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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

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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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Guest: Thiruvinva Dharmarajan, MD FACP AGSF Host: Eric Tangalos, MD 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

Focusing on Comfort in Caring for Patients with Dementia and Alzheimer's

4/12/2011
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Host: Eric Tangalos, MD Guest: Tena Alonzo, MA How can creating a more positive emotional experience for patients with dementia or Alzheimer's diminish behavior issues and improve quality of life? Tena Alonzo, director of research and co-director of the Palliative Care for Advanced Dementia program at Beatitudes Campus in Phoenix, discusses a common-sense approach to creating a comforting environment for those with dementia and Alzheimer's, which focuses on meeting each patient's unique...

Duration:00:14:59

Choosing Between Nursing Homes and Assisted Living: Helping Patients and Families Decide

3/10/2011
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Guest: Robert Kane, MD Host: Eric Tangalos, MD Deciding between assisted living facilities or nursing homes can be daunting for patients and families. How can healthcare professionals discuss long-term care expectations with patients and families and help with the selection process? Dr. Robert Kane, Minnesota Chair in Long-term Care and Aging at the University of Minnesota School of Public Health and director of the University of Minnesota's Center on Aging, discusses the genesis and...

Duration:00:14:59

A Public Policy Primer for Long-Term Care Professionals: How to Achieve Regulatory Compliance

3/8/2011
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Guest: Steven Levenson, MD, CMD Host: Eric Tangalos, MD As healthcare reform evolves, so too do the public policies governing long-term care facilities. How can healthcare professionals stay up-to-date with the latest changes in federal and state regulations? What are the differences between regulations governing assisted living versus skilled care environments? How successful have regulations been at facilitating better quality of care in skilled care and assisted living? Dr....

Duration:00:14:59

Improving Access to Controlled Substances in Long-Term Care

1/24/2011
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Guest: Matthew Wayne, MD, CMD Host: Eric Tangalos, MD Regulations regarding nurses as prescribing agents of physicians in long-term care facilities are more restrictive than in the hospital setting, because controlled substance licenses are not currently approved for nursing homes in most states. These restrictions can make it challenging for long-term care patients to receive timely access to narcotics. Dr. Matthew Wayne, medical director, geriatric medicine, University Hospital Richmond...

Duration:00:14:59

Improving Medication Safety in the Nursing Home Setting

1/14/2011
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Host: Eric Tangalos, MD Guest: Steven Handler, MD, PhD, CMD Because residents in long-term care facilities often have comorbidities, polypharmacy can be an issue. What are the most common types of adverse drug events that can occur among long-term care patients taking multiple medications? Dr. Steven Handler, assistant professor in the department of biomedical informatics and the department of geriatric medicine at the University of Pittsburgh School of Medicine, and the medical director...

Duration:00:14:59

Palliative Care in Late-Stage Disease and Hospice

1/7/2011
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Guest: Peter Winn, MD, CMD Host: Eric Tangalos, MD 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

Knowing the Facts: Advance Directives and End-of-Life Care

1/7/2011
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Guest: Karl Steinberg, MD, CMD Host: Eric Tangalos, MD "Advance directive" is an umbrella term that encompasses end-of-life documents, including a living will and durable power of attorney for healthcare. Such documents can be scary for many patients, and as such, advance directives are not very common among the general US population. Yet these documents can be powerful tools in ensuring patients receive the type of care they desire. What do physicians need to know about advance directives...

Duration:00:14:59

Assessing and Maximizing Cognitive Function in Long Term Care

12/7/2010
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Guest: David Smith, MD, CMD Host: Eric Tangalos, MD Nearly three-quarters of patients in long term care have some form of memory impairment or dementia. And while some forgetfulness is a normal part of the aging process, memory loss can also be overlooked as an early symptom of cognitive impairment. How can physicians distinguish between common memory loss and cognitive impairment? Dr. David Smith, professor of family medicine at the College of Medicine at Texas A&M University,...

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

The Importance of Immunizations in Long Term Care

11/15/2010
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Guest: William Schaffner, MD Host: Eric Tangalos, MD Which infectious diseases are most common at long term care facilities? If there is an infectious disease outbreak at a facility, how can we best protect residents? Dr. William Schaffner, president of the National Foundation for Infectious Diseases, as well as professor and chairman of the department of preventive medicine, and professor of medicine in the division of infectious diseases at Vanderbilt University School of Medicine...

Duration:00:14:59

Not Your Grandma's Nursing Home: Changing Demographics in Long Term Care

10/26/2010
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Guest: Alan Lazaroff, MD Host: Eric Tangalos, MD How different is the population of long term care facilities today than in decades past, and how will these new resident communities impact delivery of care? Dr. Alan Lazaroff, director of geriatric medicine at St. Anthony Hospitals Senior Health Centers, and president of Geriatric Medicine Associates in Denver, Colorado, talks about the changes long term care facilities have made to better serve the needs of shifting resident...

Duration:00:14:59

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

10/6/2010
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Guest: Douglas Berkey, DMD, MPH Host: Eric Tangalos, MD A patient's 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? Dr. Douglas Berkey, professor at the University of Colorado Schools of Dental Medicine and Public Health, where he also...

Duration:00:15:00

Early Detection of Alzheimer's: 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 Alzheimer's 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? Dr. James Galvin, professor in the departments of neurology and psychiatry at New York University Langone Medical Center in New York City, joins...

Duration:00:14:59

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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Guest: Frederick Wendt, RPh Host: Eric Tangalos, MD 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 Administration's current position on the nursing facility staff as agent of...

Duration:00:14:59

Theatre as Therapy for Alzheimer's and Memory Loss

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

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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Guest: Laurie Jacobs, MD Host: Eric Tangalos, 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? 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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Guest: Bruce Troen, MD Host: Eric Tangalos, 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? Dr. Bruce Troen,...

Duration:00:14:59