Annals of Long Term Care

Issue

  • Issue Number: 
    Volume 17 - Issue 3 - March 2009

    author affiliations:

    From the Division of Cerebrovascular Diseases, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

    ________________________________

    Stroke is a leading cause of death and disability in the United States and worldwide. It preferentially affects older adults and has high risk of recurrence. Because of the aging population, the burden will increase greatly; thus, the need for secondary prevention strategies is crucial. Antiplatelet therapy remains paramount in prevention of recurrent vascular events following str

  • Issue Number: 
    Volume 17 - Issue 3 - March 2009

    author affiliations:

    Dr. Buxbaum is Clinical Associate Professor of Medicine, Harvard Medical School, Boston, MA.

    ________________________________

    Introduction

    A previous article defined subacute care and described its brief history and present status in the spectrum of inpatient care.1 Since subacute care is undergoing constant expansion and evolution, it seems appropriate to look at the near- and long-term possibilities for progress. This article aims to lay out a number of areas for expansion in the near future. Not many of these have actually been realized, so

  • Issue Number: 
    Volume 17 - Issue 3 - March 2009

    author affiliations:

    Dr. Pleasants is Associate Professor, Campbell University School of Pharmacy, Buies Creek, NC, and Assistant Professor, Division of Pulmonary and Critical Care Medicine, Duke University School of Medicine, Durham, NC.

    ________________________________

    Chronic obstructive pulmonary disease (COPD) is a disease with a progressive and complex nature, and therefore is commonly found in nursing home residents. COPD has been found to be as likely as kidney disease to lead to admission to a skilled nursing facility in elderly patients who underwent coronary artery

  • Issue Number: 
    Volume 17 - Issue 3 - March 2009

    author affiliations:

    Dr. Sabeen is Assistant Professor and Dr. Holroyd is Professor, Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville.

    __________________________________

    Vitamin B12 deficiency is a common occurrence in the elderly and is associated with delirium, dementia, depression, and psychosis. Psychiatric symptoms may occur in the absence of characteristic hematologic or neurologic symptoms suggestive of B12 deficiency. Because psychiatric symptoms can occur in low-to-moderate “normal” vitamin B12 levels, homocysteine or

  • Issue Number: 
    Volume 17 - Issue 3 - March 2009

    Nearly 700,000 Americans have hip or knee joint replacement surgery every year. And that number is expected to rise dramatically in the coming decades as the nation’s Baby Boomers reach retirement age.
    Knee and hip replacement can ease pain and improve movement and function in joints damaged by disease or injury. The surgery—in which damaged or diseased parts of the joint are replaced with metal or plastic substitutes—has a very high success rate.
    That said, there are some risks. A small percentage of people who have the surgery, for example, develop joint infections. And recovery a

  • Issue Number: 
    Volume 17 - Issue 3 - March 2009


    Orlando, FL; December 7-11, 2008

    _____________________________

    Pharmacologic Treatment for the Elderly Requires Special Considerations

    Orlando, Florida—Healthcare professionals face unique issues when dealing with geriatric pharmaceutical care, including the critical area of polypharmacy. These special considerations and the changing dynamic of the geriatric population were the subjects of a presentation at the ASHP meeting, “Polypharmacy and the Elderly: Case-Based Topics in Geriatric Care.”

    The first presenter was Judith L. Beizer, PharmD, CGP, FAS

  • Issue Number: 
    Volume 17 - Issue 3 - March 2009



    Pain, Dyspnea, and the Quality of Dying in Long-Term Care

    Anthony J. Caprio, MD, Laura C. Hanson, MD, MPH, Jean C. Munn, PhD, Christianna S. Williams, PhD, Debra Dobbs, PhD, Philip D. Sloane, MD, MPH, and Sheryl Zimmerman, PhD

    OBJECTIVES: To evaluate the relationship between pain, dyspnea, and family perceptions of the quality of dying in long-term care.

    DESIGN: After-death interviews.

    SETTING: Stratified random sample of 111 nursing homes and residential care and assisted living facilities in four states.

    PARTICIPANTS: Paired interviews from facility s







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