| Supplements & Special Projects |
 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 ) |
Special Article
Top Factors for Successful Management of After-Hours Calls
On-call rotations are stressful for most clinicians. Taking on-calls for the nursing home (NH) population presents many challenges for covering clinicians, who may not be familiar with geriatrics practices and patient presentations. Information related to the patient condition may be communicated adequately from the nursing staff, but the clinician may not be familiar with NH capabilities of care and other mitigating circumstances. Liability and the ability to assess the best place of care based on patient changes in condition can make for difficult decision-making.
How Much Do Older Americans Know About Shingles?
Introduction
Herpes zoster (shingles) is a common disease among older adults that can cause considerable suffering from acute and chronic pain, or postherpetic neuralgia (PHN). The incidence of herpes zoster in persons over age 65 years is more than 11 per 1000 person-years, with an estimated several hundred thousand cases occurring in older adults each year in the United States.1,2 Older adults with herpes zoster are at much higher risk than younger individuals for developing PHN.
The Use of Commercial Health Video Games to Promote Physical Activity in Older Adults
Introduction
Over the past 18 months, sales of the Nintendo Wii™, Electronic Arts Sports Active™, and Konami’s Dance Dance Revolution (DDR)™ totaled $2 billion worldwide.1 Gamers today represent a broad range of ages and backgrounds. The average gamer is 39 years old, 40% are women, and more than 25% are age 50 and over.2 It was estimated that by the end of 2009, 68% of American households would have a gaming console in the home.2
Older persons have not missed out on this trend, with several media reports of entire nursing home chains and senior cente
Falls in the Environment, Part I: Faulty Footwear or Footing? An Interdisciplinary Case-Based Perspective
This article is the first in a three-part series from the author on environmental falls.
Falls by older nursing home residents are common, estimated at 2.6 falls per person per year.1 To adequately address the problem requires a concerted effort and team approach by all healthcare professionals and providers who enter the healthcare setting, consistent with the creation of a culture of patient safety,2 and as required by federal regulations3 and national accrediting bodies.4,5 Although not under federal mandate, administrative management
Advance Care Planning at Transitions in Care: Challenges, Opportunities, and Benefits
Introduction
A majority of residents in long-term care (LTC) are at risk for frequent hospitalizations, functional decline, and death.1,2 Transitions from the hospital, with declines in functional status, with new life-threatening diagnoses, are common in LTC. These transitional events are opportunities to review resident/family understanding and update goals of care. Ideally, conversations about advance care planning occur prior to admission to a LTC community; however, this is not always the case. Even if an advance care planning document exists, it should be reviewed. Adv
Alternative Drug Therapies in LTC Facilities: A Guide to Definition, Policies, and Procedures
Herbal and related alternative drug therapies have gained increasing popularity among the public in general, and the elderly in particular.1,2 According to the National Center for Complementary and Alternative Medicine, complementary and alternative medicine is a group of diverse medical and healthcare systems, practices, and products that are not generally considered a part of conventional medicine.3 While a growing body of data exists on the effectiveness or lack thereof of alternative therapies,4,5 these therapies are not usually taught in U.S. medical schoo
Pharmacotherapy Update 2009, Part II: Infectious Disease, Positive Beers Criteria, and Pharmacist Interventions
This article is part II of a two-part series update on pharmacotherapy, and it focuses on infectious disease, positive Beers criteria, and pharmacist interventions. Part I appeared in the December issue of the Journal and focused on cardiology, neurology, and psychiatry.
Introduction
This article is intended to provide a review of recently published literature of relevance to the care of older adults. It focuses on studies that involve pharmacotherapeutic interventions, including both risks and benefits. It is important for clinicians to decide independently how the results
Health Literacy as a Tool to Improve the Public Understanding of Alzheimer’s Disease
Introduction
The ultimate goal of health literacy is to improve care by enhancing the patient’s quality of life, maximizing clinical outcomes, and reducing inequities in health.1,2 Successful restructuring of the healthcare system to make it more effective, efficient, and equitable demands that health literacy be integrated as a key source of theoretical and empirical data regarding patients’ needs and wishes. This applies across the life course, but it is especially true for the increasing numbers of older adults who must deal with the medical care system the most, yet often com
Pharmacotherapy Update 2009, Part I: Cardiology, Neurology, and Psychiatry
This article is part I of a two-part series update on pharmacotherapy, and it focuses on cardiology, neurology, and psychiatry. Part II, which will be published in a subsequent issue of the Journal, will focus on infectious disease, positive Beers criteria, and pharmacist interventions.
Introduction
This article is intended to provide a review of recently published literature of relevance to the care of older adults. It focuses on studies that involve pharmacotherapeutic interventions, including both risks and benefits. It is important for clinicians to decide independen
Medication Reconciliation and Seamless Care in the Long-Term Care Setting
The evidence in support of medication reconciliation has increased rapidly in recent years, while the need for an improved medication-use system in the LTC setting remains. This article describes the essential elements of medication reconciliation and its application to the LTC setting. First, a case presentation depicts some of the typical clinical problems involving medications that face residents and clinicians in this setting and during transitions of care. Second, a brief literature review of medication reconciliation follows, with a special emphasis on the LTC setting. Third, a practi
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