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Long-Term Services and Supports

Technical assistance for culturally competent care

December 2016 Update

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LTSS Training and Technical Assistance Center

Visit the online LTSS TA Center for videos, best practices, toolkits, a resource library, and a step-by-step planning roadmap.

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Researchers Recommend Medication Review After a Fracture


Many commonly prescribed medications including antidepressants and antacids are associated with increased fracture risk, and a new study concludes that a medication review for older adults after a fracture could reduce the risk of further injuries. Researchers from Boston University School of Public Health reviewed the records of more than 163,000 Medicare patients who had suffered fractures, and found that three-fourths were exposed to at least one of 21 drugs they identified. The study appeared in the online edition of JAMA Internal Medicine.

More About Falls

Learn more about falls and mortality among the elderly, including surprising indicators of risk and health.

 
  Reducing injuries by reducing falls
 
  An LTSS TA Center webinar, "Preventing Elder Falls and Injuries—Building a Program that Works," highlights how LTSS providers can protect patients from falls.

 
Review the building blocks of a fall prevention program
Learn how community-based and medical services can work together to prevent falls
Examine possible funding sources for fall prevention

Oglala Sioux Nursing Home Provides Care Close to Home

The new Oglala Sioux Lakota Nursing Home in Nebraska
Photos provided by Tory Moghadam via Native American Health Management

The new Oglala Sioux Lakota Nursing Home in Nebraska provides care close to home for nearby communities. The 60-bed facility anticipates residents transferring from facilities as far away as Arizona.

Study: Hearing Loss Nearly Universal Among Elders Age 80 or Above

A new study conducted at Columbia University College of Physicians and Surgeons finds widespread hearing loss among elderly Americans, with an especially high rate for those 90 and older. In the study sample of 647 people aged 80 and above, nearly all had some level of hearing loss based on test results, with those over 90 the most affected. Medicare does not pay for hearing aids and only 59% of the study participants used one. Read about the study on the HealthDay News website.

Connections Between Down Syndrome and Alzheimer’s

People with Down syndrome are living longer than ever before. With this extended life expectancy comes new health challenges, including Alzheimer’s disease. There are several ongoing studies and clinical trials exploring the link between Down syndrome and Alzheimer’s. Estimates suggest that 50% or more of people with Down syndrome will develop dementia due to Alzheimer’s disease as they age.

Dr. Laurie Ryan of the National Institute on Aging discusses a new NIH initiative aimed at discovering biomarkers of Alzheimer’s disease in adults with Down syndrome.

Read more about the research connecting Down syndrome and Alzheimer’s at the National Institute on Aging website.

Being Mortal – Resources for Asking the Hard Questions

Book cover - Being Mortal: Medicine and What Matters in the End

Dr. Atul Gawande, a practicing surgeon and best-selling author, explores the challenges of end-of-life care and how doctors and caregivers should talk to patients when treatments may be likely to cause more harm than good. In his latest book, Being Mortal: Medicine and What Matters in the End, Dr. Gawande asks: “When should we try to fix and when should we not?” To help people make the best decision, he provides questions that explore a patient’s understanding of their situation and what they feel makes their unique life worth living. Read more about Being Mortal at the author’s website.

Watch the Frontline special on Dr. Gawande as he explores the relationships between doctors and their patients who are nearing the end of life.

Read more about hospice and palliative care in Indian Country, including profiles of four programs that incorporate culture in end-of-life care.

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Join the Conversation on LinkedIn

Want to learn more about or discuss LTSS in Indian Country? Looking to connect with others working in the same field? Join the Tribal Affairs Group on LinkedIn and join the conversation.
Featured Video

Dementia and Kittens

Elderly woman cuddling a kitten

Catalina Springs Memory Care in Oro Valley, Arizona, has teamed up with Pima Animal Care Center (PACC) for a new program where abandoned newborn kittens are brought to the facility so residents can care for them. As this news video shows, the kittens get the critical care they need to survive, and residents get to bottle feed, play with, and dote over them.

“To some, it may seem peculiar at first: Residents, who are in need of around-the-clock care themselves, given the task to care for these young kittens,” said Executive Director Sharon Mercer in a PACC news release. “But there are skills, emotions, and needs that do not just leave a person with dementia or Alzheimer’s. The desire to give love and receive love remains. The kittens have given us the opportunity to nurture this human condition that lies in each and every one of our residents.”

Send Us Your News

Do you have news to share about LTSS in Indian Country? Send it to ltssinfo@kauffmaninc.com, and we’ll include it in a newsletter. Contact us with other comments or feedback, too.
About the Newsletter

Long-Term Services and Supports Solutions is published monthly by the CMS Division of Tribal Affairs to share information, funding opportunities, and resources with LTSS planners, tribal leaders, and supporters.
Centers for Medicare & Medicaid Services Indian Health Service Administration for Community Living






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