In anticipation of the changes required of our health care system to support a growing population of older adults, a geriatric pharmacy initiative designed to foster interest in geriatrics and long term care (LTC) as well as inter-professional...
Valproic acid (VPA) is commonly prescribed to treat epilepsy, bipolar disorder & migraine headaches. Though it has been associated with numerous adverse events, its effects on speech & one's ability to articulate has not been thoroughly...
Warfarin is a commonly prescribed medication for patients in the post-acute or long-term care setting for conditions such as acute deep venous thrombosis (DVT), pulmonary embolus, or atrial fibrillation. Warfarin induced skin necrosis (WISN) has...
Orthostatic hypotension (OH) is common, affecting up to 30% of the general population over 65 and up to 70% of people living in nursing homes. It is defined by a drop in the systolic blood pressure (BP) of 20 mmgh or/and diastolic BP of 10 within 3...
Adverse drug events (ADEs) are common and masquerade as new onset medical disorders or syndromes. Recognition improves outcomes and avoids needless testing and costs, as demonstrated in this case.
Until recently, the only treatment for severe, symptomatic aortic stenosis was open heart surgery. With the advancement of medical devices and minimally invasive surgical techniques, the transcatheter aortic valve replacement (TAVR) procedure has...
In 2012, individuals diagnosed with Alzheimer's disease and other dementias comprised 48.5% of nursing home residents in the United States. As the number of individuals diagnosed with dementia continues to rise each year, it is imperative for...
Jugular Vein Aneurysm is a rare condition most commonly occurring as a congenital defect in children. Atypical in older patients it can occur as an acquired defect in hypertensive patients.
Neuromyelitis optica (NMO, Devic's Syndrome) is a demyelinating disease of the central nervous system that predominantly affects the spinal cord and optic nerves. It is often confused with multiple sclerosis. The discovery of NMO immunoglobulin G (...
Presbyphagia is common in nursing home residents due to age and common comorbid conditions. In an attempt to avoid aspiration during acute illness, initial inpatient hospital orders may designate NPO (Nil Per Os, or nothing by mouth) status until...
