| 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 ) |
Clinical Experience
Detecting Adverse Drug Events Using a Nursing Home–Specific Trigger Tool
Adverse drug events (ADEs) are defined by the Institute of Medicine (IOM) as, “injuries resulting from a medical intervention related to a drug.”1 Institutionalized elderly experience ADEs at a rate as high as 10.8 events per 100-patient months, often as a result of polypharmacy, multiple comorbid illnesses, and difficulty with monitoring prescribed medications.2-4 This translates into approximately 135 ADEs each year in an average-size nursing home (NH; bed size of 105), or approximately 2 million events a year among all U.S. NH residents. ADEs represent the most cli
Caring for Obese Individuals in the Long-Term Care Setting
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
ARMOR: A Tool to Evaluate Polypharmacy in Elderly Persons
Background
Polypharmacy is a common problem encountered by clinicians caring for elderly.1 It is encountered in all care settings ranging from outpatient to long-term care (LTC), where it is particularly linked with falls and other associated problems.2 Polypharmacy refers to the use of multiple medications by a patient. The term is used when too many forms of medication are used by a patient, more drugs are prescribed than clinically warranted,3 or even when all prescribed medications are clinically indicated, but there are too many to take (“pill burden”). This has a potentia
Post-Hospital Clinic for Older Patients and Their Family Caregivers
Introduction
What Do Our Seniors Need? Outcomes Of At-Home Comprehensive Geriatric Assessments
INTRODUCTION
Nevada continues to lead nationwide with the fastest growing age 65-and-over population. The number of seniors residing in Nevada increased by 72% between 1990 and 2000, and this population is estimated to grow another 20% between 2000 and 2004.1 Between the aging population and migration of older seniors, the rates of disability are increasing significantly. Disability, though not caused directly by age alone, increases in frequency with age. In 2003, 39% of the age 65-and-over population in Nevada reported a chronic condition that limited function. 8% of these senio
Instituting Cognitive Rehabilitation in Post-Acute Care
Instituting Cognitive Rehabilitation in Post-Acute Care
Letting Goals Be Your Guide: A Program to Make Advance Planning and Palliative Care a Priority in Nursing Homes
Palliative care, as defined by the World Health Organization, is “an approach to care that improves the quality of life of patients and their families facing the problems associated with life-threatening illness through the prevention and relief of suffering by means of early identification and impeccable assessment of pain and other problems, physical, psychosocial and spiritual.” Nursing homes (NHs) are the site of death for 40% of Americans, and many NH residents have life-threatening illnesses associated with physical, psychosocial, and spiritual pain. Clearly, palliative care can play
ALTC Blogs
Thomas T. Yoshikawa, MD
Springfield , Massachusetts
Anytown, Alabama
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