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ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Source Type: journals

Forthcoming IssuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the United States, the average life expectancy in 2004 was 75.2 years for men and 80.4 years for women; by 2015, it is expected to be 76.2 and 82.2 years, respectively, and to continue to grow. During the 1990s, the population older than 85 years was the fastest growing group at 38% growth. This older age group is the largest consumer of health care services.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Edgar V. Lerma Source Type: journals

Geriatric Nephrology: Old or New SubspecialtyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines the areas of research that encompass geriatric nephrology and clinic observations applicable to the care of the geriatric population.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Lynn E. Schlanger, James Lynch Bailey, Jeff M. Sands Source Type: journals

Anatomic and Physiologic Changes of the Aging KidneyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aging is a degenerative biologic process that affects the kidneys. It is known to be associated with a decline in kidney function coincident with a progressive decrease in the number of functioning nephrons and with glomerular and tubulointerstitial scarring. These changes affect glomerular and tubular function, systemic hemodynamics, and, as a whole, body homeostasis.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Edgar V. Lerma Source Type: journals

Acute Kidney Injury in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews these changes and discusses the diagnoses frequently encountered in the elderly patient with acute kidney injury. The incidence, staging, evaluation, management, and prognosis of acute kidney injury are also examined with special focus given to older adults.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Khaled Abdel-Kader, Paul M. Palevsky Source Type: journals

Clinical Presentation of Renal Failure in the Aged: Chronic Renal FailureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic kidney disease is increasingly being recognized in elderly individuals across the world. An understanding of the methods used to estimate or to measure kidney function, the likelihood and factors associated with progressive decline in renal function, and the clinical syndromes associated with poor renal function are key topics for individuals working across many medical disciplines. This review addresses some of the important aspects of chronic kidney disease, and summarizes some of the clinical and laboratory features associated with progressive disease.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Sarbjit Vanita Jassal Source Type: journals

Diabetic Nephropathy in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although diabetes is clearly linked to macro- and microvasculopathy in multiple organs resulting in cardiovascular and cerebrovascular catastrophic diseases, blindness, and limb amputations, it is the relentless progression of diabetic nephropathy toward becoming the major cause of end-stage renal disease (ESRD) that now challenges budgets and treatment facilities providing hemodialysis, peritoneal dialysis, and kidney transplantation. Nephrology, as a specialty, is now dominated by the necessity to address geriatrics and endocrinology to cope with the tidal wave of elderly ESRD patients suffering from uremia caused by dia...
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Anthony J. Joseph, Eli A. Friedman Source Type: journals

Hypertension in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hypertension is an important risk factor for cardiovascular morbidity and mortality, particularly in the elderly. Blood pressure elevation in the elderly is due to structural and functional changes that occur with aging. Treatment of hypertension reduces the risk of stroke, heart failure, myocardial infarction, all-cause mortality, cognitive impairment, and dementia in elderly patients with hypertension. A healthy lifestyle helps hypertension management, with benefits extending beyond lowering of blood pressure. Several classes of antihypertensive drugs are effective in preventing cardiovascular events. Treatment decisions...
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Maria Czarina Acelajado, Suzanne Oparil Source Type: journals

Glomerular Disease in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article briefly outlines the common presentations of glomerular disease in the elderly and discusses the clinical features, prognosis, and management of the primary and secondary glomerular diseases in this population of patients.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Richard J. Glassock Source Type: journals

Urinary Tract Infections in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Urinary infection is the most common infection in elderly populations. There is a high prevalence of asymptomatic bacteriuria, but this is benign and does not require treatment. A urine specimen for culture should be obtained before initiating antimicrobial therapy for symptomatic infection. Antimicrobial treatment regimens in the elderly are similar to other populations. Chronic indwelling catheters are associated with increased morbidity from urinary tract infection.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: L.E. Nicolle Source Type: journals

