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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:9
The majority of long-term care residents take a variety of medications on a daily basis. Nursing home residents, for example, take an average of nearly 8 regularly scheduled medications—and more than 60% take more than 9. Not surprisingly, the risk of medication-related adverse patient events is relatively high in long-term care facilities.
Because these events can cause significant morbidity among older adults, preventing and addressing them should be a top priority for long-term care. Delivering the Henderson State-of-the Art Lecture during the American Geriatrics Society’s 2007 annua
- Issue Number:9
It was mid-afternoon, and I was accompanying my Geriatrics preceptor on a home visit to a 95-year-old man with multiple medical conditions that included congestive heart failure (CHF). Aside from the three of us, the man’s granddaughter--who also lived with him--was there, and his 98-year-old wife was asleep in a bed in the corner. After a number of cardiac examinations and an ongoing debate about whether or not the man needed to be admitted for a CHF exacerbation, the elderly woman in the corner sat up and said, “Something is burning.” To which the daughter laughed and said, “I forgo
- Issue Number:9
Introduction
Despite the hope that traditional advance directives would ensure that patients’ end-of-life treatment preferences are honored, numerous studies have found that only 20-30 percent of U.S. adults have an advance directive, and that these documents have limited effect on treatment decisions near the end of life.1 Some of the limitations associated with traditional advance directives are that they may not be available when needed, are not transferred with the patient, may not be specific enough, may be overridden by a treating physician, and do not immediately t - Issue Number:9
We report three cases of Doppler ultrasound discrepancies between portable diagnostic unit and hospital-based units among skilled nursing facility residents.
Case 1
Mrs. HK is an 81-year-old female resident of a skilled nursing facility (SNF). Her medical history includes coronary artery disease (CAD), hypertension, and a right humeral neck fracture and left radial fracture 6 weeks earlier. She complained of pain and swelling of her right upper extremity (RUE). An order for an upper extremity portable Doppler ultrasound (US) was placed. This study, as well as all studies in the SNF, - Issue Number:9
A Randomized Trial of a Multicomponent Home Intervention to Reduce Functional Difficulties in Older Adults
Laura N. Gitlin, PhD, Laraine Winter, PhD, Marie P. Dennis, PhD, EdM, Mary Corcoran, PhD, OTR/L, Sandy Schinfeld, MPH, and Walter W. Hauck, PhDOBJECTIVES: To test the efficacy of a multicomponent intervention to reduce functional difficulties, fear of falling, and home hazards and enhance self-efficacy and adaptive coping in older adults with chronic conditions.
DESIGN: A prospective, two-group, randomized trial. Participants were randomized to a treatm
- Issue Number:9
To the Editor:
Dr. Aronow’s1 recommendation for aortic valve replacement was both informative and directional for patients of elderly age with severe aortic stenosis. I have three very symptomatic patients in their nineties with severe aortic stenosis, with nearly identical clinical presentations as the 80-year-old woman portrayed by Dr. Aronow in his Q&A; all are being treated for congestive heart failure (CHF) with diuretics, angiotensin-converting enzyme (ACE) inhibitor therapy, and beta-blocker therapy. What to do? These patients have no other medical conditions that w - Issue Number:9
The chronically mentally ill represent one of the most socially disadvantaged segments of our population, which has been subject to the unwelcome consequences of the shifting healthcare policies. The deinstitutionalization program, which started in the late 1950s, has resulted in the closing of many state hospitals or in a drastic reduction in the number of beds in state hospitals, where these persistently mentally ill patients had been cared for. The census of the nation’s state hospitals reached its peak of 560,000 in 1955 and declined dramatically to under 170,000—a decrease of more
- Issue Number:9
The authors have identified some of the issues and frustrations in providing psychiatric care in nursing homes. Providing care for the mentally ill and the chronically mentally ill requires planning, programming financing, and committed and trained healthcare providers. To provide adequate care now, and eventually, state-of-the-art care, many challenges need to be resolved.
These issues include:
1. Parity for mental health services. Lack of parity has been an issue for years from the percent reimbursement to direct reimbursement to qualified mental health providers from nursing and - Issue Number:9
Best Practices in Nursing Care to Older Adults
from The Hartford Institute for Geriatric Nursing
New York University, College of NursingIssue Number 22, Revised 2007
Series Editor: Marie Boltz, MSN, APRN, BC, GNP
Managing Editor: Sherry A. Greenberg, MSN, APRN, BC, GNP
New York University College of NursingWHY: Approximately 40% of older adults suffer from complications of hospitalization. For the patient, families providea vital link between the patient and the staff. Nurses are in a unique position to work with families as partners toprovide quality care
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