When Rebecca Ferrini, MD, MPH, CMD, set out to develop AMDA – The Society for Post-Acute and Long-Term Care Medicine’s tool kit The Younger Adult in the Long-Term Care Setting ( https://bit.ly/3tS7hUM ) almost 10 years ago, she and her coauthors...
Dear Dr. Jeff: Recently our facility had a patient who complained of abdominal pain and vomiting. She was sent to the emergency department where she received a Fleet enema and was returned with a diagnosis of “fecal impaction.” The family complained...
Mrs. R is a 47-year-old White woman who moved into the long-term care facility in 2018 when she needed more assistance than could be provided in her adult-care home. Her medical history is long and complicated: rheumatoid arthritis with multiple...
Younger adults make up approximately 15% of the post-acute and long-term care patient population. They are more likely to be men and to have Medicaid as the primary payer (J Gerontol Nurs 2009;35:22-31). More younger adults in PALTC represent those...
Paige Hector, LMSW, a clinical educator/consultant and a member of the Caring for the Ages editorial advisory board, takes a look at the connection between social isolation and depression.
Imagine you are 55 years old and moving to a different city and a new “home.” The only time you’ve lived anywhere but your lifelong family home was when you went to college; even then, your older brother was your roommate, and all your courses were...
The National Center for Health Statistics reports that 16.5% of long-term care residents are younger than 65 (Vital Health Stat 3 2016;38:x-xii,1–105). However, we know that some LTC facilities tend to have higher concentrations of younger adults,...
“Today we really need nursing home medical directors who are engaged and knowledgeable about our regulatory and risk management concerns, quality improvement initiatives, infection control requirements, and upgrading clinical services to decrease...
I must admit, my attendance of the Futures Program in 2013 felt like pure dumb luck. I received the AMDA Foundation Futures Educational Grant through the Gerontological Advanced Practice Nurses Association. I was not completely sure what the program...
I often fantasize about the ideal long-term care facility: a facility without regulations or the resulting need to document everything. In this dream facility — we will call it Nirvana — the nurses, certified nursing assistants, dieticians,...
