try This Series offers assessment tools on a variety of topics relevant to the care of older adults. The How to Try This series is comprised of articles and videos presenting cases studies demonstrating the use of the Try This series.How to Try This articles and videos are listed under their respective Try This article.







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