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An Avoidable Mistake and a Wake-Up Call

Caring for the Ages
November 1, 2017
Jane Doe was a frail 81-year-old female resident who had resided in a skilled nursing facility for 18 months. Her medical history included hypothyroidism from having had a total thyroidectomy when she was a young adult. She required levothyroxine...

Direct Oral Anticoagulants in Elderly Complicated, but Safe

Caring for the Ages
Anticoagulants
November 1, 2017
SAN ANTONIO — It’s time for clinicians to expand their antithrombotic armamentarium to include direct oral anticoagulants (DOACs), which can offer superior clot protection in the elderly, according to panelists at the 2017 annual meeting of the...

A Better Burial

Caring for the Ages
November 1, 2017
Now in my 70th year, I have reached the stage of life where one loses loved ones and friends at what seems like an ever-increasing rate.

Dementia Defined Differently Across Hospitals, SNFs

Caring for the Ages
November 1, 2017
Close to half of Medicare beneficiaries diagnosed with dementia by a hospital find their diagnosis has changed to either mild or no cognitive impairment upon admission to a skilled nursing facility, a retrospective cohort analysis has shown.

Automatic Blood Pressure Monitor Accurately Detects AF

Caring for the Ages
November 1, 2017
Automatic blood pressure screening with a blood pressure monitor can accurately detect new cases of atrial fibrillation (AF) among older populations, according to a recent U.S. study.

Three Cheers for Tai Chi

Caring for the Ages
November 1, 2017
Tai chi practice may reduce the rate of falls in at-risk and older adults, especially over the short term, according to a meta-analysis of 10 qualifying randomized controlled trials.

Make Disaster Planning a Priority

Caring for the Ages
November 1, 2017
Dear Dr. Jeff:

New Guidelines Support Deprescribing of Proton Pump Inhibitors

Caring for the Ages
November 1, 2017
Deprescribing proton pump inhibitors (PPIs) in asymptomatic patients who do not truly need treatment can be accomplished through reductions in both dosage and dosing frequency, David S. H. Lee, PharmD, PhD, said at the annual meeting of the American...

Pain Is Inevitable, Now Treatment Is a Moving Target

Caring for the Ages
November 1, 2017
Pain is part of life. Like death, nobody can avoid it, but we do our best to ameliorate it, to the extent we can. Part of our sacred trust as physicians and other health care professionals (including the whole interprofessional team, right up to and...

Clinical Pearls for Treating COPD

Caring for the Ages
November 1, 2017
Exacerbations of chronic obstructive pulmonary disease (COPD) in the elderly and in the post-acute and long-term care populations “tend to present very atypically,” with symptoms such as dizziness, weakness, chest pain, and confusion, Milta Little,...