Delirium is a common, fluctuating disturbance of attention and cognition in older adults, especially those with multimorbidity and polypharmacy. Triggers include sedating or anticholinergic medications, hypoxia, infection, and environmental...
Prosthetic joint infection (PJI) is a serious complication following total hip arthroplasty (THA), particularly in geriatric patients with significant comorbidities and functional impairments. We present a case of a prosthetic joint infection...
Kaiser Permanente San Bernardino County, California, Chronic Care Management Program is a home-based pilot program designed for symptom management, and assistance with community resources for permanently homebound members that are unable to attend...
Pustular psoriasis is an uncommon variant of psoriasis characterized by crops of white-yellow brown pustules, erythema, scales, and fissures that can often be pruritic and painful, thus causing irritation and impacting quality of life.1 Localized...
Dog attacks represent a growing public health concern in the United States, with 4.5 million injuries, and 800,000 of those seeking medical treatment annually. Although children and younger adults experience higher overall bite rates, older adults...
Early-onset mixed dementia involves a dual etiology: (1) Alzheimer's disease (AD) pathology marked by amyloid deposition and (2) cerebrovascular disease with white matter ischemic changes. Frontal white matter lesions result from both...
Diabetic lumbosacral plexopathy (DLP) is an uncommon complication of type 2 diabetes mellitus. It most commonly presents shortly after diabetes diagnosis, significant weight loss, or initiation of GLP-1 inhibitors. Due to the physical debility that...
Managing glucose levels can be challenging in the post-acute and long-term care (PALTC) settings. It becomes even more complex for those who are undergoing rehabilitation following a recent surgery. Temporarily held medications, changes in...
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity in older adults. Psychiatric comorbidities, particularly anxiety disorders, are common yet often underrecognized contributors to COPD symptom burden. Up to 55% of patients...
Scabies outbreaks in long-term care (LTC) facilities can be difficult to recognize and manage. Scabies typically involves intense itching and papular burrows located on the web spaces of fingers and toes, ankles, wrists, or buttocks. However, older...
