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Considerations for Geriatric Patients in the Hospital

I. Problem/Challenge. For some older adults, hospitalization can be a pivotal event that changes their health trajectory after discharge. Poor health outcomes can result despite appropriate treatment for the primary reason for hospitalization. The risk is greatest for older adults with frailty, cognitive impairment, complex social situations, visual or hearing impairments, or multiple comorbid illnesses.…

von Willebrand's Disease

Von Willebrand Disease I. What every physician needs to know. Von Willebrand factor (VWF) is important for primary and secondary hemostasis. VWF is a multifunctional protein that serves as a link between a damaged vessel wall and platelets, and is also a carrier for Factor VIII (FVIII). In primary hemostasis it binds to the platelet…

Quality and Infection Prevention: Partnering for Improved Outcomes

Quality and Infection Prevention: Partnering for Improved Outcomes Introduction Prevention of healthcare-associated infections (HAIs) is considered the model for patient safety and quality of care. According to the Institute of Medicine(IOM) report “To Err is Human” in 1999, hospital adverse events including HAIs are responsible for 44,000-98,000 deaths annually in the United States (US). The…

Clostridium difficile in the Hospital: Infection Prevention Considerations

Clostridium difficile in the Hospital: Infection Prevention Considerations Summary This chapter provides an overview on Clostridium difficile infection (CDI) and prevention strategies. The main objective of this chapter is to provide understanding on essential CDI prevention measures in acute care and non-acute care settings. There is further discussion on CDI reporting, various measurements of CDI…

Animals Visiting Healthcare Facilities

Animals Visiting Healthcare Facilities What are the key concepts related to Animals Visiting Healthcare Facilities?  Animals may be present in healthcare (AHC) for multiple reasons and their presence has increased in acute care hospitals and ambulatory medical settings. According to the Humane Society of the United States, pet ownership is common in the United States with 65%…

Abaloparatide

My patient read on the internet that there is a new drug for osteoporosis called abaloparatide. Is it available? What does it do? Abaloparatide is a new drug being considered by the FDA for the treatment of osteoporosis. Like teriparatide (Forteo), it is an anabolic agent, one that actually builds bone. So, it is very…

Rickettsialpox

Rickettsialpox Are You Confident of the Diagnosis? What you should be alert for in the history Rickettsialpox is an acute, self-limited febrile illness that belongs to the spotted fever group of rickettsioses caused by the bacteria Rickettsia akari. It was first identified by Dr. Robert Huebner in New York City in 1946. Although relatively benign,…