Publications

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Exploring the Role of a Pain Management Protocol in Readmission Rates in a Skilled Nursing Facility

JAMDA
March 1, 2017
Inadequately managed acute pain can lead to hospital readmissions for skilled nursing facility (SNF) patients. This 2 month study was based on private, telephonic interviews conducted in patients of 2 Health Dimensions Group (HDG) managed SNFs to...

Timely Diagnosis of Bladder Perforation in Elderly Population

JAMDA
March 1, 2017
Bladder perforation associated with a urinary catheter is a rare, but potentially fatal condition. This report describes a 92 year old long term care resident who was found to have bladder perforation after insertion of Foley catheter for urinary...

Successful Treatment of Bacteremia in the Post-Acute Setting – Another Opportunity to Limit Readmission

JAMDA
March 1, 2017
Septicemia represents 13.4% of readmission from post acute and long term care (PALTC). Increasing pressure to limit readmissions requires all providers in PALTC to be aware of opportunities to treat patients who develop acute problems safely and...

Quetiapine Induced Urinary Dysfunction: An Adverse Anticholinergic Effect Needing Recognition

JAMDA
March 1, 2017
Urinary incontinence (UI) and retention (UR) can impact patient comfort and quality of life, and are rare adverse drug effects (ADEs) of antipsychotic agents. UI occurs with most typical antipsychotics in various dosages, even without pre-existing...

Perioral Self-Injury in a Patient with Dementia: An Imperative for Evaluating Dental Health

JAMDA
March 1, 2017
Past studies have reported inadequate dental care in elderly nursing home residents. Dental cavities, gum diseases, and cracked teeth go unaddressed. Periodontal disease contributes to bacterial pneumonia from anaerobes. This issue is even more...

New Onset Anorexia and Weight Loss in Nursing Home Residents Is an Indicator of Poor Outcomes

JAMDA
March 1, 2017
Unintentional weight loss signals underlying illness. 27% of frail elders experience involuntary weight loss, an association with morbidity and mortality. In setting of comorbidities requiring several medications, the etiology of unintentional...

Never Underestimate Your Patient: Communicating with a Patient with Severe Dementia

JAMDA
March 1, 2017
Communication with a patient in severe stages of dementia, particularly with Alzheimer’s type dementia might be a challenge. There are many communication strategies and techniques recommended by the Alzheimer’s Association. Among them the patient-...

Mosquito Mischief: Malaise, Myoclonus & Mental Status Changes

JAMDA
March 1, 2017
West Nile Virus (WNV) encephalitis is an uncommon, yet devastating complication of WNV infection and is more common and severe among the elderly. Recovery from WNV encephalitis among those with advanced age is variable and often requires inpatient...

Morbid Obesity, Multi-morbidity and Malnutrition - A Therapeutic Challenge in the Post Acute and Long Term Care Settings

JAMDA
March 1, 2017
Introduction: Morbid obesity represents a significant challenge in post-acute and long term care settings since it is associated with significant morbidity, mortality, higher hospitalization and institutionalization rates and complex health care...

From Pot to Pods: Accidental Ingestions in the Elderly

JAMDA
March 1, 2017
Accidental ingestions in the geriatric population are likely more common than recognized. In Virginia, 2.3% of the exposures reported to a poison center in a 6 months period involved adults aged ≥60 years and 84% of those were unintentional. A...