Obstructive UropathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Obstructive uropathy is a relatively common condition in which an anatomic or functional problem causes obstruction to normal urinary flow. Obstructive uropathy becomes more prevalent with increasing age and is most frequent as a result of benign prostatic hyperplasia or neurogenic bladder. The clinical manifestations of obstructive uropathy range from little or no symptoms to acute renal failure. Because its prevalence increases with increasing age, the diagnosis and management of obstructive uropathy is particularly relevant to the geriatric population.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Timothy Y. Tseng, Marshall L. Stoller Source Type: journals

Urinary Incontinence in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Urinary incontinence is a common clinical problem in the elderly population, and can affect men and women. Chronic incontinence can lead to impairments in overall functional status and is associated with significant negative effects on both overall and health-related quality of life. Careful clinical evaluation can be useful to differentiate among the various types of urinary incontinence, and can help to identify the potential cause of the condition. A wide variety of behavioral, pharmacologic, and surgical therapies are available to treat urinary incontinence, and these may be used alone or in combination. Treatment can ...
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Tomas L. Griebling Source Type: journals

Drug Dosing in the Elderly Patients with Chronic Kidney DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic kidney disease is a common disorder that affects many patients with a prevalence approaching 19 million people in the United States. Kidney failure and renal impairment is a common occurrence in the geriatric population. Most types of kidney diseases are chronic conditions and frequently manifest at the late stages of life. Epidemiologic studies suggest that older patients are at a greater risk for renal failure if the kidney experiences insults from ischemia or exposure to pharmacologic and diagnostic nephrotoxins. Pharmacologic management of most common diseases in elderly individuals is a difficult task, particu...
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Ali J. Olyaei, William M. Bennett Source Type: journals

Renal Replacement Therapy in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses issues specific to the geriatric dialysis population.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Xiaoyi Ye, Anjay Rastogi, Allen R. Nissenson Source Type: journals

Ethical Issues in the Elderly with Renal DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite the many technical advances in medical care and dialysis delivery, mortality and morbidity remain high in patients with end-stage renal disease. This is particularly true in older patients, who often have a great number of coexisting diseases. In this population, life expectancy and quality of life may be rather poor, raising a number of ethical issues about the decision of starting start or withdrawing renal replacement therapy. Unfortunately, clear behavior guidelines on these critical issues are still insufficient. Reasons for not starting dialysis include old age, neurologic impairment, end-stage organ failure ...
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Authors: Lucia Del Vecchio, Francesco Locatelli Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - August 1, 2009 Category: Geriatrics Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Source Type: journals

Forthcoming IssuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hypertension affects more than 65 million individuals in the United States. Given the aging population, this is particularly challenging in the elderly patient; data from the Framingham study indicate that the lifetime probability of developing hypertension in the elderly is over 90%. Management of hypertension in elderly patients is a part of daily clinical practice for many primary care physicians and geriatric specialists. Therefore, this issue focusing on hypertension in the elderly is timely, and it is intended to provide the practicing clinician with a thorough update in this important area.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Mahboob Rahman Source Type: journals

Epidemiology of Hypertension in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hypertension is clearly associated with cardiovascular disease (CVD) and death. With age, the incidence of hypertension increases, making it imperative that we understand the pathophysiology and treatment of hypertension, especially in the elderly. Data regarding individuals older than 80 years are emerging, with more attention being given to patterns and treatment of hypertension in the elderly. Thus far, we have done a poor job with treating hypertension; this is due to multiple factors, including a reluctance of physicians to treat hypertension in the elderly because of concern of causing harm. In this article, the auth...
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: William J. Mosley, Donald M. Lloyd-Jones Source Type: journals

Arterial Compliance in the Elderly: Its Effect on Blood Pressure Measurement and Cardiovascular OutcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The loss of arterial compliance as a result of the aging of human vasculature is thought to contribute to the age dependent rise in isolated systolic hypertension, and is an independent predictor of all cause mortality and cardiovascular outcomes. In this article, the author's we begin by providing a brief historical perspective of the study of the pulse wave. The author's then review the physiology of the normal arterial system, the effects of aging on the arterial system and the different measures of arterial stiffness. Finally, the author's review the different studies that look at arterial stiffness in the elderly, its...
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Mary Ann Lim, Raymond R. Townsend Source Type: journals

