Current Issue

Dr. Gambert is Chairman, Department of Medicine, and Physician-in-Chief, Sinai Hospital of Baltimore, and Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Although there are currently between 46 and 48 million persons in the United States without health insurance, and there is talk among the Presidential hopefuls of finding some solution to this growing crisis, an equally important crisis is the growing number of “uninsurable” Americans—even if one is willing to fund his/her own health insurance policy. The reality is that individuals with “preexisting conditions” are frequently denied health insurance, and this is a common practice in all but a minority of states that have legislation to prevent this from occurring.

Dr. Kohen is a Staff Geriatric Psychiatrist at The Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, and an Assistant Professor of Psychiatry and Behavioral Sciences at Albert Einstein College of Medicine; and Dr. Kremen is a Unit Chief on an Inpatient Geriatric Psychiatry Unit at The Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, Glen Oaks, NY, and an Assistant Professor of Psychiatry and Behavioral Sciences at Albert Einstein College of Medicine, Bronx, NY.
Dr. Lantz is Chief of Geriatric Psychiatry, Beth Israel Medical Center, First Ave @ 16th Street #6K40, New York, NY 10003; (212) 420-2457; fax: (212) 844-7659; e-mail: mlantz@chpnet.org.
 

Dr. Levine is Clinical Associate Professor of Medicine, New York Medical College, Valhalla, NY, and Attending Physician in the Geriatrics Section, St. Vincent Catholic Medical Center, New York, NY.
This is Part I of a two-part series on pressure ulcers and Medicare reimbursement. Part II will discuss documentation of altered skin integrity and will appear in the next issue of the Journal.
 

Part II-Occurrence in Hospitals and Pharmacological/Behavioral Treatment of Agitation, Agression, and Violence


Dr. Ryan Hall is an Affiliate Instructor at the Department of Psychiatry and Behavioral Medicine, University of South Florida, Tampa, FL, and is a 2006 Rappeport Fellow of the American Academy of Psychiatry and the Law; Dr. Richard Hall is Courtesy Clinical Professor of Psychiatry, University of Florida, Lake Mary, and Affiliate Professor, Department of Psychiatry and Behavioral Medicine, University of South Florida, Tampa, FL; and Ms. Chapman is Research Assistant to Dr. Richard Hall.

Download PDF of the Test
Learning Objectives
Upon completion of this educational activity, participants should be able to:
1. Explain the role of BNP in the screening, diagnosis, follow-up, and prognosis of heart failure in older patients.
2. Identify and interpret the variation in BNP levels/values due to age, gender, and renal function.
3. Discuss the atypical presentations of heart failure in older persons and the diagnostic difficulties in this patient population.
4. Identify the factors related to the higher frequency of heart failure in older adults and the comorbid conditions that contribute to heart failure in this patient population.

Dr. Deol is from the Division of Geriatrics, Dr. Vaitkevicius is from the Division of Cardiology, and Dr. Cardozo is Chief, Division of Geriatrics, Geriatric Center of Excellence, Wayne State University/Detroit Medical Center, MI.
Release Date: June 15, 2008
Expiration Date: June 15, 2009
TARGET AUDIENCE
Internists, family practitioners, geriatricians, cardiologists, and others who care for older patients.