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Advances in Long Term Care Medicine

ReachMD

Advances in Long Term Care Medicine highlights the issues surrounding physicians and other professionals caring for those in long term care settings, including nursing homes, assisted living, hospice and home care. Produced in cooperation with

Advances in Long Term Care Medicine highlights the issues surrounding physicians and other professionals caring for those in long term care settings, including nursing homes, assisted living, hospice and home care. Produced in cooperation with
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United States

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ReachMD

Description:

Advances in Long Term Care Medicine highlights the issues surrounding physicians and other professionals caring for those in long term care settings, including nursing homes, assisted living, hospice and home care. Produced in cooperation with

Language:

English


Episodes

Venous Thromboembolism Management and Antithrombotic Therapy in Long-Term Care

4/12/2011
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Host: Eric Tangalos, MD Guest: Thiruvinva Dharmarajan, MD FACP AGSF Patients in hospital settings are often screened and promptly treated for venous thromboembolism, or VTE, but perhaps less commonly in long-term care, even though these patients may be at risk. Dr. T.S. Dharmarajan, clinical director of the division of geriatrics at Montefiore Medical Center (North Division) in the Bronx, New York, discusses the medical conditions in long-term care that put patients at risk for VTE,...

Duration:00:14:59

Palliative Care in Late-Stage Disease and Hospice

1/7/2011
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Host: Eric Tangalos, MD Guest: Peter Winn, MD, CMD With palliative and hospice care, there is no one-size-fits-all approach. What differentiates these two types of care and how can physicians decide which approach to palliative or hospice care is best for each patient? Dr. Peter Winn, professor in the department of family medicine at Oklahoma University School of Medicine in Oklahoma City, discusses various types of care at the end of life, and outlines conditions that might require...

Duration:00:14:59

Healthy Bones, Healthy Body: Osteoporosis in Long Term Care

12/7/2010
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Host: Eric Tangalos, MD Guest: Alexandra Papaioannou, MD Millions of Americans have osteoporosis, but too often, a broken bone is the first indication of this common condition. What osteoporosis screening strategies can help diagnose osteoporosis in its early stages, and what treatment regimens are the most effective? Dr. Alexandra Papaioannou, professor in the department of medicine, and past-director of the division of geriatric medicine with a joint appointment in the division of...

Duration:00:14:59

Medical Considerations in the Oral Health of Long-Term Care Patients

10/6/2010
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Host: Eric Tangalos, MD Guest: Douglas Berkey, DMD, MPH A patients mouth can literally serve as a window to their overall health. Systemic conditions that are common among many older patients, such as diabetes, often have oral manifestations. What are some of the symptoms to look for, and how can we promote and preserve the oral health of vulnerable patients?nbsp;Dr. Douglas Berkey, professor at the University of Colorado Schools of Dental Medicine and Public Health, where he also serves...

Duration:00:15:00

Early Detection of Alzheimers: Where Do We Go From Here?

10/6/2010
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Host: Eric Tangalos, MD Guest: James E. Galvin, MD, MPH Early detection of various conditions can help physicians better manage and treat their patients, and Alzheimers is no exception. What early screening tests of cognitive impairment or dementia should be administered by primary care providers help detect when the disease process is beginning?nbsp;Dr. James Galvin, professor in the departments of neurology and psychiatry at New York University Langone Medical Center in New York City,...

Duration:00:14:59

The Impact of Pharmacy Issues in Long-Term Care

8/30/2010
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Host: Eric Tangalos, MD Guest: Frederick Wendt, RPh As medication costs continue rising, what strategies can help long-term care facilities reduce drug expenditures, while still providing the best quality of care for patients? Fred Wendt, RPh, vice president of pharmacy services for Senior PharmaStrategies in Burleson, Texas, says one of the most significant pharmacy issues in long-term care is the Drug Enforcement Administrations current position on the nursing facility staff as agent of...

