Latest News in Geriatrics

Current Issue - Volume 21 - Number 12 - December 2013

12/9/2013 |
8,468 reads |

The vast majority of the issues affecting geriatric care providers next year will fall into one of three categories: (1) insurance expansion; (2) reimbursement changes; and (3) adjustments to care delivery. This article reviews what geriatric healthcare providers can expect in 2014. 

12/10/2013 |
12,986 reads |

This article presents the case of an older man who reported pain for approximately 8 weeks after receiving an intramuscular influenza injection. The authors review diagnosis of injection-induced nerve injuries and administration techniques that should be used to minimize the risk of these injuries. 

12/9/2013 |
8,081 reads |
  • AGS Submits Comments Regarding Repeal of SGR to Policymakers
  • AMA Confirms Support for Congressional Alternative to SGR, But Not Pay Freeze
  • MedPAC Looks for Movement With SGR Remedy
  • Quarter of Hospitals Face Cuts in 2014 Under CMS’ Value-Based Purchasing Program

Previous Issue - Volume 21 - Number 11 - November 2013

11/22/2013 |
7,954 reads |

With an increase in the number of severe weather events making nationwide headlines lately, healthcare providers need to be more knowledgeable about emergency preparedness in their communities and be able to advise patients. Because no power company can guarantee timely restoration of service after such an event, the authors present two available but relatively unknown options for families and caregivers requiring assistance in emergency medical situations. This article also includes a downloadable and printable tip sheet that providers can distribute to patients and/or their caregivers.

11/18/2013 |
8,438 reads |

A frail 78-year-old man with a medical history significant for smoking, chronic obstructive pulmonary disease, and peripheral vascular disease presented to the hospital with a chief concern of subacute, progressive dyspnea. Significant physical examination findings included cachexia and a sacral ulcer. Based on the case patient's description and the imaging findings, what's your diagnosis?

11/15/2013 |
6,591 reads |
  • Clinical Practice Guidelines for Individualizing Behavioral Interventions in Long-Term Care Patients With Dementia
  • An Evidence-Based Curriculum to Prevent Diabetic Foot Problems in Frail Nursing Home Residents
  • Quality Improvement Project Led by Nurse Practitioners Reduces All-Cause Readmissions
11/14/2013 |
4,251 reads |

The prevalence of diabetes among older people is expected to increase further in coming years, and with it, the number of seniors at risk of serious complications of diabetes, including cardiovascular disease and kidney failure. Further complicating care, diabetes is associated with geriatric syndromes, such as depression, polyuria, cognitive impairment, and falls. In light of this clinical complexity, it’s essential that healthcare professionals provide up-to-date, evidence-based, individualized, and patient-centered care for their older patients with diabetes. To help healthcare professionals deliver high-quality and high-value care, the American Geriatrics Society recently updated its diabetes guidelines.

11/7/2013 |
5,365 reads |

Dabigatran produces a reliable and dose-dependent anticoagulation effect without the need for regular blood tests and dose adjustment. However, bleeding risk with dabigatran increases significantly with advancing age and renal impairment, and there is uncertainty surrounding the use of conventional coagulation assays in assessing its anticoagulant activity. Further, there is no specific agent that can reverse its activity in the context of bleeding. In this article, the authors track the hematological and coagulation parameters following resuscitation and attempted anticoagulation reversal in an elderly man. The authors also review the evidence base behind these therapeutic strategies along with interpretation of coagulation assays.