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Hospital at Home: Patient Care Model of the Future?
An innovative forward-looking health care model, Hospital at Home provides in-home acute hospital-level care to older patients while reducing costs and decreasing geriatric complications.
Read more »

Comprehensive Preoperative Assessment
Optimal surgical outcomes in elderly patients require comprehensive preoperative assessment and correction of deficiencies to the greatest extent possible. Read more »

Antihistamine Risks
Health care professionals should take steps to increase the awareness of side effects associated with first-generation antihistamines. Educating older patients is especially important because of the widespread OTC availability of these antihistamines. Read more »
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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.
Editor's E-Note
Fractures generate a significant economic burden on our health care system, not to mention the devastating pain and quality-of-life challenges they create for older adults. Fractures can lead to elders’ immobility and many times prompt a downward health spiral that ends in death.

Reducing the incidence of fractures among older adults is worthy of additional efforts that may be required toward that end. A recent study has found that mailing reminders to primary care physicians and urging them to follow up with fracture patients has proven effective in improving osteoporosis management.

It’s a system that works and may be worth implementing to bridge the care gap that exists around elders’ devastating fractures.

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
Simple Reminders May Help Prevent Fractures

Reminding primary care physicians to test at-risk patients for osteoporosis can prevent fractures and reduce health care costs, according to a recent study accepted for publication in the Journal of Clinical Endocrinology & Metabolism.

Osteoporosis is common, costly, and undertreated. Low-trauma fractures in older adults are a red flag for osteoporosis, but those at risk often are not treated for the condition. Rates of osteoporosis testing and treatment typically are less than 20% in the first year after a fracture.

“Sending family doctors and patients a reminder letter about evaluating fracture patients for osteoporosis significantly improved care at a very low cost,” says William D. Leslie, MD, MSc, of the University of Manitoba in Winnipeg, Canada, and senior study author. “The procedure more than paid for itself; in the long-term, it is projected to prevent fractures and save money.”

The intervention involved two mail-based notices, one sent only to the physicians of more than 4,000 patients with recent fractures and the other sent to both physicians and patients. The notices to physicians were personalized letters that included bone mineral density testing guidelines and a flowchart of osteoporosis management. The second intervention combined the physician letter with a personalized letter to patients acknowledging the recent fracture and recommending they see their primary care physicians for an osteoporosis assessment.

The mail notices were inexpensive but effective. The notice to physicians cost only $7.12 (Canadian) per patient, and the note to physicians and patients cost $8.45. Within one year, osteoporosis treatments increased by 1.5-fold (4%) as a result of the physician letter. The physician-patient outreach increased treatment rates by 1.8-fold (6%) over the same time span.

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Physician Recruitment Center
Advertising Opportunities
Have a product or service you want to market to geriatricians, other physicians and the geriatric care team of professionals who treat aging patients? Are you a recruiter looking to fill the many geriatric professional openings within a facility, physician practice or academic appointment? Then utilize the reach of Today's Geriatric Medicine to accomplish your marketing goals and fill any open positions. Today's Geriatric Medicine offers many flexible advertising programs designed to maximize your results. From print advertising to e-newsletter sponsorships, website advertising to direct mail opportunities, Today's Geriatric Medicine 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 gives physician recruiters a powerful tool to fill partnership opportunities, academic appointments, and hospital staff positions. Today's Geriatric Medicine 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.
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Other Aging News
Alzheimer’s Disease Deaths Rising
A Reuters article notes that the risk of death from Alzheimer’s disease increased significantly between 2000 and 2010, according to the CDC.

A New Frontier:
Postintensive Care Syndrome

Patients can suffer from postintensive care syndrome months and even years after hospitalization, according to an article in The Philadelphia Inquirer.

Parkinson’s Patients Move
to Ease Symptoms

Parkinson’s disease care has evolved over the last decade. Providers are focusing on physical activity to treat these patients’ symptoms, according to an article in the York Daily Record.

Aging Physicians Face Greater Scrutiny
According to an online article at Kaiser Health News and produced in collaboration with The Washington Post, questions surround the best ways to address the issue of aging physicians whose physical and mental capabilities are declining.

Tech & Tools
TRiLOC GPS Personal Locator Device
The new TRiLOC GPS Personal Locator Device is designed to locate people with dementia and Alzheimer’s disease. The wristwatch solution provides 24/7 global cellular communications and GPS tracking. It helps caregivers locate and safeguard dementia patients while minimizing the need for constant one-on-one supervision. It provides high-speed data and voice communications, and a remote listening feature allows caretakers to detect when immediate help is required. Additionally, the wearer has access to an SOS button in case of emergencies. Learn more »

MediSafe Project
MediSafe Project version 2 gives physicians better patient oversight between office visits via an in-app list of personalized medication adherence statistics users can provide to them. Adherence rates are color-coded to help users understand how well they’re taking medications as prescribed. Users can e-mail their personalized list to caregivers. Also, MediSafe Project sends alerts to users’ family or caregivers when a dose is missed. Learn more »
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