Publications

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Perioral Self-Injury in a Patient with Dementia: An Imperative for Evaluating Dental Health

JAMDA
March 1, 2017
Past studies have reported inadequate dental care in elderly nursing home residents. Dental cavities, gum diseases, and cracked teeth go unaddressed. Periodontal disease contributes to bacterial pneumonia from anaerobes. This issue is even more...

New Onset Anorexia and Weight Loss in Nursing Home Residents Is an Indicator of Poor Outcomes

JAMDA
March 1, 2017
Unintentional weight loss signals underlying illness. 27% of frail elders experience involuntary weight loss, an association with morbidity and mortality. In setting of comorbidities requiring several medications, the etiology of unintentional...

Never Underestimate Your Patient: Communicating with a Patient with Severe Dementia

JAMDA
March 1, 2017
Communication with a patient in severe stages of dementia, particularly with Alzheimer’s type dementia might be a challenge. There are many communication strategies and techniques recommended by the Alzheimer’s Association. Among them the patient-...

Mosquito Mischief: Malaise, Myoclonus & Mental Status Changes

JAMDA
March 1, 2017
West Nile Virus (WNV) encephalitis is an uncommon, yet devastating complication of WNV infection and is more common and severe among the elderly. Recovery from WNV encephalitis among those with advanced age is variable and often requires inpatient...

Morbid Obesity, Multi-morbidity and Malnutrition - A Therapeutic Challenge in the Post Acute and Long Term Care Settings

JAMDA
March 1, 2017
Introduction: Morbid obesity represents a significant challenge in post-acute and long term care settings since it is associated with significant morbidity, mortality, higher hospitalization and institutionalization rates and complex health care...

From Pot to Pods: Accidental Ingestions in the Elderly

JAMDA
March 1, 2017
Accidental ingestions in the geriatric population are likely more common than recognized. In Virginia, 2.3% of the exposures reported to a poison center in a 6 months period involved adults aged ≥60 years and 84% of those were unintentional. A...

Challenges of Differential Diagnosis

JAMDA
March 1, 2017
Behavioral symptoms in the setting of dementia can be difficult to interpret as to whether they are a sign of dementia progression or of another medical condition.Too often other diagnoses are not considered, a complete work-up is not done, and...

A Case of Mistaken Hematochezia: Charles Bonnet Syndrome as a Mimicker of Gastrointestinal Bleed

JAMDA
March 1, 2017
Charles Bonnet syndrome (CBS) is an under-recognized condition characterized by three clinical features: visual release hallucinations, acute or chronic ocular pathology causing visual deterioration, and preserved cognitive status. It is associated...

A Case of Mistaken Capacity: Medical Decision-Making Capacity & Informed Consent in Nonagenarian Cousins

JAMDA
March 1, 2017
The following case describes specific circumstances of a life-threatening surgical decision by an older woman and her cousin, both nonagenarians.

Is Mild Cognitive Impairment Really Reversible?

JAMDA
March 1, 2017
We thank Dr. Canevelli et al1 for their thoughtful review. However, we do not agree with their suggestion that reversion to normal cognition is a common outcome with mild cognitive impairment (MCI). Furthermore, though we agree that MCI should not...