Anticoagulants in Long-Term Care

Atrial fibrillation is common among frail elders in long-term care (LTC) and is a significant risk factor for severe stroke. This risk can be reduced with antithrombotic therapy, but the risk of bleeding complications from these treatments may in some cases outweigh their stroke-reduction benefits. In this timely review by William Smucker, MD, catch up […]

Vision Care in LTC Facilities

Most residents of long-term care facilities are there for a reason, which means that condition usually gets the focus when it comes to care and treatment. Unfortunately, this means other things are neglected, like routine maintenance and preventive care. Statistics from a recent study suggest that cataracts are present in more older adults residing in […]

Dr. Superman

When completing comprehensive geriatric assessments, screening for dementia is one of the most vital exams, however, those types of exams can be very time consuming. The Mini-Mental State Examination alone, for example, can take up to 20 minutes. In an effort to improve the use of clinical resources, a medical team from Japan developed “Dr. […]

While You Were Sleeping

In case you missed it while you were sleeping, the FDA has required that manufacturers of zolpidem-containing sleeping pills to lower their recommended doses. In a recent study, it was revealed that some patients exhibited high serum levels of zolpidem, which impairs their ability to perform activities that require alertness and can lead to falls […]

Restraints in Hospitalized Dementia Patients

Studies have shown that using restraints with older adults yields poor outcomes. Things like functional decline, decreased peripheral circulation, cardiovascular stress, incontinence, muscle atrophy, pressure ulcers, infections, agitation, social isolation, psychiatric morbidity, serious injuries, and even death have been known to occur. Those with the highest risks for these outcomes are older patients with dementia, […]

Synthetic Stool: RePOOPulate

Clostridium difficile is an unfortunate but somewhat common condition of fecal incontinence. While there are “cures” for this condition, including stool transplants, recurrences happen in about 25% of cases. To help lower this number, Dr. Emma Allen-Vercoe and colleagues developed and tested a laboratory-made synthetic stool sample which incorporated all the bacteria make-up of a […]

Long-Term Care Commission

Recently, Congress repealed the Community Living Assistance Services and Supports (CLASS) Act as part of their effort to avoid the “fiscal cliff.” Because the CLASS Act was intended to create a nation-wide insurance plan, Congress has decided to create a panel called the Long-Term Care Commission to construct and more financially viable alternative now that […]