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A

Advanced macular degeneration (AMD)
AMD is a common source of vision loss among people older than age 60. Although AMD rarely results in blindness, people with AMD have difficulty driving, reading and performing other tasks because their vision becomes blurred.
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Alzheimer’s care
A person with Alzheimer’s disease needs special care. This plan includes special nurses and staff who are knowledgeable about the disease, security measures that promote independence and freedom and prevent wandering, support and guidance for the family, and a friendly atmosphere to reduce confusion and frustration for the patient.
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Arrhythmia
The heart beats when an electrical signal travels from the sinoatrial node—the heart’s natural pacemaker—to the heart. Arrhythmia, or irregular heartbeat, results when these electrical impulses are disrupted. Arrhythmia can be a minor problem, such as a short pause or premature heart beat that has no affect on a person’s overall heart rate. However, an arrhythmia that lasts for a long time can cause the heart to beat too slowly or too quickly. A normal heart beats 60 to 100 times per minute. Tachycardia occurs when the heart beats more than 100 times per minute, and bradycardia means the heart rate is less than 60 beats per minute.
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B

Bedsore
A pressure ulcer (also known as a bedsore or pressure sore) occurs when constant pressure prevents oxygen and other nutrients from reaching tissue under the skin. Elderly people, who are less active and are more likely to have fragile skin and poor circulation, are at high risk for pressure ulcers.
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C

Cardiac care
Cardiac care can help someone recovering from a heart attack or bypass surgery or experiencing abnormal heart rhythms or high cholesterol. Specialized cardiac care can reduce the risk of subsequent heart attacks and death from other causes.
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Cataracts
Cataracts are cloudy areas in the eye’s lens, which is normally transparent. As this cloudiness thickens, it blocks light rays from passing through the lens and focusing on the retina, the light-sensitive tissue lining the back of the eye. In the earliest stages, cataracts may not significantly disturb vision, but as the lens continues to change, symptoms as appear. A doctor can remove cataracts in a routine procedure.
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D

Dehydration
Fluids are especially important for older people because they help medicines work properly, keep skin moist, and prevent constipation. A person becomes dehydrated when the body loses water faster than it is replenished. The body tends to retain less water and lose some of its ability to regulate water balance as it ages, making the elderly more susceptible to dehydration.
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Diabetic care
Diabetic care helps those with diabetes learn how to manage the disease and keep control of their lives.
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Dialysis Support
Dialysis is a means of filtering a person’s blood when the kidneys are not able to.
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G

Glaucoma
Glaucoma is a disease that causes fluid to accumulate in the eye, increasing the pressure inside. Glaucoma can be treated in a variety of ways, and early treatment can keep the pressure in the eye under control to help reduce vision loss. Eventually, glaucoma can damage the eye’s optic nerve, which carries information from the eye to the brain, resulting in blindness.
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H

Heart murmur
Heart murmurs are quite common in the elderly. As the body ages, muscle cells in the heart gradually degenerate and the valves, which control the pattern of blood flow, gradually thicken. Erratic blood flow patterns cause vibrations, heard as roaring or rasping sounds called heart murmurs. A person with a heart murmur may not necessarily have heart disease, and heart disease does not necessarily cause a heart murmur. 
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High blood pressure
Many factors can help cause high blood pressure, including narrowing of the arteries, a high volume of blood or an irregular heart rhythm. High blood pressure makes the heart work harder to pump blood through the body. An overworked heart and arteries are more susceptible to disease, and people with high blood pressure have an increased risk for heart attacks, strokes, kidney failure, eye damage and congestive heart failure. There is no cure for high blood pressure, but the patient can control it with proper medication, a healthy diet, and moderate exercise.
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Hospice care
Hospice is a program designed to give supportive care and services in the final phase of a terminal illness. Hospice focuses on comfort and quality of life rather than cure, and provides emotional, spiritual and bereavement support to the terminally ill patient and their family.
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I

Infusion (IV) therapy
IV therapy is an intravenous means of administering drugs or nutrients that cannot be taken by mouth.
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L

