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Editor's e-Note
Researchers have found that as aging occurs over time, older adults become more sensitive to pain. Inflammation likely occurs more quickly and at greater levels and continues to prompt pain signals longer in older adults than it does in younger adults as they experience pain.

In addition to reading our e-newsletter, be sure to visit Today’s Geriatric Medicine’s website at www.TodaysGeriatricMedicine.com, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at TGMeditor@gvpub.com. Follow Today’s Geriatric Medicine on Facebook and Twitter, too.

— Barbara Worthington, editor
e-News Exclusive
Pain Causes Older Adults to Develop More Inflammation

When older relatives complain about their pains, show a little empathy because new research suggests that as people age, they may all become more sensitive to pain. A small preliminary University of Florida (UF) Health study has suggested for the first time that inflammation may occur more quickly and at a higher magnitude—and stays around longer—when older adults experience pain vs when younger adults experience pain.

This could mean that older adults might be at risk for developing chronic pain and may benefit from taking anti-inflammatories soon after an injury or procedure, according to the researchers.

Older adults often have a certain level of chronic inflammation in their bodies. But UF researchers found that when they induced pain in older adults, proteins associated with inflammation increased more than they did in younger participants and stayed in the bodies of older adults longer. The researchers also found that anti-inflammatory cytokines, proteins that soothe inflammation, peaked later for older adults than younger adults. Their results were published in Experimental Gerontology.

Full story »
Recently in Today's Geriatric Medicine
Specialized Emergency Departments Improve Outcomes
Older adults presenting in emergency departments (EDs) are unique among patients, often requiring specialized care and treatment. Medical professionals who have designed and launched a geriatrics-friendly ED describe the challenges in and benefits of a customized ED. Read more »

Hyperkyphosis: A New Geriatric Syndrome
For 20 years, hyperkyphosis, a thoracic spine curvature that often goes undiagnosed and untreated, has been the research focus of Deborah Kado, MD, MS. Geriatrician Diane L. Schneider, MD, MSc, discusses with Kado the importance of recognizing and treating the condition. Read more »

Improve Medication Management to Reduce Rehospitalizations
In older adults, medication nonadherence accounts for 26% of hospital admissions, almost 25% of nursing home admissions, and 20% of preventable adverse drug events in community settings. Read more »
 
In this e-Newsletter
Tech & Tools
PrimeGuard Monitor
Drive DeVilbiss has created a new cordless patient monitoring alarm system that alerts a caregiver if a resident gets out of bed, moves away from his or her wheelchair, or leaves the room without supervision. Cord-free, quiet fall prevention monitors and sensor pads help to reduce entanglement and tripping hazards. The monitor can be placed in the hallway or above the bed. The PrimeGuard monitor can be used with the Quiet Cordless Resident monitor with bed sensor pad, wheelchair sensor pad, and/or pressure-sensing floor mat. Included are an off switch, low-battery notification, and a protective boot to prevent monitor damage. Learn more »

Zing Anything
Zing Anything offers a refreshing way to subtly infuse all-natural ingredients into beverages and cuisine. Ideal to encourage older adults’ summer hydration, it enhances the flavor and health benefits of water by using fruits, vegetables, and herbs to create refreshingly flavored drinks. Make flavored and fresh salad dressing with the Salad Zinger, or flavor oil and vinegar for sauces and marinades. The use of all-natural ingredients makes Zing Anything great for health and the environment. Made of user-friendly products, it combines flavor and nutrition. Place an ingredient, such as a cucumber or lemon, in the bottom compartment, and twist. The motion allows for flavors, nutrients, and aromas to be released. Learn more »
Featured Jobs
The nation's top employers and recruiters of geriatric care professionals advertise in Today's Geriatric Medicine magazine and post their job openings on AlliedHealthCareers.com. Check out the most recent opportunities that have been submitted by employers across the country!

Geriatrician—Reading Health System, West Reading, PA
Geriatrician—Essentia Health, Detroit Lakes & Park Rapids, MN
Geriatrician—Main Line Health, Philidelphia, PA
Geriatric Physician—Mercy Health, Lake Michigan
BE/BC Geriatrician—Carle Physician Group, Champaign-Urbana, IL
BE/BC Geriatrician—Greenville Health, Greenville SC
Physician, Psychologist, Nurse Practitioner, Physician Assistant
IPC Healthcare, Nationwide
AGS Conference News
AGS Welcomes Second Nurse President

Several leadership transitions took place at the convocation of the 2016 American Geriatrics Society (AGS) Annual Scientific Meeting, held May 19-21 at the Long Beach Convention and Entertainment Center in Long Beach, California.

Ellen Flaherty, PhD, APRN, AGSF, an AGS member for 18 years, became the AGS’ 63rd president. She is the second nurse member to hold this position. Flaherty is codirector of the Dartmouth Centers for Health and Aging and a coprincipal investigator of the Geriatrics Workforce Enhancement Program (GWEP) at Dartmouth and The John A. Hartford Foundation GWEP Coordinating Center administered by the AGS. She has a joint appointment in geriatrics at the Geisel School of Medicine at Dartmouth and the Dartmouth-Hitchcock Medical Center. She spent nearly 30 years working to advance clinical practice at the New York University College of Nursing/Hartford Institute in New York.

As outgoing AGS president, Steven R. Counsell, MD, AGSF, is now chair of the AGS board of directors. The slate of board officers who joined Counsell are Debra Saliba, MD, MPH, AGSF, who has served as secretary since 2015 and is now the AGS president-elect; Peter Hollmann, MD, AGSF, who is now board secretary; and Laurie Jacobs, MD, AGSF, who will continue as treasurer.

Full story »
Geriatrics Consult With Rosemary Laird, MD
Summer Safety for Older Adults

Last June, as summer temperatures were climbing, I wrote about the risk of summer heat and strategies to help older patients avoid dehydration. That’s one of the serious health conditions that occur as temperatures reach 90°. Another risk is hyperthermia, leading to heat exhaustion and its most serious form, heat stroke. As you now “think like a geriatrician,” focus on helping older adults keep their cool this summer.

If you want a refresher on tips to avoid dehydration, check the June 2015 archives.

Every summer, as temperatures and humidity indices rise, I have a more than a few flashbacks to the summer of 1995, specifically the month of July. As the chief resident for the department of internal medicine at University of Chicago Hospital, I was steeling myself for the challenges of welcoming and supervising the newest cadre of recently degreed medical interns to our urban home on Chicago’s south side. Little did I know how quickly we would be tested beyond anything we could have anticipated.

Continue reading »
Ask the Expert
Have a question you want answered by one of our experts? Send your question to TGMeditor@gvpub.com and it may be featured in an upcoming e-newsletter or print issue.
 
Other Geriatrics News
At Teaching Hospitals, Aggressive Screening May Lead to Medicare Penalties
Penalties created by the Affordable Care Act on diagnostic testing, particularly at teaching hospitals, have caused some hospitals to reconsider aggressive screenings, according to an article at Kaiser Health News online.

Medical Errors Now Third Leading Cause
of Death in United States

An article in The Washington Post notes that medical errors have moved to third place among leading causes of death in the United States.

Landmark Heart Disease Study
Marks 30 Years of Research

Decades of data have yielded information on the formation of heart disease, according to an article in the Chicago Tribune.

Hospital Discharge One of the Most Dangerous Periods for Patients
As highlighted in an article at Kaiser Health News online, lack of communication and follow-up account for lapses in patient care coordination between hospital and home.
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