Publications

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JAMDA
March 1, 2020

Chronic pain is common among older adults, as is the use of medications to treat these symptoms. Aging physiology, in combination with a higher likelihood of medication use and declining renal function, makes older adults more susceptible to adverse drug effects. As such, monitoring for side effects and changes in renal function is important to avoid drug toxicity, especially during acute illness when medication errors and acute changes in renal function are more likely to occur among older adults.

JAMDA
March 1, 2020

Trunnionosis is a complication after placement of prosthetic devices that composes 2% of revisions of total hip arthroplasty. Metal-on-metal hip replacements include the ball, the stem, and the prosthesis that rests on top of the ball. The trunnion is where the femoral neck attaches to the femoral head. This area can wear, creating trunnionosis; the mechanism is unclear, but theory suggests shearing forces and micromotion within the prosthetic joint cause corrosion products that destroy surrounding tissues.

Caring for the Ages
March 1, 2020

I love my work as a post-acute and long-term care geriatrician, and as a hospice and palliative medicine specialist. I freely admit that. Yes, there are plenty of headaches, including administrative and regulatory burdens, and there’s the unfortunate reality that lots of the patients I become fond of die. But I believe that most of Caring’s readers feel the same way. In fact, I believe most people who choose to devote their life’s work to providing care to the vulnerable, dependent, and ill patients we look after love their work and consider it a calling — including arguably the most...

Caring for the Ages
March 1, 2020

AMDA has launched a new Learning Management System — APEX — to simplify and enhance delivery of its extensive collection of education content and products. With this new system, you’ll be able to register for and access programs instantly, locate complementary products (such as clinical practice guidelines, pocket guides, and teaching slides), listen to podcasts, watch webinars, and more—all in one place.

Caring for the Ages
March 1, 2020

Pneumonia is one of the most common infections identified in nursing home residents and has the highest mortality rate, yet the diagnosis and appropriate treatment can remain elusive due to its “atypical presentation” and lack of studies of antibiotic treatment.

Caring for the Ages
March 1, 2020

Nurse practitioners and physician assistants should be considered for leadership roles supporting medical directors in nursing homes. 8

Caring for the Ages
March 1, 2020

Only connect! That was the whole of her sermon. Only connect the prose and the passion, and both will be exalted, and human love will be seen at its height. Live in fragments no longer.— E.M. Forster, Howard’s End (1910)

Caring for the Ages
March 1, 2020

Aaron Poppas, infrastructure security engineer at GPM Corporation, talks about how you can protect your personal information and help thwart cybercriminals.

Caring for the Ages
March 1, 2020

The increasing shortage of physicians combined with an increasing aging population requiring care has led to comanagement as a viable patient care model. Comanagement is defined as a physician and either a physician’s assistant (PA) or a nurse practitioner (NP) working together as a team to manage a patient’s care. In the post-acute and long-term care setting, comanagement can lead to increased quality of care and increased positive patient outcomes.