Wandering and Elopement in Long-Term Care

What is the definition of elopement and wandering? It is estimated that up to 31% of nursing home residents and between 25% and 70% of community-dwelling older adults with dementia wander at least once.A 2006 study reported that one in five people with dementia wander.Estimates on the prevalence of wandering vary widely between studies due […]

Falling in Long-Term Care Settings

Falls are one of the leading causes of serious injury in the elderly. Below are some recent articles covered in our journals that highlight risks and prevention tips for falling. For more articles and information, visitĀ Annals of Long-Term Care. New Falls Prevention Website Launched National Falls Prevention Awareness Day and Tip Sheet Preventing Falls in […]

Ischemic Ulcers and Geriatric Skin Care

Lower-extremity ulcers deriving from ischemia, venous, and neuropathic disease are common conditions in long-term care (LTC). Eighteen percent of adults over the age of 40 possess either ischemic disease or neuropathic disease; this prevalance doubles in residents with diabetes. Older residents are at higher risk for ulceration, osteomyelitis, and amputation. Management of lower-extremity ulcers in […]

Muscle Contracture

Joint contractures impair quality of life and lead to further complications and disability. In severe dementia, many patients are seen in a fetal position. This position causes flexion of the muscles at joints, causing the muscles to undergo shortening, resulting in degenerative tissue changes, and then leading to potential irreversible deformity. The authors of this […]

Feeding the Elderly

As patients age, they sometimes lose normal functions, such as being able to feed themselves. Some even lose the ability to chew and swallow, as they suffer from dysphasia. Caregivers can take multiple paths to ensure food is properly fed to and digested by their elderly patients, whether it be by hand-feeding, tube-feeding, or another […]

Ethical Principles of Justice

When working in hospice and long-term care facilities, many questions about ethics and justice may arise. There are always debates between what family members might want and what may be more beneficial for the patient. While a doctor must sometimes rely on his or her knowledge or guy instinct, in some cases, laws and policies […]

GI Bleeding Pathophysiology in Elders

Lower gastrointestinal (GI) bleeding is a significant cause of increased morbidity and mortality in the elderly. The incidence of lower GI bleeding increases with age, with a greater than 200-fold increase from the third to the ninth decade of life. This review by Maxwell Chait reviews GI bleed pathophysiology, the clinical course and evaluation of […]