Annals of Long Term Care

Issue

  • Issue Number: 
    Volume 17 - Issue 7 - July 2009

    Older obese adults are more likely to report fair to poor health as compared to those of normal weight. Excessive weight in residents of LTC facilities will have profound effects on care delivery and resource utilization. Model programs for bariatric and obese resident care do exist in some LTC facilities; however, universally agreed upon standards for education, staffing, and resources have not yet been established, and financial costs associated with providing bariatric care are not readily apparent. This article describes the challenges of caring for obese individuals residing in LTC facili

  • Issue Number: 
    Volume 17 - Issue 7 - July 2009

    Introduction

    The importance of redesigning nursing homes to better emulate living in one’s own home has driven regulation reform for decades. The early focus of addressing residents’ rights in the Nursing Home Reform Act1 has slowly expanded to a broader vision of creating “a culture of aging that is life affirming, satisfying, humane and meaningful.”2 Commonly called “culture change,” the movement to improve quality of life among older adults in nursing facilities and other long-term care (LTC) settings has gained considerable momentum. The primary advocacy group, the

  • Issue Number: 
    Volume 17 - Issue 7 - July 2009

    In this communication, we lay out more than 25 years of experience with both a Residents’ Council and Family Council at two not-for-profit nursing homes affiliated with Peace United Church of Christ and six Lutheran churches in the Rochester, Minnesota, area. Both facilities serve as the teaching nursing homes for Mayo Clinic and the Geriatric Fellowship program. The “newer” Samaritan Bethany Heights has had a continuous Residents’ Council and Family Council since the doors opened in 1981. The older Samaritan Bethany Home on Eighth has had an active Residents’ Council, while particip

  • Issue Number: 
    Volume 17 - Issue 7 - July 2009

    Q: Should a 78-year-old woman with atrial fibrillation with hypertension, diabetes, prior heart failure, and prior stroke without contraindications to warfarin be treated with warfarin or aspirin? If warfarin, to what international normalized ratio?

    Case Presentation

    A 78-year-old functionally independent woman has had hypertension and diabetes mellitus for the past 1 year. Six months ago, she developed congestive heart failure (CHF) precipitated by an episode of paroxysmal atrial fibrillation (AF), with an average ventricular rate of 165 beats per minute, which resolved

  • Issue Number: 
    Volume 17 - Issue 7 - July 2009

    I joined the AGS in 1980. I had just finished an education fellowship, was in family practice, and was teaching in a family practice residency. I started getting interested in this new area—geriatrics. I hadn't had any training in it in my residency and hadn't done a fellowship, and I was looking for information. I found that AGS meetings were a great way to get up to speed quickly.

    I also found that being a part of AGS provided all sorts of opportunities for extending my network of colleagues and friends. A big benefit of being a member of the AGS is that you meet such a diversity of p

  • Issue Number: 
    Volume 17 - Issue 7 - July 2009


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  • Issue Number: 
    Volume 17 - Issue 7 - July 2009


    Silodosin Rapidly Reduces BPH Symptoms in Two Studies

    Chicago, IL—In two clinical studies recently conducted in the United States, treatment of benign prostatic hyperplasia (BPH) with silodosin rapidly provided significant improvement of urinary symptoms. Results of these studies were discussed in a podium session at the AUA meeting. The lead author of a post-hoc analysis of the trials was Leonard S. Marks, MD, Clinical Associate Professor in the Department of Surgery/Urology at the University of California, Los Angeles School of Medicine.

    Silodosin is a highly selective

  • Issue Number: 
    Volume 17 - Issue 7 - July 2009


    Types, Prevalence, and Potential Clinical Significance of Medication Administration Errors in Assisted Living

    Heather M. Young, PhD, GNP, Shelly L. Gray, PharmD, MS, Wayne C. McCormick, MD, MPH, Suzanne K. Sikma, PhD, RN, Susan Reinhard, PhD, RN, Linda Johnson Trippett, RNC, MSN, Carol Christlieb, RN, MSN, and Tiffany Allen, BS

    OBJECTIVES: To describe the types and potential clinical significance of medication administration errors in assisted living (AL).

    DESIGN: Cross-sectional observational study.

    SETTING: This study was conducted in 12 AL settings in three







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