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What Matters in the Hospital, Matters in the Nursing Home

JAMDA
March 1, 2022
This case emphasizes the importance of eliciting a patient’s care goals. These conversations, although ideally done early on in a disease trajectory, can be appropriate and necessary to have in the hospital especially prior to discharge to the post-...

Voluntary Stopping of Eating and Drinking in a Nursing Home with No Prior Experience

JAMDA
March 1, 2022
Voluntary stopping of eating and drinking (VSED) is a last resort to end one’s life when the suffering is unbearable. Since the VSED requires strong will to complete, its occurrence is rare. VSED in a long-term care setting is not well reported.

Temporomandibular Dysfunction: A “Jaw Dropping” Approach to Treatment in the Long Term Care Setting

JAMDA
March 1, 2022
Temporomandibular joint disorder (TMD) is estimated to impact 3-5% of American adults over age 65. Severe symptoms refractory to traditional pharmacologic care can pose a large burden on older adults.

Nonuremic Calciphylaxis in a Patient with Retroperitoneal Abscess

JAMDA
March 1, 2022
Calciphylaxis is an infrequent, life-threatening syndrome of vascular calcification characterized by occlusion of microvessels in the subcutaneous adipose tissue and dermis that results in skin necrosis, commonly encountered in patients with end-...

Hurdles Faced By Healthcare Providers in Titrating Phenytoin Dosage in Long-Term Care

JAMDA
March 1, 2022
Medications are associated with development of adverse drug events (ADEs), some more than others, due to alteration in pharmacokinetics and dynamics with age. Phenytoin efficacy and toxicity relate to drug levels, interaction with cytochrome P450,...

Chronic Palliative Inotropes in Subacute Rehab

JAMDA
March 1, 2022
The number of patients living with end-stage heart failure is steadily growing. Although originally intended to serve solely as a bridge to more definitive surgical therapies, there is an increasing number of patients receiving inotropic therapy (...

Anxiolytic Drugs for Anxiety: Adverse Effects May Be Worse Than the Mood Disorder. A Case of Buspirone Induced Facial Dyskinesia

JAMDA
March 1, 2022
Dopamine, a neurotransmitter for motor function, is implicated in dyskinetic illness. Movement disorders are significant adverse drug effects (ADEs) of several psychotropic drugs with anti-dopamine action. Buspirone, an azapirone, is a partial...

A Network of Sharing: How Community Collaboration Allowed for Flexible and Timely Administration of Monoclonal Antibodies for COVID-19 in Skilled Nursing Facilities

JAMDA
March 1, 2022
Monoclonal antibody treatment for COVID-19 transitioned to an allocation per state by dictate by hospitalization rate in state by HHS. A nursing home needs to request doses needed for the next week by Monday. However, the unpredictable nature and...

A Case of Hidradenocarcinoma

JAMDA
March 1, 2022
This is a case regarding a rare type of skin cancer, hidradenocarcinoma, in an older adult man.

A Case of Cutaneous Myiasis

JAMDA
March 1, 2022
Cutaneous myiasis is dermal infestation by fly larvae, also known as maggots. It is seen infrequently among patients in the United States and may be associated with prior travel or poor personal hygiene. We describe the case of a resident at a...