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White Paper B11 Background and Purpose Nationwide, nursing facility care is changing from long-term custodial care of frail elders to complicated and resource-intensive post-hospital care. The population of people receiving care in nursing...
Introduction In 1974, in response to identified quality of care problems, Medicare regulations first required a physician to serve as medical director in skilled nursing facilities and to be responsible for the medical care provided in...
1. Introduction Many residents of nursing facilities and other long-term care settings are cognitively impaired and thus may be incapable of making decisions about their medical care. Clinicians providing care for these residents must rely...
Introduction The American Medical Directors Association (AMDA) was founded on the premise that physician involvement in long term care is essential to the delivery of quality long term care. Attending physicians should lead the clinical...
Growing up in a South Florida community with no adults under age 50, Kathy Kemle, MS, PA-C, thought of older people as friends and peers. “I was incredibly spoiled by them,” she recalls. When she was in high school, she started working as an aide in...
For Melissa Purvis, MSN, RN-BC, NHA, National Director of Clinical Practice at Golden Living, her entry into long-term care was partly a practical consideration. “I had a small child, and I liked the flexibility the field offered.” However, she...
This program will review the changes in sleep that occur with age and impact sleep quality. The presenters provide a methodology to comprehensively assess the psychiatric, medical, and neurologic illnesses that impact the health related outcomes of...
This implementation manual delineates a systematic, well-planned implementation process for implementing the AMDA Clinical Practice Guideline (CPG) for Heart Failure. It is designed to assist physicians, nurses, and advanced practitioners to support...
This implementation manual delineates a systematic, well-planned implementation process for implementing the Pain Management Clinical Practice Guideline (CPG). It is designed to assist physicians, nurses and advanced practitioners to support...
Urinary incontinence is one of the most common conditions among residents of post-acute and long-term care (PALTC) facilities, affecting about 55% of all such residents. The prevalence of urinary incontinence increases with age. Women are affected...