Long-term care insurance
Another way to help defray nursing home expenses is to purchase private long-term care insurance. Private long-term care insurance includes retiree and government-funded insurance, such as Medigap. Other types of insurance help pay for 24-hour care. The benefits and costs of these plans vary.
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Low heart rate (bradycardia)
A low heart rate, also known as bradycardia, is a form of arrhythmia. A person with a low heart rate may experience fatigue, dizziness, lightheadedness, and/or fainting or near-fainting spells.
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M

Medicaid
If the patient or resident cannot afford any other financial option, he or she may be able to apply for Medicaid to pay for nursing home care. Eligibility requirements vary from state to state, but this is an option for eligible low-income patients.
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Medicare
This federal insurance program may cover some nursing home expenses for skilled nursing care or rehabilitation services. To obtain these funds, the patient must have a Medicare card and must receive services from a Medicare-certified nursing home after a hospital stay of three or more days.
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O

Occupational therapy
Occupational therapy can help people who are disabled to re-learn essential life functions like eating, bathing and dressing, as well as ordinary activities such as cooking, doing laundry and playing games.
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P

Pain management
Pain management is the process of providing medical care that alleviates or reduces pain. This is extremely important in healthcare because patients who are in severe pain often become agitated or depressed and have poorer treatment outcomes.
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Physical therapy
Physical therapy can restore muscle strength and improve coordination, and can even help control or alleviate acute and chronic pain.
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Plan of care
The healthcare team will develop a personalized care plan that fits the resident’s specific needs. This may include rehabilitative care, medical care, social support, dietary planning, personal care and Alzheimer’s care.
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Presbycusis
Presbycusis is the most common hearing problem in older people. It erodes their ability to distinguish the higher-pitch sounds common in everyday speech. In most cases, it’s caused by age-related changes in the inner ear, but the disease also can result from changes in the middle ear or from complex changes along the nerve pathways leading to the brain. Presbycusis most often occurs in both ears, causing gradual hearing loss, and many people who have presbycusis may not realize that their hearing is declining.
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Pressure ulcer
A pressure ulcer (also known as a bedsore or pressure sore) occurs when constant pressure prevents oxygen and other nutrients from reaching tissue under the skin. Elderly people, who are less active and are more likely to have fragile skin and poor circulation, are at high risk for pressure ulcers.
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R

Resident centered care
Resident centered care is an innovative quality-of-life approach to caregiving—combining the best of the clinical model of skilled nursing care with a flexible, innovative social model that allows residents to enjoy more independence, privacy and choices.
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Respiratory services
These are services that help those with breathing impairments to control or lessen their symptoms or complications. Services include tracheostomy care, ventilator support and respiratory therapy.
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Respiratory therapy
With the help of breathing aids, such as a ventilator, people control or reduce symptoms or complications that affect the lungs.
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Respite care
Respite is a short-term arrangement that affords a caregiver some time off to refresh and relax.
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Speech therapy
Speech therapists can help people with certain health problems, such as a stroke, to re-train the muscles in the mouth and throat so they can speak and eat properly.
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Stroke (CVA)
Cerebrovascular accident (CVA), or stroke, is the sudden death of brain cells due to a lack of oxygen when the blood flow to the brain is impaired.
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T

Tinnitus
Tinnitus is commonly known as a ringing, roaring or other sound in a person’s ears, and it is more common among older people. Tinnitus may be constant, intermittent and/or may stop altogether.
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U

Unintended weight loss
Over half of all nursing home residents experience unintended weight loss, which could result from a serious illness, a decline in memory or a behavioral issue. The following risk factors can increase the likelihood of unplanned weight loss—serious medical problems, decrease in appetite, decrease in mobility, depression, feeling of abandonment, history of weight loss, fever and pressure ulcers.
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W

Wound management
Wound management uses state-of-the-art expertise in the care and treatment of skin conditions, especially wounds of the elderly that can be especially painful and slow to heal.
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