General Principles of Hypertension Management in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The geriatric population is growing in number and along with it, the prevalence of hypertension (HTN). The elderly have a unique set of characteristics that must be taken into account when treating this condition. Not only is it widespread, but its consequences, mainly cardiovascular and cerebrovascular, are devastating. Because the elderly have multiple comorbid concomitant conditions, the practitioner must be cognizant of polypharmacy and resistant HTN and prescribe in a safe fashion conducive to compliance and efficacy. Treatment in even the oldest old is indicated. Function and quality of life should be the driving pri...
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Mary V. Corrigan, Muralidhar Pallaki Source Type: journals

Nonpharmacologic Management of Hypertension in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nonpharmacologic management of hypertension is all too often overlooked in the elderly. The Dietary Approaches to Stop Hypertension (DASH) diet, weight loss, physical activity, moderation of alcohol, and salt restriction, particularly when used in combination, are effective strategies to help control hypertension and reduce overall cardiovascular risk. Behavioral modification should form the cornerstone of hypertension treatment in the elderly.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Aparna Padiyar Source Type: journals

Polypharmacy in the Elderly: Focus on Drug Interactions and Adherence in HypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Polypharmacy is highly prevalent in the elderly due to an increased number of co-morbid disease states that accompany aging. Hypertension is one common disease that can be challenging to treat in the elderly due to the body's physiologic changes, potential risks for side effects, medication interactions, and decreased medication adherence. A thorough medication assessment for each patient is essential when determining pharmacotherapeutic options in the elderly.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Danielle Cooney, Kristina Pascuzzi Source Type: journals

Drug Treatment of Hypertension in Older HypertensivesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the evidence for drug treatment in this population.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Arash Rashidi, Jackson T. Wright Source Type: journals

Renin Angiotensin System Inhibition in the Older Person: A ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The efficacy and safety of rennin angiotensin system (RAS) inhibition for lowering blood pressure in older populations has been demonstrated in a number of clinical trials. Whether a patient's age influences the overall ability of these drugs to lower blood pressure and protect against progress of cardiovascular and kidney disease has been the focus of few clinical trials. Herein, the author's review the mechanism of action of the renin angiotensin cascade and then discuss the clinical evidence surrounding the use of RAS-blocking drugs in the older population.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Maha A. Mohamed, Matthew R. Weir Source Type: journals

Hypertension and Cognitive FunctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cumulative evidence implicates hypertension in the pathogenesis of Alzheimer disease. Although it may not presently be possible to completely differentiate the effects of treatment and control of hypertension itself from those of the medication used to achieve such treatment goals, efforts directed at the treatment and control of hypertension can have significant public health impact.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Thomas Olabode Obisesan Source Type: journals

Resistant Hypertension in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Resistant hypertension is more prevalent in the elderly population. Current data clearly shows the benefit of blood pressure control in older individuals. It is important to first differentiate pseudoresistance from true resistant and institute appropriate therapy. In those patients with resistant hypertension without an identifiable cause, non invasive measurement of hemodynamic profile is an important option to achieve meet blood pressure goals.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Authors: Mohammed A. Rafey Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - May 1, 2009 Category: Geriatrics Source Type: journals

Independence at Home: Community-Based Care for Older Adults with Severe Chronic Illness.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes a model of coordinated home-based medical care, called Independence at Home (IAH), which operates on a limited basis in many US communities and in the Veterans Affairs system. IAH-type teams deliver a full range of medical and social services at home to seriously ill elders and thereby reduce overall health care costs. We review the evidence that this approach can lower total costs by 25 percent or more while improving patient satisfaction and outcomes. We discuss funding for the new model, which also produces net savings for Medicare. A Medicare reform bill, called the Independence at Home Act, was ...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Dejonge KE, Taler G, Boling PA Tags: Clin Geriatr Med Source Type: journals

