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Patient Priorities Care in Post Acute and Long Term Care

JAMDA
May 1, 2024
Healthcare of individuals with multimorbidity can be challenging, as specific disease-focused care may bring unintentional harm to patients with multiple chronic diseases. In Post Acute and Long Term Care (PALTC), the residents' goals and...

Malignant Otitis Externa in an 87-year-old Long Term Care Resident

JAMDA
May 1, 2024
Malignant otitis externa is a life-threatening infection of the external ear canal and skull base that initially begins as otitis externa. Most affected patients have diabetes or are immunocompromised and are older than 60 years of age. Diagnosis...

Mad as a Hatter: Revisiting Primary Hyperparathyroidism in the Elderly

JAMDA
May 1, 2024
Primary Hyperparathyroidism (PHPT) is a common endocrine disorder and its prevalence increases with age. It is characterized by an abnormal regulation of calcium secretion resulting from increased parathyroid hormone (PTH) levels. Symptomatic PHPT...

Implementing Ketamine in PA-LTC for a Patient with Chronic Pain

JAMDA
May 1, 2024
A rapidly expanding array of available therapies are available for complex chronic pain. This in turn necessitates that clinicians develop proficiency in using these treatments safely. Additionally, facilities such as PA-LTC settings need to have...

Grover’s Disease: An Uncommon Diagnosis and a Simple Fix

JAMDA
May 1, 2024
Grover's disease (GD) is a transient acantholytic dermatosis, manifesting as a papular skin eruption mainly on the chest, back, lumbar area, and extremities. It mostly affects Caucasians in the fifth decade or later and is more common in men. It is...

Fentanyl Overdose in a Nursing Facility: Call for Bedside Naloxone

JAMDA
May 1, 2024
There has been a rise in patients with substance use disorders (SUD) in the post-acute and long-term care setting due aging patients with SUD, and younger patients with SUD who require admission for ongoing care after acute hospitalization for...

Dementia and Neurosyphilis, Are We Honoring the Patient’s Wishes?

JAMDA
May 1, 2024
Dementia (major neurocognitive disorder) is characterized by a decline in cognition severe enough to interfere with daily function and independence Syphilis is a chronic infection caused by treponema pallidum. Syphilis progresses into four stages if...

Delirium with Psychosis in an Elderly Woman with Autoimmune Encephalitis

JAMDA
May 1, 2024
Delirium is very common in elderly patients with acute illnesses. Patients can display a broad array of symptoms ranging from lethargy to severe behavioral abnormality (1). Antipsychotics were used in a case of delirium that turned out to be due to...

Considerations of Care in Dementia of Schizophrenia

JAMDA
May 1, 2024
With an aging population, there is increasing number of persons with schizophrenia and dementia in the post-acute and long-term care settings. By eighty years of age, the prevalence of dementia diagnoses is 70.2% in persons with schizophrenia,...

Cognitive Assessment in Post Acute Care

JAMDA
May 1, 2024
Patients get admitted to Post Acute Care (PAC) facilities for rehabilitation or skilled nursing care. Some of these patients complete their treatment and return home, while others may require transition to long-term care or assisted living. This...