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Sigma 1 Agonist Presses Forward After Positive Results in Small Alzheimer’s Trial

Caring for the Ages
March 1, 2017
SAN DIEGO — A novel Alzheimer’s disease drug candidate appeared to stabilize cognition and function over 57 weeks in a small, early-phase, open-label trial.

CMS Issues Guidance FAQs for Wandering and Exit-Seeking Behavior

Caring for the Ages
March 1, 2017
The Centers for Medicare & Medicaid Services recently posted a FAQ sheet on guidance for wandering and exit-seeking behavior in Medicaid recipients in home and community-based settings (HCBS). The criteria requires HCBS institutions to...

Study Shows No Connection Between Orthostatic Hypotension and Recurrent Falls

Caring for the Ages
March 1, 2017
Results from a small prospective observational cohort study of Dutch nursing home residents found that orthostatic hypotension (OH) was not a causative factor for falls.

The High Cost of Cutting Corners on Care Plans

Caring for the Ages
March 1, 2017
Mr. H, an 80-year-old black man, was admitted to a skilled nursing facility for rehabilitation after undergoing an open reduction, internal fixation to repair a broken left hip. Mr. H had several comorbidities, including type 2 diabetes, dementia...

Glucose-Lowering Drugs Linked to Increased Fracture Risk in Patients With Diabetes

Caring for the Ages
March 1, 2017
Researchers in Denmark have concluded that use of glucose-lowering sulfonylureas and glitazones within 90 days increased the risk for hip fractures in elderly patients with type 2 diabetes.

Implications of the Final Rule on Psychotropic Medication Use

Caring for the Ages
March 1, 2017
The final rule for long-term care facilities participating in Medicare and Medicaid programs was published by the Centers for Medicare & Medicaid Services on Oct. 4, 2016, as “Medicare and Medicaid programs; reform of requirements for long-term...

Dying for Dollars

Caring for the Ages
March 1, 2017
The headline read, “How tens of thousands of patients who weren’t actually dying wound up on hospice care.” This appeared in the Washington Post on Sept. 15, 2016. The reason, according to this article, was that “hospice companies earn more by...

Alzheimer’s Candidate Drug Aducanumab Moves to Phase III

Caring for the Ages
March 1, 2017
SAN DIEGO — The antiamyloid antibody aducanumab significantly reduced amyloid brain plaques in Alzheimer’s disease patients who entered a second year of therapy in an open-label extension trial.

Elderly Trauma Patients Do Well in Non-ICU Wards

Caring for the Ages
March 1, 2017
CORONADO, CA — When elderly patients are appropriately triaged, they can be selectively admitted to non–intensive care wards with acceptable outcomes, results from a single-center study showed.

More to Quality Care Than Rehospitalization Rates

Caring for the Ages
March 1, 2017
Some years ago, my nursing home administrator and I met with the chief executive officer of the local hospital, whose idea was to start directing hospital patients to “preferred” nursing homes. “But, but, but,” I sputtered, “you have to give people...