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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:1
Introduction
Although many consider epilepsy a condition of childhood, the highest incidence of new-onset epilepsy occurs in individuals over the age of 60 (Figure 1). Seizures can be either provoked or unprovoked. Metabolic disturbances and alcohol withdrawal are common causes of acute provoked seizures, and treatment is directed towards the underlying provoking medical condition. In contrast, the diagnosis of epilepsy is made when a patient experiences recurrent unprovoked seizures. In this short review, issues surrounding acute provoked seizures in the geriatric popula - Issue Number:1
Of the dozen or so pay-for-performance demonstration and pilot projects the Centers for Medicare & Medicaid Services (CMS) now has underway or on the drawing board, there are two of particular relevance to long-term care. One, which will involve home health agencies, starts this month. Another, involving nursing homes, is awaiting final approval by the Office of Management and Budget and is expected to begin sometime later this year.
The pay-for-performance (P4P) approach—also known as “value-based purchasing”—offers participants monetary incentives for meeting designated quality st
- Issue Number:1
To the Editor:
The review article “Treatment Checklist for Advanced Heart Failure”1 was a very pleasant read; however, the hallmark to the treatment of congestive heart failure was not even touched. As a matter of fact, on page 24, at the end of paragraph one, is the following quote: "Similarly, restrictions on diet and advice for physical activity may be relaxed."
We get people all the time in stage IV heart failure who are gasping for air and are on all of the medications listed in the article. These people are often remedied by just spending a few minutes explain
- Issue Number:1
Stockholm, Sweden
September 15-19, 2007The European Respiratory Society’s Annual Congress is the largest international gathering of health professionals and researchers involved in respiratory medicine in the world. This year, over 15,000 persons attended the meeting held in Stockholm, Sweden. This forum has increasingly become the preferred venue for the presentation of important new research findings and landmark clinical trials in the field of respiratory medicine. Some highlights from the scientific sessions are listed below, with abstracts from the entire proceedings availab
- Issue Number:1
Justice is a complex ethical principle, with meanings that range from the fair treatment of individuals to the equitable allocation of healthcare dollars and resources. Justice is concerned with the equitable distribution of benefits and burdens to individuals in social institutions, and how the rights of various individuals are realized.1
Common definitions for Justice are often problematic for clinicians, as the explanations leave many questions unanswered. If Justice is a concept about treating people fairly, then it is prudent to wonder what it mea
- Issue Number:1
Development of a Protocol for Capillary Blood Glucose Testing in Nursing Home and Rehabilitation Settings
Scott L. Mader, MD, Kathleen A. Fuglee, RN, MN, CNS, CDE, Deanna S. Allen, RN, Lisa R. Werner, RN, BSN, Wendy A. Wanlass, MD, Keith J. Pagel, MD, Kay L. Beliel, Judy A. McEuen, RN, BSN, CDE, Elizabeth A. Stephens, MD, Nancy L. Allison, NP, CDE, Karen A. McWhorter, MN, RN, and Julie E. Vandling, RN, BSNOBJECTIVES: To develop an algorithm to standardize capillary blood glucose (CBG) testing in nursing home and rehabilitation patients.
DESIGN: Descriptive s
- Issue Number:1
Palliative care, as defined by the World Health Organization, is “an approach to care that improves the quality of life of patients and their families facing the problems associated with life-threatening illness through the prevention and relief of suffering by means of early identification and impeccable assessment of pain and other problems, physical, psychosocial and spiritual.” Nursing homes (NHs) are the site of death for 40% of Americans, and many NH residents have life-threatening illnesses associated with physical, psychosocial, and spiritual pain. Clearly, palliative care can play
- Issue Number:1
Best Practices in Nursing Care to Older Adults
from The Hartford Institute for Geriatric Nursing
New York University, College of NursingIssue Number 13, 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: Delirium occurs in 25-60% of older hospitalized patients, and is associated with an increased risk of nursing home admission, increased costs, length of stay, mortality rates, functional decline, and increased use of chemical and physical r
- Issue Number:1
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 re - Issue Number:1
Presidential election aside, medication management under Medicare promises to see some major changes that will affect access to medications in the coming year. This at a time—or perhaps because we are in a time—of increasing demand for access to innovative medications by an ever-expanding group of Medicare beneficiaries.
In a question-and-answer format, this article will highlight the major areas of change that are occurring to medication management within all parts of the Medicare program:
• Medicare Part A, which covers hospitalization, subacute services, and hospice
• Medica
Springfield , Massachusetts
Anytown, Alabama
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Thomas T. Yoshikawa, MD
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