About the artist: This month’s cover art, “Outer Banks,” was painted in watercolor by Ali Clagett, a resident of The Fairfax, a retirement community in Fort Belvoir, Virginia.
FEATURES
Assisted Living: Snapshot of a Fast-Growing Field
Virginia Clay
Nonexistent just a few decades ago, assisted living is now a critical part of the senior care equation. Here we’ll look at the demographic and policy trends driving explosive growth and opportunities in this exciting field.
RAP Utilization Guidelines: A Powerful Tool for Drug Regimen Assessment under the Clinically Based Survey Process
Nancy L. Losben
Used in tandem with other medication review tools, the federal Resident Assessment Protocol Utilization Guidelines can be a powerful aid to clinical decision making, improved outcomes, and compliance with the new federal quality indicator system.
Geriatrics 2000, ASCP’s 22nd Midyear Conference and Exhibition
Through a diverse array of educational programs, Geriatrics 2000 will provide the clinical, policy, and practice management tools pharmacists need to succeed at all points along the expanding senior care continuum. Here's all the information you need to prepare for this spring's premier pharmacy event.
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C O N T E N T S
March 2000/Vol. 15, No. 3
America's Senior Care PharmacistsTM
Clinical Review
Treatment Options for Patients with Osteoporosis: Consideration of Individual Risk Factors
Laurel Ashworth, Jeffrey R. Schein
This literature review and illustrative hypothetical case studies suggest avenues for improved osteoporosis care by tailoring drug therapy for age, comorbidities, and individual health risk profile.
Research and Reports
Pharmacoeconomic Cost Analysis of Tramadol and Nonsteroidal Anti-Inflammatory Drugs in the Treatment of Chronic Pain in a Long-Term Care Population
I. Barton Frenchman
Results of this retrospective review of medication use data on 6,225 residents of 50 long-term care facilities indicate that tramadol may offer a more cost-effective alternative to NSAIDs for chronic pain control.
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D E P A R T M E N T S
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Bylines
The Safest Bet in Vegas
David K. Buerger
Letters
More on Calculating PPS Per Diems
Health Trends
Moving toward Individualized Disease Management; Can Low-Dose Therapies Help Curb Adverse Drug Reactions?; IOM Report Cites Suboptimal Nutrition Care in Elderly; HMOs Falter in Osteoporosis Care; more
Instructions for Authors
Consultant Pharmacist Forum
Novel Uses of the Antiepilepsy Drugs
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Policy Currents
Providers, Payers Move to Standardize Medical Information; Sales of Long-Term Care Insurance Still Low, Survey Finds; Washington State Explores New Medicaid-Style Program; Top Mistakes under PPS; more
Helpful Ideas
Managing Pain to Improve Residents’ Quality of Life
Rena R. Shephard
Calendar
Late Additions
Poor Handwriting Leads to Negligence Ruling; New Drug Use Data Available from AHRQ; USC Offers On-Line Gerontology Studies
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