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JAMDA
February 1, 2016

In the specialties of geriatric medicine and long-term care, medication reduction is a large focus of daily clinical work and research due to the significant morbidity and mortality burden of polypharmacy on older adults.1–6 Many drug-specific tools and interventions to reduce polypharmacy have been developed and tested across health care settings.3,7–11 Most of these interventions start with identifying the use of high-risk medications, as well as those with a high utilization rate that could be a target for reduction or optimization.

JAMDA
February 1, 2016

Antimicrobial stewardship is becoming an increasingly important focus in long-term care settings. The Notice of Proposed Rulemaking, Medicare and Medicaid Programs: Reform of Requirements for Long-Term Care Facilities proposes that facilities must establish an infection prevention and control program, which must include, (among other elements), an antibiotic stewardship program with antibiotic use protocols and a system to monitor antibiotic use.1 Although it is unknown when, or if, the revised requirements will become effective in the proposed format, release of the draft document...

Caring for the Ages
February 1, 2016

The facility team members who nominate their physician leaders for AMDA Medical Director of the Year always speak about their nominee with passion and pride. They share stories of how their medical directors have implemented programs and initiatives that maximize quality and generally make the facility a great place to live and work. They talk of individuals who care deeply about their patients and their families, their colleagues, their communities, and their profession. The nominations for 2016 MDOY are no different.

Caring for the Ages
February 1, 2016

AMDA annual conference program chair Suzanne Gillespie, MD, RD, CMD, has many reasons that practitioners and other PALTC stakeholders should attend the conference in Orlando next month. She spotlighted five reasons and urged AMDA members and others to join her at this important event.

Caring for the Ages
February 1, 2016

Elderly individuals who have dementia and develop pneumonia suffer more during the 10 days following the pneumonia diagnosis and in the days before death. This is according to a prospective observational study of patients from 32 nursing homes in The Netherlands.

Caring for the Ages
February 1, 2016

David Smith, MD, CMD, a Texas-based medical director and physician, talks about managing PAD and keeping the disease from destroying quality of life.

Caring for the Ages
February 1, 2016

ORLANDO — One in three black Americans and one in five whites and Hispanics will develop lower extremity peripheral arterial disease during their lifetime, according to the first-ever lifetime risk estimate calculated for this important manifestation of atherosclerotic vascular disease.

Caring for the Ages
February 1, 2016

In response to a recent address by the American Heart Association president suggesting that peripheral arterial disease is a largely unnoticed health crisis that needs more public awareness, the Society for Vascular Surgery (SVS) released a statement urging caution in treating this condition. This caution was directed primarily toward the appropriate use of invasive procedures for PAD. However, there is no one-size-fits-all approach to addressing PAD in post-acute/long-term care, and practitioners need to balance the benefits and risks of treating PAD in the frail elder population, discuss...

Caring for the Ages
February 1, 2016

An expert panel has developed a communication framework to improve treatment of older, seriously ill patients who have surgical emergencies, which has been published in Annals of Surgery.

Caring for the Ages
February 1, 2016

As clinicians know, dementia is not a specific disease but a syndrome comprising multiple etiologies, which regularly overlap. Perhaps the most insidious, destructive — and to the clinician, frustrating — form of dementia is of the “ambulance acquired” variety.