Duration:00:14:59

Theatre as Therapy for Alzheimers and Memory Loss

8/30/2010
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Host: Eric Tangalos, MD Guests: Christine Dunford, PhD, Mary OHara, MA, LCSW Although we remain limited in our options for treating patients with memory loss and Alzheimers, there are a variety of non-pharmacologic treatments that are showing some promise.nbsp;Mary OHara, social worker at Cognitive Neurology and Alzheimers Disease Center at Northwestern University Feinberg School of Medicine, andnbsp;Christine Dunford, cultural anthropologist, ensemble member of Chicagos Lookingglass...

Duration:00:14:59

Screening and Prophylaxis for Venous Thromboembolism

8/3/2010
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Host: Eric Tangalos, MD Guest: Laurie Jacobs, MD Patients who have recently had orthopedic and other types of general surgery, those who have recently had a stroke, and those with an ongoing medical condition (such as heart disease) are at most risk for developing venous thromboembolic disease. Do most long-term care facilities screen for this condition among these patient populations, and when should physicians initiate prophylactic care?nbsp;Dr. Laurie Jacobs, professor of clinical...

Duration:00:14:59

Making the Connection Between Vitamin D, Falls and Fracture Prevention

8/3/2010
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Host: Eric Tangalos, MD Guest: Bruce Troen, MD Vitamin D deficiency has been receiving a deluge of media coverage lately, and physicians are likely to hear many related questions from patients, especially long-term care residents and their families. What are the latest developments in vitamin D research, and how can adequate vitamin D levels help prevent falls among our older patients? Even more fundamentally, how do we define vitamin D insufficiency and deficiency?nbsp;Dr. Bruce Troen,...

Duration:00:14:59

Strategies to Prevent and Manage Heart Failure

7/13/2010
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Host: Eric Tangalos, MD Guest: Hosam Kamel, MD, MPH, CMD Heart failure is a common reason for hospitalization among older adults and long-term care patients. What strategies can help preventnbsp;a recurrence of heart failure, and what types of monitoring for exacerbations are most effective in prevention? How can physicians individualize therapy in this population?nbsp;How crucial are blood pressure and hypertension control in managing patients with heart failure?nbsp;Dr. Hosam Kamel,...

Duration:00:14:59

Pets, Culture Change and Compassion in Long-Term Care

7/13/2010
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Host: Eric Tangalos, MD Guest: David Dosa, MD, MPH Long-term care facilities that include pets as residents are finding that fuzzy friends offer not only companionship to their human residents, but also comfort at the end of life. Dr. David Dosa,nbsp;geriatrician and health services researcher at Brown University in Providence, Rhode Island, and author of Making Rounds with Oscar: The Extraordinary Gift of an Ordinary Cat,nbsp;shares his stories about a nursing home cat named Oscar with an...

Duration:00:14:59

AMA House of Delegates Meeting: The Patient-Centered Component of the Medic

6/23/2010
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Host: Eric Tangalos, MD Guest: Lori Heim, MD The medical home model is designed to increase efficiency by providing a central primary care practice as the coordinator of care for patients. But while efficiency is important, the patient-centered component of this model is just as crucial.nbsp;Dr. Lori Heim, president of the American Academy of Family Physicians, emphasizes the patient-centered concept for medical homes, and provides real-world examples.nbsp;How can you re-tool your office...

Duration:00:14:59

AMA House of Delegates: Strategies for Better Care Coordination

6/21/2010
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Host: Eric Tangalos, MD Guest: William Golden, MD Theres often a disconnect in the continuity of care, creating inefficiency and increased healthcare costs. How can our healthcare system better coordinate transitions of care, especially for patients with chronic conditions? How can we create a system that incentives better coordination of care and long-term management of patients? Join ReachMD for a special broadcast recorded at the AMA House of Delegates meeting with guest Dr. William...

