Publications

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The Role and Influence of Culture in End-of-Life Care

JAMDA
March 1, 2020
End-of-life care is often assumed to be similar across cultures, countries, religions, and the ethnic background. Its concept and understanding is as varied as the cultures and religions it represents.

The Right to Refuse: Ethical Issues in Capacity Assessment for Older Adults With Aphasia and Possible Dementia

JAMDA
March 1, 2020
Cerebrovascular accident is a common diagnosis in the rehabilitation and long-term care setting and can be associated with deficits in both language and cognition. Because capacity assessment requires a patient to both understand the decision in...

The Impact of a Geriatric Medicine Consultation on the Decision for a Percutaneous Endoscopic Gastrostomy Tube in a Geriatric Patient

JAMDA
March 1, 2020
This is the case of a 94-year-old female with a prolonged hospitalization for a small bowel obstruction complicated by multiple intubations and dysphagia leading to a recommendation for a percutaneous endoscopic gastrostomy (PEG) tube for enteral...

The Frequent Faller in Long-Term Care: Listen to the Resident for the Answer!

JAMDA
March 1, 2020
Falls are common in long-term care residents, often multifactorial. Our case highlights recurrent falls in a resident with comorbidities, assumed to be from his diseases, although he expressed frankly that the cause was different. Paying attention...

The Carrot Battle: An Acupuncture Wonder

JAMDA
March 1, 2020
Chronic pain is among the most common reasons for seeking medical attention. In the United States, 1 in 5 adults had chronic pain in 2016 and it is estimated to cost over $500 billion annually in direct medical costs and disability. It is a...

Reducing Unnecessary Antibiotics for Bilateral Cellulitis

JAMDA
March 1, 2020
Bilateral lesions in the lower extremities are frequently treated with antibiotics for presumed cellulitis. We present a case of bilateral lower leg swelling and redness in a patient with peripheral vascular disease with venous stasis that was...

POA Pickle: How to handle POA Resignation in LTC

JAMDA
March 1, 2020
Advance care planning can be challenging in the long-term care setting, especially in patients with cognitive impairment. This case presentation provides an example how the interdisciplinary facility team including administrator and medical director...

Pilonidal Sinus or Non-healing Pressure Ulcer?

JAMDA
March 1, 2020
New or worsening changes in skin integrity and pressure ulcers are a reportable quality measure in skilled nursing facilities (SNFs). Their management requires comprehensive evaluation for predisposing and precipitating factors and comorbidities...

Parkinson's Disease vs Parkinsonism as a Result of Aging

JAMDA
March 1, 2020
Parkinson’s Disease is a condition characterized by degeneration of the nigrostriatal pathways resulting in marked bradykinesia. Studies have reported that nearly 25% of Medicare beneficiaries with Parkinson’s Disease reside in long-term care...

New Onset Chest Pain in a Long-Term Care Resident With Dementia: First, Believe the Patient!

JAMDA
March 1, 2020
Atypical chest pain is of diverse origin. Typically, we initially consider cardiac etiology. When pain appears non-cardiac, there is a tendency to underestimate the illness, especially if the patient has neuropsychiatric illness. Our resident with...