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Senior Care





Central Sleep Apnea: Potential Impact of Benzodiazepines, Opioids, and CYP3A4 Inhibitors 7/20/2015

Elderly or debilitated patients may be put at risk of developing a type of central sleep apnea when opioids and other central nervous system depressants are administered.

 


Heel and Back-of-the-Foot Pain in Older Adults 6/23/2015

Chronic morbidity and age-related changes in the foot place the elderly at very high risk for foot problems that cause pain and impair balance and function.


Age-Related Sarcopenia 5/15/2015

Typically accelerating around age 75 years, sarcopenia plays a predominant role in frailty, which increases the likelihood of falls, fractures, and hospitalizations that are associated with morbidity, disability, and death.


HSV Keratitis: An Important Infectious Cause of Blindness 4/16/2015

It has been estimated that treatment of new and recurrent cases of HSV keratitis costs the U.S. $17.7 million annually.


Periodic Limb Movement Disorder, Restless Legs Syndrome, and Pain 3/18/2015

PLMD and RLS may interrupt sleep and may contribute to pain in seniors; drug-induced causes should be minimized or eliminated.


Subclinical Hypothyroidism: Risk of Cardiovascular Events 2/18/2015

The TRUST Project has the potential to significantly improve the health and well-being of older adults with subclinical hypothyroidism and resolve uncertainties about how best to manage it.


Questionable Medication Benefit in Advanced Dementia: Decision-Making Tools 1/21/2015

A philosophy of minimizing or eliminating medications that do not support the primary goal of care should be advocated.


Fecal Transplantation for Recurrent Clostridium difficile Infection 12/17/2014

While fecal transplantation is effective at eradicating CDI, more randomized controlled trials are needed. Will this procedure become a primary mode of treatment?


Borderline Personality Disorder in Late Life: A Medication Adherence Variable 11/17/2014

Commonly seen in all medical settings, BPD may complicate treatment of comorbidities and adversely affect quality of life.


Academic Detailing: Accurate, Relevant, Balanced, and Engaging 10/16/2014

Educating clinicians through academic detailing is an effective way of enhancing clinical decision making to optimize therapeutic outcomes. 


Risk Factors for Endometrial Cancer: Obesity, Hypertension, and Diabetes 9/17/2014

The most common gynecologic malignancy in the elderly may become more common as the metabolic

syndrome increases. Is metformin a promising adjuvant therapy?

 


Urinary Incontinence: Urologic and Medication Etiology in Seniors 8/20/2014

Pharmacists, as collaborators in geriatric urologic care, can identify medication etiologies of urinary incontinence, raise awareness of these issues, and provide caregiver guidance.


Recognizing Causes of Dyspnea to Prevent Hospital Admissions 7/17/2014

In the elderly, dyspnea on exertion is a more common manifestation of myocardial ischemia than is chest pain.

Metatarsophalangeal Osteoarthritis: Pain in the Big Toe Joint 6/19/2014

The pain, stiffness, and reduced mobility of this condition can contribute to functional disability in seniors.


Geriatric Emergency Department Care: The Pharmacist’s Role 5/16/2014

Adverse drug events are thought to account for more than 10% of ED visits and 25% of hospital admissions in older patients.

Hepatitis C Alert: Baby Boomers Should Be Tested 4/18/2014

According to the CDC, 75% of patients with hepatitis C are baby boomers; testing, early diagnosis, and treatment can prevent liver damage, cirrhosis, and liver cancer.

Metrics to Define and Measure Quality Pain Management 3/19/2014

Pain may be under-recognized in patients who have cognitive or sensory impairments or difficulties with language or speech; it is frequently undertreated in cognitively impaired patients.


Mechanical Heart Valves: Contraindication for Dabigatran Therapy 2/19/2014

Aging can cause weak or stenotic valves. Dabigatran is more problematic than warfarin regarding side effects in patients with mechanical heart valves.


Head Injury and Chronic Traumatic Encephalopathy 1/22/2014


Repetitive brain trauma is associated with progressive neurologic deterioration in some individuals; later stages of disease are associated with dementia.


Inflammatory Bowel Disease: Nuances of Drug Therapy in Seniors and the Role of Vitamin D 12/18/2013

Ulcerative colitis and Crohn’s disease are associated with a late, secondary peak incidence between 60 and 80 years of age.


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