Describes the demographic trends and health risk factors of the growing elderly population, especially poor minorities. Suggests rethinking traditional hospital and nursing home roles in health care delivery to the elderly, expanding research concerns, reworking access to Medicaid, and ensuring health care to minorities. (CJS)

"Disruptive" vocal behaviour is common in nursing homes, but presents significant management challenges. Non-pharmacological approaches have been found to be effective and preferable interventions in such situations. A case study is presented of an 85-year-old woman who displayed frequent screaming and calling out during personal care…