/Users/andrea/_magisterarbeit/korpus/clean/testkorpus/24/file_190g.html NN ----------------------------------------- : As IN chronic JJ disability NN rates NNS drop VVP for IN elderly JJ , , FPs NP can MD help VV trend NN continue VV A DT recent JJ report NN reveals VVZ that DT chronic JJ disability NN rates NNS among IN the DT nation's NNS elderly JJ are VBP falling VVG at IN an DT accelerating JJ pace NN . SENT The DT report NN , , published VVN in IN the DT May NP 22 CD issue NN of IN the DT Proceedings NNS of IN the DT National NP Academy NP of IN Sciences NPS , , details NNS trends NNS in IN chronic JJ disability NN rates NNS from IN 1982 CD to TO 1999 CD for IN patients NNS age NN 65 CD and CC older JJR . SENT The DT report NN is VBZ based VVN on IN data NNS from IN the DT 1999 CD National NP Long NP Term NP Care NP Survey NP . SENT It PP cites VVZ a DT drop NN in IN the DT prevalence NN of IN chronic JJ disability NN from IN 26 CD . SENT 2 CD percent NN to TO 19 CD . SENT 7 CD percent NN . SENT I PP can MD tell VV you PP with IN 100 CD percent NN certainty NN that IN I PP have VHP fewer JJR disabled JJ patients NNS than IN I PP had VHD 10 CD years NNS ago RB , , says VVZ Cheryl NP Lambing NP , , M NP . SENT D SYM . SENT , , assistant JJ clinical JJ professor NN of IN family NN medicine NN at IN the DT University NP of IN California NP Los NP Angeles NP and CC a DT faculty NN member NN at IN the DT Ventura NP County NP Medical NP Center NP Family NP Practice NN Residency NN . SENT Lambing NP , , an DT expert NN in IN musculoskeletal JJ rheumatology NN , , attributes VVZ disability NN declines NNS to TO two CD major JJ factors NNS overall JJ improved JJ health NN and CC the DT increasing VVG use NN of IN home NN health NN care NN or CC assisted VVN living NN facilities NNS in IN lieu NN of IN traditional JJ nursing NN homes NNS . SENT Improved JJ health NN care NN , , immunizations NNS , , medications NNS and CC sanitation NN have VHP given VVN people NNS longer JJR lives NNS , , she PP says VVZ . SENT Now RB that DT they're NN aged VVN , , how WRB do VVP we PP prevent VV them PP from IN being VBG disabled VVN . SENT We PP make VVP their PP$ environment NN safe JJ . SENT We PP treat VVP all PDT their PP$ comorbid JJ conditions NNS . SENT You PP don't VVD want VV an DT 80 CD year NN old JJ who's NNS frail JJ and CC disabled JJ . SENT you PP want VVP an DT 80 CD year NN old JJ who's NNS still RB getting VVG around RP independently RB . SENT Medicine NP has VHZ made VVN great JJ strides NNS in IN warding VVG off RP disabilities NNS , , says VVZ Lambing NP . SENT In IN my PP$ waiting VVG room NN 10 CD years NNS ago RB , , I PP had VHD many JJ patients NNS who WP were VBD disabled JJ , , she PP says VVZ . SENT They PP were VBD disabled JJ , , for IN instance NN , , with IN class NN 4 CD rheumatoid JJ arthritis NN . SENT They PP were VBD wholly RB unable JJ to TO take VV care NN of IN themselves PP . SENT Many JJ of IN them PP are VBP in IN long JJ term NN facilities NNS . SENT Why WRB is VBZ that IN . SENT We PP didn't VVD know VV how WRB to TO treat VV them PP , , and CC we PP weren't NN treating VVG them PP effectively RB . SENT We PP have VHP new JJ medicines NNS now RB . SENT We PP have VHP a DT better JJR understanding NN of IN the DT inflammatory JJ process NN . SENT It's NP the DT same JJ thing NN in IN orthopedics NNS . SENT Instead RB of IN waiting VVG until IN the DT last JJ possible JJ moment NN , , we PP think VVP about IN lavage NN , , debridement NN , , earlier RBR joint JJ replacement NN . SENT If IN people NNS are VBP mobile JJ , , they PP probably RB report VVP less JJR disability NN . SENT The DT NAS NP report NN cites VVZ a DT growth NN in IN assisted VVN care NN living VVG facilities NNS , , and CC Lambing NP says VVZ such JJ facilities NNS