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Physician Perspectives
Medicare Medication Management: Updating Issues with Parts A, B, C, and D
Presidential election aside, medication management under Medicare promises to see some major changes that will affect access to medications in the coming year. This at a time—or perhaps because we are in a time—of increasing demand for access to innovative medications by an ever-expanding group of Medicare beneficiaries.
In a question-and-answer format, this article will highlight the major areas of change that are occurring to medication management within all parts of the Medicare program:
•Medicare Part A, which covers hospitalization, subacute services, and hospice
•Medicare
A Case of Atypical Early-Onset Dementia in a 54-year-old Female
CASE PRESENTATION
Mrs. P, a 54-year-old Caucasian female, was seen by her primary care provider five years ago with a complaint of “memory problems.” She noted episodes of forgetfulness from as early as age 46. Mrs. P’s husband had noted changes in both her personality and memory. He reported out-of-character use of profanity and a gradual onset of apathy. She had progressively become less attentive to daily routines at home. Mrs. P complained of episodes where she had forgotten the route home, and reported difficulty remembering steps in routine tasks she had performed repeatedl
Transient Amnesia Secondary to Metastatic Carcinoma Misdiagnosed as Anxiety Problem
Case Presentation
Mrs. W, a 72-year-old female, was admitted to a senior behavioral health inpatient unit following two episodes of transient amnesia. The first episode occurred following a near motor vehicle accident in a parking lot while she had been driving alone in her car. Immediately afterwards, she moved to the passenger’s seat where she was found by security guards, to whom she reported that she could not remember how to operate her car. Mrs. W was disoriented to situation and place but was able to provide her daughter’s name and phone number. She was taken to a comm
The Effect of the Obama Stimulus Plan on Geriatric Healthcare
Change is coming—in the form of the Stimulus Package, as well as President Obama’s healthcare reform plan. Actually, change is clearly upon us. The elements of this change have been happening slowly over the last several years, of course. Much occurred well before President Obama’s Stimulus Bill, the American Recovery and Reinvestment Act of 2009, was signed into law.
In 1993, key members of Congress led by Senators Max Baucus (D-MT) and Edward Kennedy (D-MA) agreed on four principles that appear to remain as the foundation for our current round of reform. These principles are:
November 2007
Using C-Reactive Protein to Predict Cardiovascular Risk
To The Editor:
Dr. Blaine presented an excellent analysis of C-reactive protein usage in the elderly population for cardiovascular risk reduction.1 My question concerns the myeloperoxidase level and its assessment. Should this level be checked, and under what circumstances would it prove useful?
(Dr.) Frank M. Shanley, PA, FACC
Denville, NJ
Reference
1. Blaine JM. Using C-reactive protein to predict cardiovascular risk in older patients. Clinical Geriatrics 2007;15(8):20-25.
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Clinical Geriatrics Blogs
Coming in Future Issues of Clinical Geriatrics
Series: Diabetes in the Elderly
Series: Cancer in Older Adults
First Report® Conference Coverage: American Academy of Neurology, American Diabetes Association, 2010 Digestive Disease Week
Assessment and Classification of Pain in the Elderly Patient
Pharmacologic Management of Pain in Older Patients
Miscellaneous Pain Syndromes in Older Adults
Nonhernia Causes of Inguinal Pain in the Elderly
