Annals of Long Term Care

Issue

  • Issue Number: 
    6

    Released earlier this spring, the Institute of Medicine’s long-awaited report on the readiness of the nation’s healthcare workforce to meet the needs of an aging population is a clarion call for essential healthcare reform. The April 14 report, “Retooling for an Aging America: Building the Health Care Workforce,” warns that the workforce is too small and lacks the necessary training to care for the rapidly growing number of older Americans. In fact, the report states, the nation’s healthcare workforce "will be woefully inadequate in its capacity to meet the large demand for health se

  • Issue Number: 
    6

    IOM Releases Report Finding U.S. “Woefully” Unprepared to Care for Aging Population; AGS Chief Testifies Before Congress On Behalf of Healthcare Reforms to Ready Nation for Age Boom
    The Institute of Medicine (IOM) released its long-awaited report evaluating the readiness of the nation's healthcare workforce to meet the needs of an aging society April 14. The report, “Retooling for an Aging America; Building the Health Care Workforce,” concludes that the workforce “will be woefully inadequate in its capacity to meet the large demand for health services for older adults if cur

  • Issue Number: 
    6

    CLINICAL INVESTIGATIONS
    Risk Factors Associated with the Occurrence of Fractures in U.S. Nursing Homes: Resident and Facility Characteristics and Prescription Medications

    William Spector, PhD, Thomas Shaffer, MHS, D. E. B. Potter, MS, Rosaly Correa-de-Araujo, MD, M. Rhona Limcangco, PhD

    OBJECTIVES: To determine whether resident and facility characteristics and prescription medications influence the occurrence of fractures in nursing homes (NHs).

    DESIGN: Panel study with 1-year follow-up.

    SETTING: A nationally representative sample of NHs from the M

  • Issue Number: 
    6

    Best Practices in Nursing Care to Older Adults

    Issue Number 16.1, Revised 2008

    Series Editor: Marie Boltz, PhD, APRN, BC, GNP
    Managing Editor: Sherry A. Greenberg, MSN, APRN, BC, GNP
    New York University College of Nursing

    By: Sheila Molony, PhD, RN, BC, GNP, Yale University School of Nursing

    WHY: Recently published studies confirm that inappropriate medication use remains a serious problem for the elderly (Bonk, et al, 2006; Lau, et al, 2005). Nursing knowledge of potentially inappropriate medications will enable attentive monitoring for adverse effects, and incre

  • Issue Number: 
    6

    Q: A 73-year-old asymptomatic woman with no history of myocardial infarction (MI) is seen by her physician. She is a nonsmoker. Her blood pressure is 150/80 mm Hg. Her heart rhythm is regular with a ventricular rate of 82 beats per minute. Her body mass index is 25 kg/m2. Her physical examination is normal except for her blood pressure.

    A routine electrocardiogram shows evidence of an old anterior wall MI not present on a routine electrocardiogram obtained 1 year previously. A 2-dimensional echocardiogram shows a left ventricular ejection fraction (LVEF) of 39%. Her comple

  • Issue Number: 
    6

    This story is not unlike many that you hear about today. As a seasoned gerontological nurse practitioner joining the ranks of gray-haired older moms with aging parents, aging patients with their aging children, I have learned that one must keep an open mind, open heart, open time, and listen, listen, listen to what our patients are saying, and look at what they are doing. There is a reason for all behaviors. We soon learn that it is the job of the clinician to delve into the mystery at hand, and explore all possibilities.

    This story begins at 2:00 AM when my phone rang at home. It had been

  • Issue Number: 
    6

    Think of the world of accessing medications as a big bull’s eye. In Medicare’s perception, that is exactly the way that the market for pharmaceuticals should be viewed. Medicare believes it must play a very active role, as it believes that many key players will aim poorly, completely missing their desired target. And in the worst-case scenarios, prescribers’ aim will be so poor that they may actually wind up hitting patients who have adverse events because of access to an inappropriately prescribed medication. Rofecoxib is an example of “poor shooting” because of inadequate oversight

  • Issue Number: 
    6

    Introduction
    According to current U.S. Census statistics, the population is getting older, with a greater percentage of the population in the over-65 age group. This trend is expected to continue well into the 21st century.1 Additionally, with the population of those age 80 and over also rapidly increasing, an increased emphasis on geriatric medicine is inevitable. Geriatric dermatology is a specialty that will receive particular attention.2

    As people age, their chances of developing skin-related disorders increase. Two types of skin aging exist, which may be divided into intrins







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