Duration:00:14:59

Caring for Patients with Parkinsons in Long-Term Care

5/26/2010
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Host: Eric Tangalos, MD Guest: Herbert Sier, MD, CMD What are some of the unique issues related to patients with Parkinsons in long-term care, and how can all long-term care team members assess and manage the condition? Dr. Herbert Sier, associate chief of geriatrics and assistant professor of medicine at Northwestern University Feinberg School of Medicine, and vice president of medical affairs at the nonprofit community organization, CJE Senior Life, in Chicago, Illinois, joins host Dr....

Duration:00:14:59

Strategies for Managing Depression in Long-Term Care

5/26/2010
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Host: Eric Tangalos, MD Guest: Jay Luxenberg, MD It can be challenging for caregivers to diagnose depression in long-term care medicine, even though depression in facilities such as nursing homes and assisted living facilities is common.nbsp;How can long-term care physicians recognize the early signs and symptoms of depression, and determine when pharmacologic or other forms of therapy are most appropriate?nbsp;Whatnbsp;quantitative screening tests and management tools are helpful for...

Duration:00:14:59

Nurse Practitioner Protocols and Collaboration in Long-Term Care

4/26/2010
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Host: Eric Tangalos, MD Guest: Debra Bakerjian, PhD, MSN What strengths do physicians and nurse practitioners contribute to the long-term carenbsp;interdisciplinarynbsp;team, and what are the keys to a strong collaborative practice? What types of state and specific nursing home regulations impact nurse practitioners in long-term care? Nurse practitionernbsp;Dr. Debra Bakerjian,nbsp;postdoctoral fellow at Betty Irene Moore School of Nursing at University of California Davis, joins host Dr....

Duration:00:14:59

Ensuring Smooth and Safe Transitions of Care

4/26/2010
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Host: Eric Tangalos, MD Guest: Joseph Ouslander, MD What are the most essential elements of ensuring safe transitions of care when a patient is discharged from a hospital into a skilled nursing facility, and vice-versa? nbsp;Dr. Joseph Ouslander, professor of clinical biomedical science and associate dean for geriatric programs at the Charles E. Schmidt College of Biomedical Science, and professor at the Christine E. Lynn College of Nursing of Florida Atlantic University in Boca Raton,...

Duration:00:14:59

The Benefits of Therapeutic Exercise and Physical Activity in Long Term Car

3/23/2010
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Host: Eric Tangalos, MD Guests: Tim Fox, DPT, Mimi Jacobs, MPT As people are living longer than ever before with a variety of chronic conditions, modified physical activity can help older patients regain or retain functionality. Indeed, physical therapy is also essential to the recovery of patients who have undergone elective or emergency surgeries. What distinguishes therapeutic exercise from physical activity, and how can exercise programs be tailored to meet the various needs of long-term...

Duration:00:14:59

Ticking Time Bomb: Limiting Antibiotic Resistance in Long Term Care

2/22/2010
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Host: Eric Tangalos, MD Guest: Paul Drinka, MD, CMD Multi-drug resistant organisms (MRDOs), such asnbsp;Methicillin-resistant Staphylococcus aureus (MRSA),nbsp;due to antibiotic use are of significant concern. Not only hospitals, but also long-term care facilities, are particularly susceptible to the impact of antibiotic resistance. Dr. Paul Drinka, clinical professor of internal medicine and geriatrics at University of Wisconsin-Madison and the Medical College of Wisconsin-Milwaukee, tells...

Duration:00:14:59

Telehealth: Expanding the Reach of Care

2/22/2010
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Host: Eric Tangalos, MD Guest: Dan Osterweil, MD, Msc Ed, CMD Telehealth refers to the constantly evolving tools and technologies used to care for patients remotely. These technologies can be applied in many types of clinics, including long-term care facilities, to improve patient access to care and reduce healthcare costs.nbsp;Dr. Dan Osterweil, clinical professor in the department of geriatrics at the David Geffen School of Medicine at University of California Los Angeles, and medical...

Duration:00:14:59