Our five post-acute care (PAC) facilities house 1500+ residents. The PAC setting is unique because it serves as home for residents - creating space for their loved ones to visit, leading to strong relationships between staff, residents, and families...
Pain is very common among post-acute nursing home (NH) patients. Balancing appropriate pain management in NHs is a challenge due to concerns for potential adverse pharmacologic effects, high prevalence of multimorbidity and polypharmacy. Prescribing...
Green nail syndrome, also known as chloronychia, is an infectious disorder characterized by green discoloration of the nail. It is a common complication of paronychia, onycholysis, and onychotillomania. It is common in patients whose hands are...
For older adults who have dementia and are living in care facilities, the topic of physical intimacy posits a clinical and ethical dilemma. Long-term care workers must respect their patients’ autonomy, but also protect them from harm. A principal...
A perspective on cultural translational science with disparities and access to care for minority geriatric patients with multi-morbid illnesses within medical facilities with a focus on improving outcomes and quality of care through staff education...
The prevalence of type 1 diabetes mellitus (DMT1) in long-term care (LTC) settings is low compared to type 2 diabetes (∼18-30% of all LTC residents). Though people with DMT1 live longer now, many staff are not aware DMT1 requires a different...
This is a description of a patient with hyperactive delirium after a prolonged hospital stay who was able to share her account of what she was experiencing at that time.
Yersinia enterocolitica (Y. enterocolitica) is a gram-negative enteric bacterium that can result in human disease, in the form of fever, diarrhea, abdominal pain and may result in complications mimicking acute appendicitis. Other complications...
Swallowing is an important yet complex function that is affected by normal aging as well as processes of structural, neurological, or infectious etiologies. Dysphagia can affect any level of swallowing (oropharyngeal or esophageal) and early...
Raoultella ornithinolytica (R. ornithinolytica) is a gram-negative aerobic rod, previously classified as Klebsiella ornithinolytica. It is a rare causative agent of human disease. We describe a case of a resident at a skilled nursing facility with...
