This case depicts an atypical clinical presentation of bacteremia in a patient with complex pathology. Patients with bacteremia of unknown source have a greater mortality rate and are difficult to manage especially in the nursing home setting. There...
Palmoplantar Keratoderma is an uncommon disorder characterized by hyperkeratosis in the epidermis of the palms and soles, leading to the development of abnormally thickened skin. This disorder can be acquired or inherited, interfering with the...
Parkinson’s disease (PD) is a movement disorder that is characterized by the loss of dopaminergic neurons in the substantia nigra and presence of alpha-synuclein protein Lewy body. A triad of rigidity, bradykinesia, and tremors is the core of the...
Our five post-acute care (PAC) facilities house 1500+ residents. The PAC setting is unique because it serves as home for residents - creating space for their loved ones to visit, leading to strong relationships between staff, residents, and families...
Pain is very common among post-acute nursing home (NH) patients. Balancing appropriate pain management in NHs is a challenge due to concerns for potential adverse pharmacologic effects, high prevalence of multimorbidity and polypharmacy. Prescribing...
Green nail syndrome, also known as chloronychia, is an infectious disorder characterized by green discoloration of the nail. It is a common complication of paronychia, onycholysis, and onychotillomania. It is common in patients whose hands are...
For older adults who have dementia and are living in care facilities, the topic of physical intimacy posits a clinical and ethical dilemma. Long-term care workers must respect their patients’ autonomy, but also protect them from harm. A principal...
A perspective on cultural translational science with disparities and access to care for minority geriatric patients with multi-morbid illnesses within medical facilities with a focus on improving outcomes and quality of care through staff education...
The prevalence of type 1 diabetes mellitus (DMT1) in long-term care (LTC) settings is low compared to type 2 diabetes (∼18-30% of all LTC residents). Though people with DMT1 live longer now, many staff are not aware DMT1 requires a different...
This is a description of a patient with hyperactive delirium after a prolonged hospital stay who was able to share her account of what she was experiencing at that time.
