{"title":"A new look on nutrition.","authors":"Jeanne Carlson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 3","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28166903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Discontinuing Alzheimer's disease drug therapy: why, when, and how.","authors":"Diane Crutchfield","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drug therapy is an important component in the management of AD. The agents discussed do not stop or reverse the disease, but can slow its progression. There are currently 3 AChEIs and memantine available to treat AD. Generally, one agent is started and increased up to a maximum dose. If this agent is not effective or not tolerated, another agent is substituted. Combination therapy with an AChEI and memantine is another option that has shown effectiveness in managing AD. Therapy is generally discontinued if these agents prove to be ineffective or are not tolerated. The decision to stop therapy should involve the resident, family, caregivers, and providers.</p>","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treating chronic insomnia in long-term care: a look at nonpharmacologic options.","authors":"Sherrie Dornberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is important to establish a goal when a resident is diagnosed with chronic insomnia. Based on clinical studies, sleep hygiene should be the first step in managing insomnia. Long-term care facilities should identify environmental factors that may put residents at risk for insomnia. CBT has been studied and shown to be effetive in the management of chronic insomnia, especially in older adults at risk for complications associated with drug therapy. Various CBT options are available. The type of CBT used should be individualized depending upon the resident and resources available within the facility. Drug therapy can be added if CBT alone is ineffective. The next article in this series will discuss pharmacologic options to manage chronic insomnia.</p>","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 3","pages":"10-3"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Insomnia: definition an prevalence in the elderly.","authors":"Sherrie Dornberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is a high prevalence of insomnia in the long-term care setting. This condition needs to be addressed because insomnia affects the quality of life of the resident. It is important for practitioners to differentiate between primary and secondary insomnia so the proper treatment can be given to residents.</p>","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 1","pages":"10-2"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Insomnia: definition and evaluating insomnia and its comorbidities.","authors":"Sherrie Dornberger","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 2","pages":"10-2"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Culture Change: what is it and how to get started.","authors":"Betty MacLaughlin Frandsen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 1","pages":"28, 30, 32-3"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Taking a new look at an old process.","authors":"Betty MacLaughlin Frandsen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 2","pages":"32, 34, 36"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}