Clinical Update on Nursing Home Medicine: 2011

Apathy and Weight Loss in Nursing Home Residents: Longitudinal Study

“…28 It is possible that this misunderstanding happened because apathy has been traditionally regarded as a symptom of depression. 29 Fig.…”

Evaluation of an intra‐institutional diabetes disease management program for the glycemic control of elderly long‐term care diabetic patients

“…Several issues make treatment of diabetes in the nursing home population different than in older community‐dwelling elderly. The most important features are the high prevalence of disability, comorbid conditions, dementia, short life‐expectancy, various degrees of oropharyngeal dysphagia (OD) and tube enteral feeding …”

“…The most important features are the high prevalence of disability, comorbid conditions, dementia, short lifeexpectancy, various degrees of oropharyngeal dysphagia (OD) and tube enteral feeding. 17,18 Diabetes in older patients should be managed on an individualized basis according to the underlying comorbidities, level of functioning and estimated life expectancy of the patients. 19,20 The task of achieving optimal glycemic control in such complex patients requires a disease management program that combines close monitoring, adequate individual diet and a coordinated multidisciplinary approach.…”