Annals of Long Term Care

Issue

  • Issue Number: 
    7

    The Scope of the Problem
    Clostridium difficile (C. difficile), an anaerobic, spore-forming, gram-positive bacteria, has emerged in recent years as a serious health threat in the United States. Although the organism has been known to cause disease for at least 30 years,1 recent mutations have resulted in healthcare–acquired epidemic outbreaks in the United States,2-5 Canada,6,7 Europe8,9 and Japan.10 Genetic fingerprinting has identified a number of strains in clonal outbreaks, and several of these strains are cause for great concern. The rapidly spreading, hypervirulent, BI/NA

  • Issue Number: 
    7

    Introduction
    Clostridium difficile-associated diarrhea (CDAD) is the most common form of nosocomial diarrhea. C. difficile is a gram-positive spore-forming anaerobic bacillus that was first described in 1935, but it was not associated with antibiotic-related diarrhea and pseudomembranous colitis until 1978.1

    A new era of CDAD has been entered with a significant change in nearly every aspect of the disease. With the emergence of a new more pathogenic strain, there is an increase in the number of cases and disease severity and recurrences, coupled with a decrease in resp

  • Issue Number: 
    7

    The U.S. long-term care (LTC) system is faced with potentially greater demand for services as the population ages. Current projections indicate that by 2030, 20% of the U.S. population will be over age 65 years, compared to only 12% of the population in 2000.1 There are mixed opinions as to whether this growing population of older adults will increase demand for LTC services.2-3 However, the emergence of the U.S. obesity epidemic,4 which could reverse recent declining trends in disability rates among the elderly,5 may present new, unforeseen demands on and challenges for the LTC system. This a

  • Issue Number: 
    7

    One of the highlights of the American Geriatrics Society’s recent 2008 Annual Scientific Meeting in Washington, DC, was its highly successful Congressional Visits Program. The program is just one element, but an important one, of the AGS’s public policy advocacy efforts.

    Because the vast majority of older Americans have healthcare coverage through Medicare, public policy has an immense impact on the quality of the care they receive. That’s why advocating for policy aimed at ensuring older Americans’ access to quality care—policy supporting needed training and research and adequate

  • Issue Number: 
    7

    April 5-9, 2008, San Diego, CA

    The Experimental Biology (EB) meeting is a scientific conference that offers unique opportunities for basic science and clinical science researchers to mingle and exchange ideas. The EB meeting is actually a shared venue for the annual meetings of seven national societies: The American Association of Anatomists (AAA), The American Association of Immunologists (AAI), The American Physiological Society (APS), The American Society for Biochemistry and Molecular Biology (ASBMB), The American Society for Investigative Pathology (ASIP), The American Society

  • Issue Number: 
    7

    The old saw has it that in the good “old” days, older persons were relatively rare, and sometimes because of this, robustly regarded. However, it was thought that as history progressed and the birth and mortality rates fell, old people became a much more common sight. Furthermore, as societies changed and nuclear families budded off to more of the extended variety, old people lost some of their panache. As a result, for other sociological and economic reasons too complex to enter into here, this approach holds that the old person in modern times has become an undervalued commodity.

    Ther

  • Issue Number: 
    7

    Thiazolidinediones and Cardiovascular Outcomes in Older Patients With Diabetes
    Cardiovascular disease is an important cause of morbidity and mortality among persons with type 2 diabetes mellitus. The thiazolidinediones (TZDs) rosiglitazone and pioglitazone are oral hypoglycemic agents that have been shown to improve glycemic control and may act to slow the progression of beta cell failure. While improved glycemic control has been linked to better clinical outcomes in diabetes and TZDs have been suggested as having potential cardiovascular benefits, recent concerns have arisen regarding

  • Issue Number: 
    7

    Best Practices in Nursing Care for Older Adults
    fromThe Hartford Institute for Geriatric Nursing
    New York University, College of Nursing

    Issue Number 16.2, 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 poten







REVIEW OUR OTHER
HEALTHCARE BRANDS

Check out our other resources for healthcare professionals of all specialties.

  • Clinical Geriatrics
  • Podiatry Today
  • Skin & Aging
  • OWM

Real Time Web Analytics