Diabetic foot ulcers (DFUs), also called neuropathic ulcers, are one of the many complications of diabetes and a common diabetic complication that leads to hospitalization. Up to 25% of people with diabetes will develop a foot ulcer at some point...
With aging, diabetes management meets more challenges, including a rising number of comorbidities and functional and social limitations, as well as a different management of risk factors than with younger and middle-aged adults.
The holiday season is a great time for clinicians, residents, and family members to collaborate with long-term care administrators on strategies to enrich the season for diabetic patients and residents while maintaining their health status within...
Moving into the winter, it’s the perfect time to take a fresh look at vaccine guidance for older adults and post-acute and long-term care facility staff. “Clinicians need to stay current on available vaccines and updates on guidance and schedules,”...
An updated diabetes clinical practice guideline (CPG) from AMDA – The Society for Post-Acute and Long-Term Care Medicine is in the works, and it will reflect the changes in standards of care for diabetes since the 2016 version of the document. “...
As with so many areas of health care, technology is changing the face of diabetes management. Continuous glucose monitoring (CGM) devices automatically track blood glucose levels throughout the day and night, then transfer this information to a cell...
Assisted living (AL) is the largest provider of long-term care in the United States, recently overtaking nursing homes in providing custodial care. The glaring difference between these levels of care is the degree of consistency and the amount of...
Dear Dr. Diane: In my role as a clinical manager, I cover a large territory that includes PALTC facilities in rural and suburban areas. I notice that there are many residents with chronic conditions in my rural facilities, and I think that the...
POLST, known as Portable Medical Orders, has been a tool to help patients receive goal-concordant care for about 30 years since its development in Oregon (then called “Physician Orders for Life-Sustaining Treatment”). POLST calls for a quality,...
In our recent conversations with nursing home residents, we frequently hear about the challenges of short staffing. “There aren’t enough,” one resident said about certified nurse assistants (CNAs). Another resident said that in the face of low and...
