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Orthostatic hypotension in the nursing home setting
Authors:Iwanczyk Lukasz  Weintraub Nancy T  Rubenstein Laurence Z
Affiliation:UCLA Multicampus Geriatrics Fellowship Program, Sepulveda, CA 91343, USA. liwanczyk@hotmail.com
Abstract:
Orthostatic hypotension is a common condition among nursing home (NH) residents. NH residents tend to have multiple disease processes and tend to be on multiple medications associated with orthostatic hypotension and are predisposed to a myriad of negative clinical consequences, most notably falls. This article discusses a commonsense approach to diagnosis, evaluation, and treatment of patients with this disorder, with an emphasis on nonpharmacological interventions, such as patient and staff education.
Keywords:Orthostatic hypotension   postural hypotension   nursing home   long-term care facility
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