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This Month's CME Article in Clinical Geriatrics

Gait in Older Adults: A Review of the Literature with an Emphasis Toward Achieving Favorable Clinical Outcomes, Part I
Meredith H. Harris, PT, DPT, EdD, Maureen K. Holden, PT, PhD, Lawrence P. Cahalin, PT, MA, Diane Fitzpatrick, PT, DPT, MS, Susan Lowe, PT, DPT, MS, GCS, and Paul K. Canavan, PT, PhD

Changes in motor skills that occur with aging vary widely. It is generally accepted that many bodily functions decline with age, including the ability to walk. For older individuals, walking is one of the most important factors in maintaining an independent lifestyle and remaining in the community. As aging occurs, there can be distinct changes in gait patterns. There is some controversy in the field as to whether change occurs as a result of aging or as a result of pathology.

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In The July Issue


The Clostridium difficile Epidemic: A Potential Disaster for Long-Term Care

Mary C. Vrtis, PhD, RN

Hypervirulent mutations of Clostridium difficile have resulted in epidemic outbreaks with devastating consequences in the United States, Canada, and Europe in recent years. Older persons are particularly susceptible to C. difficile-associated disease (CDAD). This highly contagious organism can spread rapidly through long-term care (LTC) facilities due to a number of factors, including the ability to survive on environmental surfaces for several hours in the vegetative state, and for months after forming spores.

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The New Era of C. difficile-Associated Diarrhea

Maxwell M. Chait, MD, FACP, FACG, AGAF, FASGE

There has been a significant change in nearly every aspect of C. difficile-associated diarrhea (CDAD), with the emergence of a new, more pathogenic strain termed BI/NAP1, or ribotype 027. There has been an increase in the number of cases and severity of disease, an increase in the number of recurrences, and a decreased response to therapy. Although traditionally considered a hospital infection, CDAD is increasingly reported in long-term care facilities and in healthy persons living in the community.

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Obesity, Disability, and Nursing Home Admission

Holly C. Felix, PhD, MPA

The obesity epidemic is spreading through all age groups in the United States, including the elderly. Studies have shown that obesity is associated with cognitive and functional decline, increased service utilization and cost, and nursing home (NH) admission. Unfortunately, little attention has been paid to the impact that the obesity epidemic among older Americans will have on the delivery of quality long-term care (LTC) services. This article reviews the literature on the association between obesity and disability, as well as obesity and NH admissions, and discusses the known and potential impacts of obesity on the delivery of LTC services.

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Click here to view this month's complete table of contents

 

Journal Supplements

An Algorithim for Managing Type 2 Diabetes: A Focus on the Disease Process, Not Just the Sugar

Postherpetic Neuralgia in the Elderly

An Update on Parkinson's Disease and Its Psychiatric Complications

Pharmacologic Treatment of Chronic Pain in the Elderly
 

Continuing Medical Education


Prevention and Management of Herpes Zoster and Postherpetic Neuralgia in Long-Term Care

A Complimentary CME-Accredited Live Lunch Meeting

Date: Thursday, March 6, 2008
Location: Salt Palace Convention Center
Salt Lake City, UT
Ballrooms B & D

Time: 11:30am–1:00pm

Audience: Physician Medical Directors
Program Information


NUTRITION AND THE OLDER PERSON

Table of Contents

• Introduction to Weight Loss in Older Persons
• Diagnosis and Management of Oropharyngeal Dysphagia in the Elderly
• The Danger of Weight Loss in the Elderly
• Nutrients and Frailty

TARGET AUDIENCE: Physicians, nurses, and dietitians who treat geriatric patients
Program Information

About Annals of Long-Term Care

Annals of Long-Term Care: Clinical Care and Aging is a monthly, peer-reviewed clinical journal of the American Geriatrics Society, focusing on the diagnosis and management of LTC residents. Timely, high-quality articles discuss medical and practice management issues encountered by medical directors, attending physicians, consultant pharmacists, directors of nursing, nurse practitioners, physician assistants, and geriatric psychiatrists who practice in the LTC setting. Evidence-based review articles, ethical issues articles, special articles, case reports, abstracts from geriatric literature, and more provide up-to-minute information for health care professionals.




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