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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

Considerations in HIV-1 Treatment: Exploring Fixed-Dose Combinations

9/28/2015
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Host: Matt Birnholz, MD Guest: William Short, MD Since the discovery of HIV more than 3 decades ago, there has been progress in the treatment of the disease. However, there remains a significant need to continue providing adults living with HIV and their physicians with treatment options. The last few years have seen the development of additional treatment options, including fixed-dose combination therapies. Dr. William Short, Associate Professor at Perelman School of Medicine at the...

Duration: 00:24:59


Venous Thromboembolism Management and Antithrombotic Therapy in Long-Term C

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.nbsp;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 Alzheimers

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 Alzheimers 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 Alzheimers, which focuses on meeting each patients unique...

Duration: 00:14:59


Choosing Between Nursing Homes and Assisted Living: Helping Patients and Fa

3/10/2011
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Host: Eric Tangalos, MD Guest: Robert Kane, 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.nbsp;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 Minnesotas Center on Aging, discusses the genesis and...

Duration: 00:14:59


Improving Access to Controlled Substances in Long-Term Care

1/24/2011
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Host: Eric Tangalos, MD Guest: Matthew Wayne, MD, CMD 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?nbsp;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...

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?nbsp;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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Host: Eric Tangalos, MD Guest: Karl Steinberg, MD, CMD 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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Host: Eric Tangalos, MD Guest: David Smith, MD, CMD 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?nbsp;Dr. David Smith, professor of family medicine at the College of Medicine at Texas Aamp;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?nbsp;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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Host: Eric Tangalos, MD Guest: William Schaffner, 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.nbsp;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 in...

Duration: 00:14:59


Not Your Grandmas Nursing Home: Changing Demographics in Long Term Care

10/26/2010
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Host: Eric Tangalos, MD Guest: Alan Lazaroff, 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?nbsp;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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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

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