| Supplements & Special Projects |
 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:5
Introduction
In 2003, over 13.2 million persons age 65 years and older were discharged from hospitals.1 Because of their higher prevalence of frailty and slower period of recovery, the transitional period from hospital to home presents major challenges for older patients and their family caregivers.2,3 The first few weeks after discharge abound with issues in symptom management and personal care.4,5 Close surveillance post-discharge may prevent serious adverse outcomes such as rehospitalization and use of emergency care services for patients, as well as undue caregiver stress and burde - Issue Number:5
I am leaving Dr. M’s office, my first post-op visit, the day after a trabeculectomy for glaucoma. Suddenly, a brown curtain drops over my right eye. I sit down in the waiting room for awhile, but the obstruction to my vision does not disappear. One of my ophthalmologist’s nurses passes by, and I ask her to please tell Dr. M what is happening. She comes back in a few minutes and tells me that Dr. M’s message is, “Don’t worry, that’s part of healing.”
As a retired physician, I am surprised by his answer; it does not make sense to me. Puzzled, I go home.
Over the weekend, the
- Issue Number:5
1. BENEFICENCE
• Do right (“good”) by the patient.
• The physician’s main concern is the welfare of the patient.
• Do what is medically helpful.2. NON-MALEFICENCE
• Avoiding harm.
• Implement effective non-hospital treatment when possible (due to complications that can arise during hospitalization of elderly patients).
• Withhold diagnostic work-up or treatment when intervention is unlikely to result in meaningful survival or patient well-being.3. FUTILITY OF TREATMENT
• Treatment should be consistent with the patient’s (clinically - Issue Number:5
This is part II of a two-part article. Part I addressed litigation and appeared in the April issue of the Journal.
Introduction
There has been a significant increase in medical malpractice lawsuits in long-term care (LTC).1 Therefore, the facilities and the healthcare providers who work in them need to be aware of several important risk management strategies that can reduce their likelihood of being sued for medical malpractice. Good medical practice and medical malpractice risk reduction are congruent activities.2 There are, however, several areas of practice where a li - Issue Number:5
Introduction
As many as 30% of acute pancreatitis occurs in patients older than age 65 years.1 A minority are severe, with local complications and organ failure with or without morphologic changes on computed tomography (CT) scan indicative of pancreatic necrosis.2 Severe acute pancreatitis is associated with an 8-10% mortality; in older patients, the mortality is as high as 20-25%.3 A greater propensity to fulminant disease in old age has been attributed to diminished organ function reserve, comorbid illness, diminishing ability to tolerate fluid shifts, and susceptibility to ischemia - Issue Number:5
To help ease the growing shortage of geriatrics healthcare providers in long-term care and other settings, Sen. Barbara Boxer (D-CA) recently introduced legislation that would create a geriatrics loan forgiveness program. Her “Caring for An Aging America Act” would not only extend loan forgiveness programs to professionals who complete training in geriatrics or gerontology and go on to care for older adults, it would also expand training and advancement opportunities for LTC workers. In addition, the legislation would create a health and LTC workforce advisory panel that would track and ad
- Issue Number:5
To the Editor:
I wish to share my growing concern about medical care for the medically complex geriatric patient. My dad recently turned 90 years old (on 3/3/08). For most of his life he was healthy and active, looking, feeling, and acting much younger than his age. Twelve and a half years ago he was diagnosed with prostate cancer; that was kept under control with appropriate medical intervention, and Dad was able to go on with his life without much change from the condition. He continued driving and was a good driver up to age 86.On August 11, 2004, my father sustained a tr
- Issue Number:5
To the Editor:
Justice, autonomy, and beneficence are succinctly discussed in the article “The Ethical Principal of Justice: The Purveyor of Equality.”1 It is commendable that the long-term care facility took steps to implement a smoking cessation program. However, the facility failed to recognize or neglected a factor likely to contribute to success of smoking cessation: no one smoking around those trying to quit smoking will benefit the cessation program.2-4 Just on this basis for success of the program the facility should have enforced no one smoking - Issue Number:5
Numero 15, revisado 2007
Practicas de excelencia en los cuidados de enfermeria de adultos mayores
de The Hartford Institute for Geriatric Nursing
New York University, College of NursingEditor de la serie: Marie Boltz, MSN, APRN, BC, GNP
Editor ejecutivo: Sherry A. Greenberg, MSN, APRN, BC, GNP
Coordinadora de la edicion en espanol: Alexis Melendez
New York University College of NursingPOR QUÉ: El abuso y negligencia de personas mayores es un problema grave y frecuente, y se estima que afecta de 700.000 a 1,2 millones de adultos mayores por año en este país.
- Issue Number:5
Best Practices in Nursing Care to Older Adults
from The Hartford Institute for Geriatric Nursing
New York University, College of NursingIssue Number 15, Revised 2008
Series Editor: Marie Boltz, PhD, APRN, BC, GNP
Managing Editor: Sherry A. Greenberg, MSN, APRN, BC, GNP
New York University College of NursingWHY: Elder abuse and neglect is a serious and prevalent problem that is estimated to affect 700,000 to 1.2 million older adults annually in this country. Only one in ten cases of elder abuse and neglect are reported and there is a serious underreporting by clinic
Springfield , Massachusetts
Anytown, Alabama
ALTC Blogs
Thomas T. Yoshikawa, MD
Latest News
- Transcendental Meditation Shown To Reduce Depression: New Studies
- U-M Study Shows Generational Shift In Obesity
- Access To Affordable Coverage Likely To Improve With Health Reform Law
- UAW Suing GM Over $450 Million For Retiree Health Benefits
- Complex Back Surgeries Skyrocket, Raising Concerns About Cost, Complications
All-time popular content
- Management of Feeding Tube Complications in the Long-Term Care Resident (26002)
- The Lawton Instrumental Activities of Daily Living (IADL) Scale (20746)
- Katz Index of Independence in Activities of Daily Living (ADL) (18538)
- Preventing Falls in the Nursing Home (13394)
- Inappropriate Sexual Behavior in Long-Term Care (13001)
- Managing Urinary Tract Infections: Guide for Nursing Home Practitioners (11975)
- Urinary Catheter Care for Older Adults (11728)
- Hip Fracture Rehabilitation in Persons with Dementia: How Much Should We Invest? (10208)
- Treatments for Depression in Older Persons with Dementia (8217)
- Diagnosis and Management of Dementia in Long-Term Care (7755)
REVIEW OUR OTHER
HEALTHCARE BRANDS
Check out our other resources for healthcare professionals of all specialties.
