Publications

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JAMDA
March 1, 2020
Skilled nursing facilities (SNFs) are faced with providing care for residents with increasing clinical complexity. Residents are being discharged from hospitals to post-acute care earlier and with multiple active co-morbidities. Clinicians working...
JAMDA
March 1, 2020
Antipsychotic medications are a vital part of controlling psychosis in schizophrenic patients. However, when those patients live in nursing facilities, we are obligated by CMS to undertake gradual dose reductions of antipsychotic medication if...
JAMDA
March 1, 2020
Catatonia – a diagnosis that involves motor, cognitive, behavioral, and autonomic irregularities -- may be seen in a variety of medical, psychiatric, and neurologic conditions or medication exposures. Here, we describe a case of catatonia seen in a...
JAMDA
March 1, 2020
Hyperkalemia, defined as a concentration of potassium greater than 5.5 mEq/L in adults, is commonly found on labwork in the subacute nursing facility, often seen in the setting of kidney disease as a result of impaired excretion of potassium in the...
JAMDA
March 1, 2020
While relatively rare in the general population, meningiomas are the most common tumors in the CNS. Most meningiomas are benign (80%) and can be managed only with continued observation without need for surgery or radiation therapy. There is also a...
JAMDA
March 1, 2020
Parkinsonism hyperpyrexia syndrome (PHS) is a dysautonomic disorder that was described in 1981 for the first time. It can present after reduction or discontinuation of antiparkinson medications, co-prescription of neuroleptic medications,...
JAMDA
March 1, 2020
Chronic pain is common among older adults, as is the use of medications to treat these symptoms. Aging physiology, in combination with a higher likelihood of medication use and declining renal function, makes older adults more susceptible to adverse...
JAMDA
March 1, 2020
Trunnionosis is a complication after placement of prosthetic devices that composes 2% of revisions of total hip arthroplasty. Metal-on-metal hip replacements include the ball, the stem, and the prosthesis that rests on top of the ball. The trunnion...
Caring for the Ages
March 1, 2020
I love my work as a post-acute and long-term care geriatrician, and as a hospice and palliative medicine specialist. I freely admit that. Yes, there are plenty of headaches, including administrative and regulatory burdens, and there’s the...
Caring for the Ages
March 1, 2020
AMDA has launched a new Learning Management System — APEX — to simplify and enhance delivery of its extensive collection of education content and products. With this new system, you’ll be able to register for and access programs instantly, locate...