have VHP proliferated VVN in IN California NP . SENT Many JJ of IN her PP$ success NN stories NNS involve VVP patients NNS living VVG in IN an DT assisted VVN care NN residence NN or CC remaining VVG at IN home NN with IN help NN from IN aides NNS , , who WP do VVP everything NN from IN grocery NN shopping NN and CC meal NN preparation NN to TO in IN home NN physical JJ therapy NN . SENT The DT mind NN is VBZ a DT powerful JJ thing NN , , she PP says VVZ . SENT For IN many JJ patients NNS , , going VVG to TO the DT long JJ term NN care NN facility NN is VBZ essentially RB the DT kiss NN of IN death NN . SENT Whereas IN , , if IN you PP have VHP the DT same JJ patient NN who WP could MD be VB rehabbed VVN at IN home NN and CC that DT patient NN is VBZ able JJ to TO stay VV in IN the DT home NN environment NN and CC enjoy VV all PDT their PP$ social JJ interactions NNS , , that DT patient NN tends VVZ to TO do VV well RB . SENT Watch VV for IN the DT August NP FP NP Report NP , , which WDT will MD include VV a DT story NN on IN comprehensive JJ assessment NN of IN geriatric JJ patients NNS . SENT For IN CME NP on IN geriatrics NNS , , see VVP Quick NP Fax NP . SENT Lambing NP has VHZ seen VVN that IN firsthand RB . SENT In IN my PP$ home NN , , I PP have VHP four CD generations NNS , , she PP says VVZ . SENT I PP have VHP my PP$ grandmother NN , , my PP$ parents NNS , , my PP$ husband NN and CC me PP , , and CC my PP$ kids NNS . SENT My PP$ grandmother NN has VHZ osteoporosis NN . SENT she's NNS had VHD fractures NNS . SENT she PP requires VVZ oxygen NN 24 CD hours NNS a DT day NN . SENT and CC she PP has VHZ macular JJ degeneration NN , , a DT very RB common JJ cause NN of IN disability NN in IN older JJR folks NNS . SENT So RB I PP can MD see VV it PP right RB under IN my PP$ own JJ roof NN . SENT She PP would MD do VV horribly RB in IN a DT nursing NN home NN . SENT But CC at IN home NN , , she PP has VHZ time NN with IN her PP$ great JJ grandchildren NNS . SENT she PP has VHZ a DT lot NN of IN help NN . SENT Lambing NP says VVZ the DT report NN is VBZ significant JJ for IN primary JJ care NN physicians NNS because IN it PP spells VVZ out RP the DT benefits NNS to TO society NN of IN preventing VVG disability NN in IN the DT elderly JJ . SENT By IN 2030 CD , , the DT largest JJS segment NN of IN the DT population NN is VBZ going VVG to TO be VB patients NNS over IN the DT age NN of IN 65 CD , , Lambing NP says VVZ . SENT That's NP a DT huge JJ group NN of IN patients NNS , , and CC we're VV the DT ones NNS who WP are VBP primarily RB going VVG to TO be VB managing VVG them PP . SENT If IN we PP can MD keep VV them PP healthy JJ for IN longer RB , , we PP won't VVD strap VV our PP$ medical JJ resources NNS . SENT Visit NN http NN . SENT www JJ . SENT pnas NNS . SENT org NP cgi NP content NN abstract JJ 98 CD 11 CD 6354 CD to TO view VV a DT copy NN of IN the DT report NN . SENT Proven JJ value NN . SENT Patient JJ Education NN in IN Your PP$ Office NN . SENT A DT Handbook NN for IN the DT Office NP Setting NP R NP 953 CD , , 34 CD . SENT 95 CD offers VVZ strategies NNS to TO help VV you PP develop VV effective JJ teaching NN systems NNS , , evaluate VV your PP$ efforts NNS and CC increase VV your PP$ chances NNS of IN being VBG reimbursed VVN for IN your PP$ patient JJ education NN services NNS . SENT Plus CC , , by IN using VVG it PP , , you PP can MD earn VV up RB to TO 8 CD hours NNS of IN Prescribed JJ credit NN . SENT A DT shipping NN fee NN may MD apply VV . SENT Kansas NP residents NNS pay VVP a DT 7 CD percent NN tax NN . SENT FP NP Report NP is VBZ published VVN by IN the DT AAFP NP News NP Department NP . SENT Copyright NN 2001 CD by IN American NP Academy NP of IN Family NP Physicians NPS . SENT FP NP Report NP Headlines NNS AAFP NP Home NP Search NP