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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:Volume 17 - Issue 9 - September 2009
Q: How should a 78-year-old woman with congestive heart failure (CHF) after myocardial infarction be treated?
Case Presentation
A 78-year-old functionally independent woman has a 10-year history of hypertension and dyslipidemia. She developed CHF after an acute myocardial infarction 3 months ago. She has a nonproductive cough when lying down and New York Heart Association (NYHA) class III symptoms (dyspnea with less than ordinary activity). Her current medications include furosemide 40 mg daily, ramipril 10 mg twice daily, rosuvastatin 20 mg daily, diltiazem CD 240 mg dai
- Issue Number:Volume 17 - Issue 9 - September 2009
Constipation in the elderly is common and has a significant impact on quality of life and use of healthcare resources in long-term care settings. A careful history, medication assessment, and physical examination are helpful in obtaining relevant clues that help direct management. Fiber supplementation and osmotic laxatives are effective for many patients. Simplifying bowel programs saves time and energy and provides a more unified approach to care. Special effort should be taken to identify features inherent to the elderly, and treatment should be based on the patient’s overall clinical s
- Issue Number:Volume 17 - Issue 9 - September 2009
Treating elderly persons with schizophrenia poses several challenges for clinicians. Antipsychotic side-effect profiles, medical conditions, physiologic effects of aging, and government regulations can complicate the clinical scenario. Important guidelines for use of antipsychotics in the elderly population include starting at low doses and increasing slowly, checking basic laboratory studies periodically and doing routine physical examinations, and weighing the risks versus benefits of discontinuing treatment with an antipsychotic medication. Schizophrenia is a chronic mental illness that in
- Issue Number:Volume 17 - Issue 9 - September 2009
Gastric Antral Vascular Ectasia (“Watermelon Stomach”) as a Cause of Chronic Gastrointestinal Bleeding in an Elderly Bedridden Patient
Introduction
Gastric antral vascular ectasia (GAVE), or “watermelon stomach,” is a relatively uncommon cause of gastrointestinal (GI) blood loss. The entity is well described in the gastroenterological and endoscopic literature, but it is not as familiar to most readers of geriatric journals. The mean age of affected individuals is around 70 years, with female preponderance. It is widely believed that GAVE is underrecognized and th
- Issue Number:Volume 17 - Issue 9 - September 2009
It’s amazing hearing the stories coming out regarding a celebrity’s ability to gain access to a seemingly limitless supply of pain medications while all-too-many seniors suffer needlessly in pain because of barriers to access. This is a significant problem. Approximately 25-50%1 of community-dwelling older adults experience persistent pain. In nursing homes the problem is even larger, with prevalence ranging from 49% to 83%.2,3
Unfortunately, there are many barriers that stand in the way of proper treatment for older adults with pain. The barriers start with clinical issues such as diag
- Issue Number:Volume 17 - Issue 9 - September 2009
Ijoined the American Geriatrics Society for several reasons. First, AGS was, and is, the organization that provides me with the most up-to-date, pertinent and relevant information about geriatrics research, education, practice and models of care. AGS is my center for knowledge and understanding of geriatrics.
Secondly, AGS was and is the center of my peer networking. It’s an organization of likeminded people who understand what I do.
Thirdly, AGS is an important agent for crucial public policy change. Participating in public policy advocacy to improve older adults’ access to quality
- Issue Number:Volume 17 - Issue 9 - September 2009
- Issue Number:Volume 17 - Issue 9 - September 2009
Digestive Disease Week 2009
Chicago, IL; May 30-June 4, 2009______________________________
Elderly Patients Present with More Advanced Appendicitis
Chicago, IL—Investigators led by Rebecca J. Rose, MD, of the Department of Surgery, State University of New York at Buffalo, recently conducted a retrospective study to ascertain what factors may account for the delayed presentation and more advanced disease states of elderly patients with acute appendicitis and presented their results at the DDW meeting. They conducted a 5-year retrospective chart review fro
- Issue Number:Volume 17 - Issue 9 - September 2009
Serum Parathyroid Hormone Levels Predict Falls in Older Adults with Diabetes MellitusDenise K. Houston, PhD, Ann V. Schwartz, PhD, Jane A. Cauley, DrPH, Frances A. Tylavsky, DrPH, Eleanor M. Simonsick, PhD, Tamara B. Harris, MD, Nathalie de Rekeneire MD, Gary G. Schwartz, PhD, and Stephen B. Kritchevsky, PhD, for the Health, Aging and Body Composition Study
OBJECTIVES: To examine the association between serum parathyroid hormone (PTH) levels and incident falls in older adults with diabetes mellitus.
DESIGN: Longitudinal analysis of incident falls over 1 year in a s
- Issue Number:Volume 17 - Issue 9 - September 2009
Springfield , Massachusetts
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Thomas T. Yoshikawa, MD
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