The practice of geriatric medicine is an integral component of residency training in internal medicine. In fact, the Accreditation Council for Graduate Medical Education (ACGME) in Internal Medicine specifies that training programs should have a...
Wound care is an important topic in PA/LTC in terms of quality measurement, risk management, reimbursement, and cost. Despite its importance, characteristics of residents with wounds and prevalence of wound types have not been well studied.
Pain is a very common problem in U.S. adults, especially in adults more than 65 years old. 40-80% of nursing home. Headache is one of the most frequent complaints in older people. Chronic headache is defined as having a headache on at least half the...
Dipeptidyl-peptidase 4 (DPP-4) inhibitors are a relatively new treatment regimen for Type II Diabetes Mellitus (T2DM) and are associated with less hypoglycemia than insulin. There are no published data regarding the effects of these drugs on insulin...
Herpes Zoster (HZ) is a neurocutaneous disease caused by reactivation of latent Varicella Zoster Virus (VZV). Although up to 20% of people develop shingles during their lifetime, it predominantly affects older individuals. The lifetime recurrent...
Patient is a 73-year-old female with chronic kidney disease 3 who presented to the hospital with abnormal lab results through a primary care doctor's office. Magnesium level was 0.6 mg/dL and calcium 6.6 mg/dL despite being on chronic oral magnesium...
Interdisciplinary discussions are tremendously important, especially during possible end-of-life cases. Prior to initiating potentially deadly end-of-life medications, a patient's general clinical picture should be taken into account.
Delirium is a common cause of hospital admission from nursing homes. This case discusses a nursing home resident admitted to the hospital for acute mental status changes (AMS) secondary to ertapenem-induced delirium. Increased awareness of this...
Relatively recent advancements have transformed Human Immunodeficiency Virus (HIV) from a rapidly progressive disease to a chronic health condition. The impact on the increasing number of these patients will continue to be seen in PA/LTC settings.
Skilled nursing facilities are familiar with mandatory requirements for screening for tuberculosis for patients and health care workers. However, they may not be as familiar with guidelines for admission and isolation of patients with active...
