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Caring for the Ages
December 1, 2015

Cognitive function may decline faster in older adults with low levels of vitamin D, according to a study published online in JAMA Neurology. In particular, older black and Hispanic adults may be more at risk than whites for cognitive decline associated with low vitamin D levels.

Caring for the Ages
December 1, 2015

WASHINGTON — The widespread use of evidence-based pathways will be a good thing for health care, according to Ascension Health senior vice president Michael Schatzlein, MD.

Caring for the Ages
December 1, 2015

I manage my own health care, because despite good staff in my facility, given the number of residents and different shifts, there were gaps in keeping my care organized. I select all my providers, make medical, dental, lab, surgical, and transportation appointments, as well as do pharmacy follow-ups.

Caring for the Ages
December 1, 2015

This column strives to highlight innovations in care transitions. This month, we discuss an order set product that will enhance the INTERACT quality improvement program. Caring for the Ages does not endorse any specific product or products.

Caring for the Ages
December 1, 2015

BARCELONA — RVT-101, a novel small molecule that increases acetylcholine release, is poised for what its developers say could be its pivotal trial for U.S. approval.

Caring for the Ages
December 1, 2015

LAS VEGAS — More than one in 10 patients with Clostridium difficile infection at the time of hospital discharge are readmitted for C. difficile infection within 90 days, according to findings from a review of Medicare data from 2009 to 2011.

Caring for the Ages
December 1, 2015

Dementia is very common in patients with advanced Parkinson's disease, but when the condition is subtle, clinicians should take a cautious approach, according to Israeli expert Amos D. Korczyn, MD. Careful evaluation and follow up are in order, rather than a formal diagnosis.

Caring for the Ages
December 1, 2015

A 70-year-old patient with no psychiatric history presents to your office complaining of memory problems. The patient frequently misplaces items, forgets appointments, and has difficulty completing tasks. You observe that the patient interrupts you frequently and misinterprets your instructions during cognitive screening. The patient is concerned about having dementia. That's on your differential, but could it be attention-deficit/hyperactivity disorder? Even in an older patient, it's worth considering.

Caring for the Ages
December 1, 2015

SAN DIEGO — Frail elderly patients face a significantly increased risk of mortality in the year after undergoing major elective noncardiac surgery, a large study from Canada showed.

Caring for the Ages
December 1, 2015

Every medical professional will experience a 6% reduction in Medicare payments if they fail to submit the required amount of quality data to the Centers for Medicare & Medicaid Services in 2016. In 2015, only physicians working in groups with 10 or more medical professionals face that 6% penalty. That penalty is imposed as part of the Value Based Purchasing (VBP) Program. Hospitals, nursing facilities, and other providers receiving Medicare Part A or Part B payments are subject to similar payment reductions.