Veteran's Affairs Home Based Primary Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focuses on that program, a home care program that specifically targets individuals with complex chronic disabling disease, with the goal of maximizing the independence of the patient and reducing preventable emergency room visits and hospitalizations. HBPC programs provide comprehensive longitudinal primary care by an interdisciplinary team in the homes of veterans with complex chronic disease, who are not effectively managed by routine clinic-based care. HBPC is very different from and complementary to standard skilled home care services, in population, processes and outcomes. HBPC targets persons with advanc...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Leftwich Beales J, Edes T Tags: Clin Geriatr Med Source Type: journals

Care Transitions and Home Health Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews models of transitional care intervention that have been tested and shown to be effective including less intensive coaching or guided care approaches, and more intensive case management strategies. Effective transitional care processes, linked with strong home care programs can reduce re-hospitalization by a third in some less intensive models and by half or more in some more intensive models. PMID: 19217498 [PubMed - as supplied by publisher]
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Boling PA Tags: Clin Geriatr Med Source Type: journals

The History of Quality Measurement in Home Health Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews key findings from the past 2 decades of home care quality improvement research and public policy advances, describes specific examples of local and regional programmatic approaches to quality improvement, and forecasts near-future trends in this vital arena of home health care. PMID: 19217497 [PubMed - as supplied by publisher]
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Rosati RJ Tags: Clin Geriatr Med Source Type: journals

Workforce Development in Geriatric Home Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses workforce development, which is a critical issue for future planning, as recently highlighted by the Institute of Medicine (IOM). Key aspects of recruitment, training, and retention of home care workers are discussed, including those who provide basic support for activities of daily living as well as a variety of skilled professionals: therapists, nurses, pharmacists, and physicians. Although the geriatric workforce shortage affects all care settings, it is especially critical in home health care, in part because we are starting with far too few clinicians to meet the medical needs of homebound elder...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Hayashi J, Decherrie L, Ratner E, Boling PA Tags: Clin Geriatr Med Source Type: journals

New Diagnostic and Information Technology for Mobile Medical Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Medicare reimbursement for home visits average around $100 without ancillaries, so making 10 home visits to prevent even a single $1,000 ambulance ride is cost-neutral for Medicare. Home medical care is only an added cost if it fails to offset acute care use. The government's demographic and financial pressure suggests a need to press ahead with the enhanced mobile care model, so the explosion in point-of-care devices should continue. The main challenge is to decide which ones provide dispositive value to patients. PMID: 19217495 [PubMed - as supplied by publisher]
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Bayne CG, Boling PA Tags: Clin Geriatr Med Source Type: journals

Hospital at Home.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although the acute hospital is the standard venue for treating acute serious illness, it is often a difficult environment for older adults who are highly susceptible to functional decline and other iatrogenic consequences of hospital care. Hospital care is also expensive. Providing acute hospital-level care at home, in lieu of usual institutional care, is viable. As an emerging service model, the definition of hospital at home (HaH) remains unsettled. Data favor HaH models that provide substantial physician inputs and are geared toward substituting for hospital care, provide service that is highly satisfying to patient...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Cheng J, Montalto M, Leff B Tags: Clin Geriatr Med Source Type: journals

Assistive Technologies in the Home.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Assistive technologies are critical to elders maintaining independence in the home. Adequate assessment of the patient's needs, the appropriateness of the device that need, and the patient's motivation to use of a device is required for successful outcomes. A team approach is needed to ensure that devices are correctly prescribed, and the patient is taught how to use it effectively. A wide range of devices is available to support activities of daily living, mobility, home management, and safety. The use of personal computers is significantly expanding the possibility of independent living through support systems, monit...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Brummel-Smith K, Dangiolo M Tags: Clin Geriatr Med Source Type: journals

