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Personality Disorders May Be Undiagnosed in Older Adults

Caring for the Ages
May 1, 2023
Personality disorders are fairly common, effecting approximately 9% of U.S. adults. Yet in older adults personality disorders often aren’t recognized, formally diagnosed, or treated. Instead, these disorders may be dismissed or attributed to...

Practical Actions, Reducing Stigma: What Providers Should Know About Obesity

Caring for the Ages
May 1, 2023
Obesity is recognized by experts as a complex, chronic condition or disease involving the brain and hormones secreted by the gastrointestinal tract, pancreas, and adipose tissue itself — as well as a host of contributing factors, from genetics and...

2023 Choosing Wisely Champions: Moving the Needle on Key Issues

Caring for the Ages
May 1, 2023
Two clinical teams have been named 2023 Choosing Wisely Champions by AMDA – The Society for Post-Acute and Long-Term Care Medicine. The award honors individual clinicians and teams of clinicians who have gone above and beyond to make significant...

Spotlight on Policy

Caring for the Ages
May 1, 2023
The Centers for Medicare & Medicaid Services (CMS) has replaced memorandum QSO-20-31-ALL, the Enhanced Enforcement for Infection Control Deficiencies ( https://go.cms.gov/3zu7VwI ) with memorandum QSO-23-10-NH, revised guidance for Strengthened...

Immunizations in a Senior Housing Setting

Caring for the Ages
May 1, 2023
Mr. M is a 71-year-old man who lives in senior housing with his wife. He completed a few years of high school and then worked in construction. He retired at age 65 and moved into senior housing soon after. He is independent with all activities,...

Celebrating Cultural Diversity and Spirituality in Long-Term Care Facilities

Caring for the Ages
May 1, 2023
Don’t we all want an inclusive workplace? I was reflecting on this past spring season and the many months filled with various cultural and interfaith holidays. The facilities where I work held celebrations for St. Patrick’s Day and Easter, and the...

Professionally Diverse Board Improves Care in Colorado

Caring for the Ages
May 1, 2023
I first heard of the Colorado Medical Directors Association (CMDA) in the early years of my career as a physician assistant (PA). However, based on the name of the organization, I assumed that it was intended only for physicians, and more...

Breaking Out of the Funds-Versus-Fines Binary in Eldercare Reform

Caring for the Ages
May 1, 2023
Overhauling our nation’s eldercare infrastructure — whether that care is provided in a nursing home, assisted living community, private home, or other setting — is a complex topic that can’t be summarized in a single magazine article, TV newscast,...

A Tale of Two Patients, and in Praise

Caring for the Ages
May 1, 2023
The calls come to me within a few days of each other. One is from the ex-wife of my wife’s Uncle Buster, a man whom we have not seen nor heard from in 14 years. The other is from the wife of an old friend and former patient of mine, Dr. Joe. For...

Supporting Nursing Homes During a Pandemic: Lessons From a Quality Improvement Collaborative

Caring for the Ages
May 1, 2023
The COVID-19 pandemic has placed an enormous burden on nursing facilities in a system that was already fragile. To assist area nursing facilities with COVID-related challenges, Sunil Kripalani, MD, MSc, a hospitalist physician, implementation...