Issue

In Part I of this series (Clinical Geriatrics 2004;12[11]: 17-25), the authors presented the case of Mrs. Edna Wilson, a healthy, community-dwelling 82-year-old woman with mild hypertension, osteoarthritis, and hypercholesterolemia, and asked physicians to consider how they could help her maintain her successful aging. Currently recommended screening measures were reviewed. In Part II, the authors examine guidelines for counseling this hypothetical patient, chemoprophylactic agents to consider, and immunizations she should receive.

COUNSELING
Counseling on the part of health professi

CASE PRESENTATION
Dr. K received a call from one of the residents at the hospital emergency department. His patient, Mrs. B, was going to be admitted due to chest pain, shortness of breath, and poorly controlled blood pressure. Dr. K had been concerned about Mrs. B for several months. She is a 76-year-old widowed woman who suffers from congestive heart failure, hypertension, type II diabetes mellitus, osteoarthritis, and mild renal insufficiency. She was always a very compliant patient who was stable on a regime of atenolol 25 mg once daily, furosemide 40 mg once daily, potassium chloride 20

ACCREDITATION
The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

CREDIT DESIGNATION STATEMENT
The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 1.0 category 1 credit toward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit th

This continuing medical education activity is sponsored by the Johns Hopkins University School of Medicine, Baltimore, Maryland. The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

These examination questions are based on the article “Chronic Lymphocytic Leukemia: Will Recent Major Advances Lead to Cure?,” which appears on pages 41-49 in this issue of Clinical Geriatrics.

ACCREDITATION
The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing M

This issue of Clinical Geriatrics is the last of the calendar year. I thank you, the reader, for your continued interest in our Journal and for the comments we have received. This issue appropriately contains an article that offers hope for the future. Drs. Erlich, Ghayee, and Noga write on chronic lymphocytic leukemia (CLL) and the many advances in treatment that now give hope of a “cure” to the increasing number of older patients who will be affected with this potentially life-threatening and disabling illness. Over the years I have seen many illnesses conquered, although the list of ill

ACE INHIBITORS MAY NOT PROVIDE FURTHER BENEFIT IN CORONARY ARTERY DISEASE

According to results from the recent Prevention of Events with Angiotensin Converting Enzyme Inhibition (PEACE) trial, no benefit is gained by the addition of an angiotensin-converting enzyme (ACE) inhibitor to modern conventional therapy in patients suffering from stable coronary heart disease and preserved left ventricular function and in whom the rate of cardiovascular events is lower than in previous trials of ACE inhibitors in persons with vascular disease. Specifically, the addition of an ACE inhibitor produces

In most cases, home care takes place with little direct contact between the supervising physician and the rest of the home care team. In this article, I hope to demystify the process, review key features of Medicare reimbursement for home health agencies and how it may affect physicians, and outline some strategies for using home care to improve outcomes and reduce hospitalization. Home is where most of us prefer to be treated, and we should make our best efforts to honor that preference.1

THE PROCESS OF MEDICARE HOME HEALTH AGENCY CARE

When the physician refers a homebound Medicare pat

AUTHOR INDEX

Aner MM. Evaluation and management of chronic pain in the older patient: Therapeutic advances. 2004;12(1):29-33.

Buchanan CK, High KP. Nutrition, aging, and infection. 2004;12(2):44-53.

Baum N. Benign hyperplasia, erectile dysfunction, and hypertension. 2004; 12(5):30-32.

Baum N. Erectile dysfunction and cardiovascular disease. 2004;12(8):21-24.

Boling PA, Bayne CG, Ratner E. Legal boundaries governing referrals to home care providers. 2004;12(7):19-22.

Boling PA. The health care worker, resistant bacteria (MRSA), and preventing contagion. 2004;12(9):17-20.