Pain is a vast and complex topic with many detailed aspects. As with so many other conditions and symptoms, pain management remains challenging. There are already many guidelines and articles on the topic. Instead of covering specific clinical...
Mr. Henry was the last patient on our interdisciplinary team rounds. The staff on call told us that he was one of their most difficult patients. His spouse was quite possibly even more difficult; she frequently demanded answers to repetitive...
Ms. P is a 72-year-old woman who was admitted for rehabilitation after an above-the-knee amputation for a lower-extremity ulcer that did not heal due to associated arterial insufficiency. Her past medical history includes a cerebral vascular event...
Benjamin Franklin wrote in a letter to Jean Baptiste Le Roy in 1789, “Our new Constitution is now established, and has an appearance that promises permanency; but in this world nothing can be said to be certain, except death and taxes.” Before...
My connection with the Foundation for Post-Acute and Long-Term Care Medicine has centered around its support for the Futures Program, which has been near and dear to my heart for many years. I clearly remember when Cheryl Phillips, MD, CMD,...
As you begin reading, I invite you to notice whether you are experiencing any pain. Where is it showing up in your body? How would you describe it? If you shift your body, is there relief or is the pain exacerbated? Does the pain make you think of...
Although the use of automated external defibrillators (AEDs) in out-of-hospital cardiac arrest (OHCA) response has become the standard of care in many community settings over the past 20+ years, the adoption of AEDs in US nursing facilities is...
Long-term care residents with suspected fractures as a result of a fall typically transfer to the emergency department (ED) for diagnostic imaging and care. During the COVID-19 pandemic, transfer to the hospital increased the risk of COVID-19...
A new Centers for Medicare & Medicaid Services (CMS) analysis describes trends in use and outcomes associated with waiving the three-day (two nights) stay requirement at an acute care hospital before discharge to a skilled nursing facility (SNF...
The Centers for Medicare & Medicaid Services (CMS) seeks applications from Medicare-enrolled providers, suppliers, and Medicare accountable care organizations (ACOs) for the Bundled Payments for Care Improvement (BPCI) Advanced Model Year 7 ,...
