Orthostatic hypotension (OH) is common, affecting up to 30% of the general population over 65 and up to 70% of people living in nursing homes. It is defined by a drop in the systolic blood pressure (BP) of 20 mmgh or/and diastolic BP of 10 within 3...
Adverse drug events (ADEs) are common and masquerade as new onset medical disorders or syndromes. Recognition improves outcomes and avoids needless testing and costs, as demonstrated in this case.
Until recently, the only treatment for severe, symptomatic aortic stenosis was open heart surgery. With the advancement of medical devices and minimally invasive surgical techniques, the transcatheter aortic valve replacement (TAVR) procedure has...
In 2012, individuals diagnosed with Alzheimer's disease and other dementias comprised 48.5% of nursing home residents in the United States. As the number of individuals diagnosed with dementia continues to rise each year, it is imperative for...
Jugular Vein Aneurysm is a rare condition most commonly occurring as a congenital defect in children. Atypical in older patients it can occur as an acquired defect in hypertensive patients.
Neuromyelitis optica (NMO, Devic's Syndrome) is a demyelinating disease of the central nervous system that predominantly affects the spinal cord and optic nerves. It is often confused with multiple sclerosis. The discovery of NMO immunoglobulin G (...
Presbyphagia is common in nursing home residents due to age and common comorbid conditions. In an attempt to avoid aspiration during acute illness, initial inpatient hospital orders may designate NPO (Nil Per Os, or nothing by mouth) status until...
Hospice care plays an important role in the management of terminally ill patients in long-term care. The ability to predict six-month mortality in patients with progressive neurological illnesses is problematic. This case illustrates this difficulty...
Falls in the elderly are associated with significant morbidity and mortality, reduced function and loss of independence. In nursing homes, over half of residents who can ambulate fall at least once a year and the biggest risk factor for falls is...
