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In this Issue
On AgingWellmag.com
Collaborative Care Is Key
to Reducing Hospitalizations

Hospitals and healthcare practitioners must focus on establishing patient-centered, quality-based initiatives that reduce hospital-acquired infections and length of stay.
Read more »

Peripheral Neuropathy

Despite the challenges diagnosing peripheral neuropathy presents, physicians must become more efficient in their patient workups. Read more »

Early Glaucoma Detection
Preserves Vision

Geriatricians and primary care physicians can play a key role in detecting glaucoma symptoms and saving patients’ eyesight. Read more »
Editor's E-Note
Along with the many other serious complications that can stem from diabetes, it can also result in diminished muscle strength and quality that, in turn, contribute to limitations in walking ability. It’s important to be mindful of a patient’s altered gait that may be indicative of various physical conditions.

Gait impairment contributes to higher rates of falls among individuals with diabetes. For those patients, diet and exercise are major players in combating muscle loss. And, of course, it’s critical to keep a patient’s diabetes under control.

In addition to reading our e-newsletter, be sure to visit Aging Well’s website at www.AgingWellmag.com, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at AWeditor@gvpub.com. Follow Aging Well on Facebook, too.

— Barbara Worthington, editor
E-News Exclusive
Today's Diet & NutritionTreating Impaired Gait Due to Diabetes
By David Yeager

Diabetes can cause a host of problems for older adults affected by the disease, but one related complication that receives less attention than increased insulin resistance, hypertension, or renal disease is muscle loss. A study published online May 17 in Diabetes Care found that diabetes was related to decreased muscle strength and worse muscle quality in older adults, which contributed to walking limitations in participants.

The study, conducted at the University of Ferrara in Italy, measured knee extension torque, plantar flexion and dorsiflexion strength, lower extremity muscle power, ankle muscle quality, and gait performance in 835 participants aged 65 and older. The prevalence of diabetes in the study group was 11.4% and after adjusting for age and sex, participants with diabetes were found to have lower muscle density, less knee and ankle strength, less muscle power, worse muscle quality, and slower walking speeds than nondiabetic participants.

Full Story »
Other Aging News
Living Knowing You May
Have Alzheimer's Gene

Genetic characteristics can increase the risk of developing early-onset Alzheimer’s disease, according to an article published in The New York Times.

Doctors Grapple With
Prostate Screening Guidelines

Recommendations from a federal task force to limit routine prostate-specific antigen testing despite its proven value have drawn criticism from some physicians, reports The Baltimore Sun.

After a Stroke,
Therapy Gets Faster

A split treadmill that simulates a stroke victim’s lower limb deficit may improve therapy following a stroke, according to an article in The Wall Street Journal.

Blood Pressure
Technique Studied

Renal denervation may provide a solution for extreme cases of hypertension, according to an article in the Arizona Daily Star.
Physician Recruitment Center
Advertising Opportunities
Have a product or service you want to market to geriatricians, other physicians who treat aging patients, PAs, or NPs or are you a physician recruiter with a practice partnership opening, academic appointment, or staff position to fill quickly? Aging Well offers many flexible advertising programs designed to maximize your results. From print advertising to e-newsletter sponsorships, website advertising to direct mail opportunities, Aging Well helps achieve your goals. E-mail our experienced account executives today at sales@gvpub.com for more information or call 800-278-4400!

The Physician Recruitment Center (www.AgingWellmag.com/PRC) gives physician recruiters a powerful tool to fill partnership opportunities, academic appointments, and hospital staff positions. Aging Well regularly drives geriatricians and other physicians who treat older adults to our website for the best coverage of industry news and trends. As a result, the Physician Recruitment Center has become a resource for professionals looking for new opportunities, as well as those physicians just curious to see what's out there.
Tech & Tools
Wearever Washable Incontinence Underwear
Wearever offers an incontinence solution that provides comfort and confidence along with a reduced environmental impact when compared with disposable underwear. An absorbent pad sewn into the garment counters urinary incontinence without additional bulk. The incontinence garments are reusable, can be machine washed, and are especially beneficial for active individuals. Learn more »

PICO Single-Use Negative Pressure Wound Therapy
Smith & Nephew’s Advanced Wound Management has introduced PICO, the first-ever single-use disposable negative pressure wound therapy product. It is approved for traditional negative pressure wound therapy as well as chronic, acute, and traumatic wounds; dehisced wounds; partial-thickness burns; diabetic or pressure ulcers; flaps and grafts; and closed surgical incisions. PICO is easily applied and simple for patients to manage. It can be carried discretely in a pocket, allowing for patient mobility. The device works with a dressing technology that manages fluids, eliminating the need for bulky canisters. Learn more »

Crest Nurse Call Adapters
Crest nurse call adapters alter an existing receptacle to perform a different and/or additional function. The adapters, in five different styles, offer a cost-effective way to accommodate multiple devices from a single receptacle. They convert stations into alternative plug styles and monitor patient equipment simultaneously with standard call cords or pillow speakers. Fall prevention monitors or nurse call devices available only in 1/4-inch styles can be converted to fit specific systems by using adapters.
Learn more »
Ask the Expert
Have a question you want answered by one of our experts? Send your question to AWeditor@gvpub.com and it may be featured in an upcoming e-newsletter or print issue.

This month’s selection:
What is the best nutrition screening for the elderly? Is one better for nursing home residents vs. seniors who live at home vs. hospitalized patients?
Linda L. Kwiatkowski, RD, CDE
Arapahoe Medical Offices
Kaiser Permanente Population & Prevention Services
Centennial, Colorado

As we age, adequate daily nutrition becomes the life force allowing aging bones, muscles, and minds to stay active and alert. The gold standard for evaluating nutritional status in the elderly is a simple procedure. Have a patient step on a scale. Older adults who lose 5% of their body weight over the course of one year or less are at risk of malnutrition. It is a change in body weight that identifies when an individual is not getting adequate calories to make up for the calories used by the body for a day’s activities.

Checking for changes in body weight is accurate and applicable for individuals in nursing homes as well as other care settings, as long as health status is generally stable. Bed or wheelchair scales can be used for patients who cannot stand.

Nowadays much attention is paid to body mass index (BMI). In the elderly, a BMI under 22 can be an indicator of poor nutrition. However, given age- and disease-related changes in bone and muscle mass, this one measurement is not as precise in older adults and does not measure the critical issue of change in body weight.

Hospitalized patients with various conditions and undergoing medical and/or surgical treatments are not good candidates for evaluation of general nutritional status.

Rosemary Laird, MD, is the medical director of Health First Aging Institute and The Center for Family Caregivers in Melbourne, Florida.
Featured Employers
The following facilities have current employment opportunities. For more information and to apply, visit the websites below.

Harvard Vanguard Medical Associates

Sound Physicians

Healthcare Partners Medical Group and Affiliated Physicians
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