Publications

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Neuromyelitis Optica: An Unusual Cause of Transient Blindness, Necessitating Placement in a Nursing Home

JAMDA
March 1, 2016
Neuromyelitis optica (NMO, Devic's Syndrome) is a demyelinating disease of the central nervous system that predominantly affects the spinal cord and optic nerves. It is often confused with multiple sclerosis. The discovery of NMO immunoglobulin G (...

Neuroleptic Malignant Syndrome Due to Dopamine Agonist Withdrawal: A Reminder About the Dangers of NPO Status

JAMDA
March 1, 2016
Presbyphagia is common in nursing home residents due to age and common comorbid conditions. In an attempt to avoid aspiration during acute illness, initial inpatient hospital orders may designate NPO (Nil Per Os, or nothing by mouth) status until...

Comfort Always: Learnings from a Breakdown in Coordinated Care for a Patient with Parkinson's Disease on Hospice

JAMDA
March 1, 2016
Hospice care plays an important role in the management of terminally ill patients in long-term care. The ability to predict six-month mortality in patients with progressive neurological illnesses is problematic. This case illustrates this difficulty...

Coffee and Sandals: Interventions for Falls Prevention in a Nursing Home Resident

JAMDA
March 1, 2016
Falls in the elderly are associated with significant morbidity and mortality, reduced function and loss of independence. In nursing homes, over half of residents who can ambulate fall at least once a year and the biggest risk factor for falls is...

Charades: A Missed Diagnosis of SBE Masquerading as PMR

JAMDA
March 1, 2016
Multiple risk factors and atypical clinical presentations make accurate diagnosis a challenge in nursing home residents.

Barriers to Osteoporosis Treatment in the Nursing Home

JAMDA
March 1, 2016
Osteoporosis is a silent disease, until fractures occur. Based on BMD criteria alone, osteoporosis is widely prevalent, estimated to be 10.2 million among non–institutionalized individuals in the United States in 2010. This prevalence is much higher...

An Unusual Skin Tear

JAMDA
March 1, 2016
Skin tears are very common in the institutionalized elderly. Appropriate wound care and monitoring for skin tears is important. Non-healing skin tears should be biopsied to rule out malignancy.

Adverse Effects of Anticoagulation and Antiplatelet Therapies in a Frail Nursing Home Patient

JAMDA
March 1, 2016
Adverse bleeding events are higher in patients treated with anti-platelet therapy (APT) combined with anti-coagulation therapy (ACT) than with either alone. Currently, there is no clear evidence that the combination of APT and ACT decreases the risk...

A Case for Extending the Duration of VTE Prophylaxis for Post-Acute Care Orthopedic Patients

JAMDA
March 1, 2016
Two cases of VTE were observed within a six month period in geriatric orthopedic patients in the post-acute care setting who received appropriate prophylaxis. We then reviewed the literature and current guidelines to determine if such events could...

Prevalence and Correlates of Neuropsychiatric Symptoms in Nursing Home Patients With Young-Onset Dementia: The BEYOnD Study

JAMDA
March 1, 2016
Young-onset dementia (YOD) is defined as dementia that develops before the age of 65. Neuropsychiatric symptoms (NPS) have important clinical consequences for patients and their family members. To date, knowledge about the prevalence and correlates...