Patients admitted to Skilled Nursing Facilities (SNF) for post-acute care often have complex medication regimens. Frequently the medication schedule is modified during prior hospitalization. SNF patients are vulnerable to adverse drug events (ADE)...
Delirium with underlying dementia is often misconstrued as dementia associated with behavioral disturbances leading to inappropriate management and prescription. It's paramount to understand the natural progression of both syndromes. Healthcare...
Pain is very common among US adults over 65 years old; 45-80% of nursing home residents have substantial pain. Current pain management is medication based, especially narcotics. Pain management is challenging in the elderly population as they are at...
The most common disorders associated with an eosinophilia are infection (especially parasitic), allergy, drugs and hypersensitivity disorders (such as asthma, acute urticaria, and atopic dermatitis); these account for >95% of cases. Less common...
Older population is increasing; 46.2 million of people were 65 and older in 2014, and for 2060 this number will double. Cancer is a frequent condition in this group. It is estimated that 70% of cancers in the US will affect patients above 65...
A rare case of severe seborrheic type dermatoses which is not responding to conventional treatment can be the first presenting symptom of an underlying Malignancy.
Acquired Hemophilia A (AHA) is rare bleeding disorder caused by inhibitors (auto-antibodies) to factor VIIIA. (1,2) It is associated with severe bleeding. AHA clinical presentation is different from the inherited hemophilia that leads to...
This is a case showing successful management of recurrent UTI by gentamicin bladder instillations in a patient with neurogenic bladder in long-term care setting. This innovative treatment model significantly eliminated multiple inpatient...
With the growth in the aging population, poor dentition and the incidence of dental implants is on the rise. Dental implants have a high association with peri-mucositis and peri-implantitis, which is a source of discomfort in patients and can be a...
Flecainide is a class IC anti-arrhythmic agent recommended for maintenance of sinus rhythm in patients with atrial fibrillation and/or supraventricular tachycardia who don't have structural heart disease. Flecainide is well known to be pro-...