Elder Abuse and Neglect: When Home Is Not Safe.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The prevalence and seriousness of elder abuse and neglect require the collaboration of health care professionals with many other disciplines for adequate assessment and intervention. The home visit provides a unique opportunity for the visitor to evaluate risk factors. Interventions and reporting depend on available resources, expertise and local reporting laws. Possible reasons for low physician and victim self-reporting are reviewed. Domestic violence persists into late life and requires diffferent approaches than dealing with caregiver burnout or self-neglect. Involvement of health professionals in educating others ...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Abbey L Tags: Clin Geriatr Med Source Type: journals

Advances and Issues in Personal Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The focus of this article is paid personal assistant service (PAS) workers in community settings, and the converging current and future trends affecting the need to strengthen and expand the PAS workforce. A number of ways in which the federal and state governments, and the private sector can begin to solve the short and long-term workforce challenges are highlighted. PMID: 19217491 [PubMed - as supplied by publisher]
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Stone R, Newcomer R Tags: Clin Geriatr Med Source Type: journals

The Past, Present, and Future of House Calls.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes: the origin and evolution of house calls; what is uniquely gained from house calls for both patients and providers; key clinical issues managed at home; evidence that house calls improve outcomes; organization of house call practices; and changes in Medicare reimbursement, technology, and interdisciplinary team care that have influenced the delivery of home-based medical care. PMID: 19217490 [PubMed - as supplied by publisher]
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Kao H, Conant R, Soriano T, McCormick W Tags: Clin Geriatr Med Source Type: journals

The Past, Present, and Future of Skilled Home Health Agency Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the past history of home health agency care from its beginnings to the present day, evidence regarding the effect of recent changes in financing on these services, the state of skilled home health care in 2008, and a discussion of future directions. Home health care serves several million patients per year, many of whom are recuperating from acute illness episodes. Due to illness burden and Medicare funding, a large proportion of care that home health agencies deliver is geriatric care. However, home health care plays an important role for patients of all ages with significant acute and chronic illness...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Murkofsky RL, Alston K Tags: Clin Geriatr Med Source Type: journals

Preface.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19217488 [PubMed - as supplied by publisher]
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Boling PA Tags: Clin Geriatr Med Source Type: journals

Preface. Home care, from origins to present day.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19217488 [PubMed - in process]
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Boling PA Tags: Clin Geriatr Med Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Source Type: journals

Forthcoming IssuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Serving several million people each year in the United States with services ranging from high-touch basic support to high-tech medical therapy, home care helps individuals obtain their best possible function and remain where they prefer to be: at home. This edition of Clinics will review the origins of contemporary home care, beginning with parish nurses and doctors on horseback at the turn of the twentieth century and continuing through present-day care, which includes ventilators the size of a toaster oven, intravenous therapy, “smart houses,” advanced information technology, and more. Each article has current, pract...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Peter A. Boling Source Type: journals

The Past, Present, and Future of Skilled Home Health Agency CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the past history of home health agency care from its beginnings to the present day, evidence regarding the effect of recent changes in financing on these services, the state of skilled home health care in 2008, and a discussion of future directions. Home health care serves several million patients per year, many of whom are recuperating from acute illness episodes. Due to illness burden and Medicare funding, a large proportion of care that home health agencies deliver is geriatric care. However, home health care plays an important role for patients of all ages with significant acute and chronic illness...
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Rachel L. Murkofsky, Karen Alston Source Type: journals

The Past, Present, and Future of House CallsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes: the origin and evolution of house calls; what is uniquely gained from house calls for both patients and providers; key clinical issues managed at home; evidence that house calls improve outcomes; organization of house call practices; and changes in Medicare reimbursement, technology, and interdisciplinary team care that have influenced the delivery of home-based medical care.
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Helen Kao, Rebecca Conant, Theresa Soriano, Wayne McCormick Source Type: journals

Advances and Issues in Personal CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The focus of this article is paid personal assistant service (PAS) workers in community settings, and the converging current and future trends affecting the need to strengthen and expand the PAS workforce. A number of ways in which the federal and state governments, and the private sector can begin to solve the short and long-term workforce challenges are highlighted.
Source: Clinics in Geriatric Medicine - February 1, 2009 Category: Geriatrics Authors: Robyn Stone, Robert Newcomer Source Type: journals