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Unnecessary Medications and Adverse Drug EffectsAdverse drug effects are especially problematic in the elderly because they have slowed metabolism and excretion of medications. Often times such adverse reactions are caused by the use of unnecessary medications, or the use of medications in excessiveUrinary IncontinenceUrinary incontinence is defined as an involuntary loss of urine that is severe enough to cause social or physical consequences for the individual experiencing it. Urinary incontinence affects 35% of all adults and 50% of those residing in long-term carUrinary Tract InfectionsUrinary tract infections (UTIs) are the most common bacterial infections in the elderly. They are also a leading cause of admission to the hospital from the nursing home and a leading cause of death due to blood infections (sepsis). What are risk factoUse of Catheters in Nursing HomesA urinary (foley) catheter is a thin, soft tube inserted in the bladder, and the tube is attached to a bag that collects urine. Catheters are used to assist residents to void if they cannot do so on their own, or if a medical condition warrants use...Weight LossIn the nursing home setting, significant weight loss is defined as loss of 5% or more in the last 30 days or 10% or more in the last 180 days. Much weight loss can be prevented in the nursing home with proper care. What are risk factors...What is OBRA? Learn more about OBRA Regulations Governing Nursing HomesOBRA stands for Omnibus Budget Reconciliation Act.