Residents with short gut syndrome (SGS) on long-term total parenteral nutrition (TPN) present a management challenge in the skilled nursing facility. We describe a patient with SGS managed successfully at our SNF leading to improvement in gut...
Falls and fractures cause significant morbidity in older adults, including functional decline and decreased quality of life. More than 1 out of 4 older people fall each year, and 1 out of 5 falls result in serious injury in the form of fractures or...
This case highlights the possible role of intra-articular steroid injection for pain control as a treatment option for behavioral changes in patients with dementia in long-term care (LTC) facility settings.
A study by the Office of Inspector General in the US Department of Health and Human Services found that approximately 22 percent of Medicare beneficiaries experienced adverse events while staying in skilled nursing homes; nearly 60 percent of those...
The week of Halloween, we evaluate a patient complaining of bugs crawling over her bed. Blinded from retinopathy, our patient calmly sits upright in the dark making quiet hums. You see her silhouette as she delicately plucks an insect off of her leg...
This Case highlights a challenging clinical scenario where both spouses in a long-time relationship developed Alzheimer’s dementia concurrently. Differing rates of disease progression of each spouse and coincidence with the worldwide COVID-19...
Nutritional risk increases with advanced age due to socioeconomic situations, medications, physical impairments, and overall diminished organ system reserves and weakened homeostatic controls. Social isolation caused by the COVID-19 pandemic has...
Exogenous endophthalmitis is a rare complication of intravitreal injection which occurs a mean of 5 days postop.1 Failure to rapidly recognize this condition can result in decreased vision and permanent vision loss.
Foot drop, from spinal or peripheral nerve disorder, affects gait and can contribute to falls. One of its more frequently identified etiologies is common peroneal nerve compression, often near the fibular head or neck, where the nerve is...
A unique Case of a female patient with dual sensory impairment (DSI) who experienced prolonged hospitalization >1 month, and the challenges of social isolation during the COVID-19 pandemic.
