A case of post Skilled Nursing Facility (SNF) rehospitalization prevention using CMEC transitional care protocol in a non-compliant patient. This patient underwent right lower extremity major joint replacement and was participating in BPCI Model 3...
Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. The principal presenting complaint of patients with acute appendicitis is abdominal pain. The diagnosis may be missed in patients with neurological...
We present a case of HBV reactivation in a post-acute long-term patient on low dose steroid replacement therapy. Low dose steroid replacement therapy is not well described as a cause HBV reactivation. This case illustrates that long-term facility...
Jehovah’s Witnesses (JWs), a denomination of Christianity, are unique in their refusal of blood transfusions. Better understanding of JWs, why they refuse blood transfusions, and the acceptable alternatives will help providers uphold patient...
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.
