Category: Medication issues

HuffPo: More Seniors Than Ever Are Combining Brain-Affecting Drugs

Posted by Dr. El - February 17, 2017 - Medication issues

Polypharmacy — the use of multiple medications — can lead to big problems among older adults, most notably an increased risk of falling. For more on this, read the Huffington Post article by Ann Brenoff linked below: More Seniors Than Ever Are Combining Brain-Affecting Drugs

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Diabetes care: Take two betta fish and call me in a week

Posted by Dr. El - July 22, 2015 - Medication issues, Resident education/Support groups

Here’s my latest article on McKnight’s Long-Term Care News: Diabetes care: Take two betta fish and call me in a week More than 25% of the US population over the age of 65 years has diabetes1 and the numbers are far higher for those in long-term care. (Approximately one third of nursing home residents have […]

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The very anxious resident: A team approach (McKnight’s LTC News)

Posted by Dr. El - May 15, 2014 - Depression/Mental illness/Substance Abuse, Medication issues

Here’s my latest article on McKnight’s Long-Term Care News:   The very anxious resident: A team approach “My mother was kicked out of her nursing home again,” my cousin told me. “They said they couldn’t handle her.” I phoned Cousin Belle’s new number in the afternoon. “They didn’t give me my pain medication,” she said […]

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Reducing antipsychotic medications? Try these behavioral interventions (LTL mag online)

Posted by Dr. El - November 26, 2012 - Medication issues

Here’s my latest article on Long-Term Living magazine online: Reducing antipsychotic medications? Try these behavioral interventions With the recent focus on reducing antipsychotics in long-term care and substituting behavioral interventions, facilities may be left wondering what interventions to use and how to implement them. Here are ideas on how to prevent, investigate and monitor agitation on your […]

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5 Reasons to Educate Residents About Their Illnesses (LTL mag online)

Posted by Dr. El - August 21, 2012 - Communication, Medication issues, Resident education/Support groups

Here’s my latest article in Long-Term Living Magazine online: 5 reasons to educate residents about their illnesses “How long have you had Parkinson’s?” the psychologist asked Mr. Jones during his initial evaluation. “They just told me the diagnosis when I got here last week, but I suppose I’ve had it for a while.” He said […]

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Doctor-Patient Communication

Posted by Dr. El - June 15, 2012 - Communication, Medication issues, Resident education/Support groups

Early in my blogging, I wrote a post for residents about how to speak to doctors, outlining what I call the Newspaper Headline Approach.  It’s designed for residents to make the most of their interactions with their physicians.  I was reminded of the Newspaper Headline approach when I read a recent Mind the Gap post […]

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Elderspeak and Resistance to Care

Posted by Dr. El - August 17, 2011 - Communication, Medication issues

“Come on now, Vera, honey,” the nurse said in a high-pitched, sing-song voice, “be a good girl and take this nice candy.” Vera swung her arm and knocked the tiny cups of pills to the floor.   In their 2009 study, Elderspeak Commnunication: Impact on Dementia Care, Kristine N. Williams, RN, PhD, and her colleagues […]

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Patient Personality Affects Success of PRN Medication

Posted by Dr. El - January 10, 2011 - Communication, Medication issues

THE PROBLEM: Because of their personality styles, some nursing home residents don’t ask for their PRN (as needed, or “per request of the nurse”) pain medication when they need it.  The reasons for this vary: Psychologist, finding the resident in pain:  “Why didn’t you tell the nurse?” Passive:  “I didn’t want to bother her.” Macho: […]

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Old Age, from Youth’s Narrow Prism by Marc E. Agronin, MD

Posted by Dr. El - March 2, 2010 - Books/media of note, Depression/Mental illness/Substance Abuse, Medication issues

I saw an article yesterday in the Health section of the New York Times describing the difficulty of younger people to imagine what life might be like in later years, particularly in nursing homes. I thought readers would appreciate it. The old woman had drawn down the shade in her room — hoping, I imagined, […]

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Pain Management for Nursing Home Residents

Posted by Dr. El - September 29, 2009 - Communication, Medication issues

I read a post on McKnights.com last week that so distressed me I had to wait a week before I was ready to blog about it. The article, Nurses, Relatives Underestimate Pain in Nursing Home Residents, Study Finds, reports the results of a five-year study in the Netherlands that shows a tendency to underestimate pain, […]

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