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JAMDA
November 1, 2020
JAMDA
November 1, 2020
In long-term care, some concepts have taken on the nature of a self-evident truth—so-called because to true believers, they require no evidence to justify their merit. One such example is the importance of consistent staff assignment. Years ago, I...
JAMDA
November 1, 2020
Many nursing home design models can have a negative impact on older people and these flaws have been compounded by Coronavirus Disease 2019 and related infection control failures. This article proposes that there is now an urgent need to examine...
Caring for the Ages
November 1, 2020
It was a time not unlike the present, although more than half a century has passed. The year was 1969, my first year of medical school in Philadelphia. Many of us had long hair back then and wore black armbands over our white coat sleeves to protest...
Caring for the Ages
November 1, 2020
Oh, 2020. You aren’t over yet, and I cannot imagine what final miseries you hold in store in your waning days. I’ve always been a glass-half-full person who looks to see the good in others — a consensus-builder, a holder of space, a proponent of the...
Caring for the Ages
November 1, 2020
When thinking about the future of long-term care, we can start by drawing on the thoughts of Amazon’s CEO Jeff Bezos on the subject of strategy. “I very frequently get the question, ‘What’s going to change in the next 10 years?’ ... I almost never...
Caring for the Ages
November 1, 2020
Mr. G is an 87-year-old White male who was recently transferred to a nursing home within a continuing care retirement community where he lives with his wife. He was treated in an acute care setting for an exacerbation of congestive heart failure,...
Caring for the Ages
November 1, 2020
Dear Dr. Jeff: I recently completed a geriatrics fellowship and joined a multispecialty group practice in a small city. A few months ago, I agreed to serve as the Medical Director for a nearby 4-star nursing home. We have survived the pandemic...
Caring for the Ages
November 1, 2020
AMDA – The Society for Post-Acute and Long-Term Care Medicine announced recently that it is generally pleased with the final report from the administration’s Coronavirus Commission for Safety and Quality in Nursing Homes. However, the Society...
Caring for the Ages
November 1, 2020
Every system is perfectly designed to get the results it gets.—W. Edwards Deming