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Back to the Bedside

Caring for the Ages
October 1, 2019
The Dover Park Hospice in Singapore asked me to visit their hospice to observe how they had adapted Namaste Care, a program I had developed for people with advanced dementia. Originally it was a small group program for nursing homes, but now it has...

Hip Fracture With Resistance to Care

Caring for the Ages
October 1, 2019
Mrs. B is a 100-year-old white female with a history of dementia, squamous cell carcinoma to the bilateral lower extremities, and venous insufficiency. She is no longer able to verbally express her opinions or desires, although she recognizes...

Recognizing Excellence

Caring for the Ages
October 1, 2019
It is a cardinal fact that if one wishes to perpetuate any given behavior, then that behavior needs to be rewarded. A simple “thank you” or “you made a difference in the care of me or my loved one” from a family or resident is always welcome for...

UTI Management: It’s All in the Culture

Caring for the Ages
October 1, 2019
A new study covering almost all nursing home residents in Ontario, Canada, has shown highly variable urine culturing rates across facilities and a strong association of culturing with antibiotic use and Clostridioides difficile infection — a...

Putting Together Pieces of Trauma-Informed Care Puzzle

Caring for the Ages
October 1, 2019
Phase 3 of the revised Medicare and Medicaid Requirements of Participation for long-term care, which will go into effect next month, require skilled nursing homes to provide “trauma-informed care (TIC),” an approach to care that factors in the...

PALTC Steps Up Strategies to Attract Nurses

Caring for the Ages
October 1, 2019
Enrollment in nursing schools is up as more people — men and women alike — see this as an exciting field where they can have a rewarding career and job security. However, while nursing schools are attracting more students, too few of their graduates...

Innovative Lessons in Leadership

Caring for the Ages
October 1, 2019
Practitioners are already beyond busy addressing all the clinical and regulatory demands on them. So why should they take the time to hone their leadership and management skills? Michael Wasserman, MD, CMD, president of the California Association of...

Shared Learning for Better Outcomes

Caring for the Ages
October 1, 2019
“Caring Collaborative” is more than the catchy title of our regular editors’ column for Caring for the Ages — it is meant to be a guide for our work. Today’s post-acute and long-term care (PALTC) environment requires a caring collaborative among a...

ALFs, Meds, and Transitions

Caring for the Ages
October 1, 2019
There is a well-known association between transitions of care and medication-related problems, notably in the form of adverse drug events. Although we have limited evidence-based information on this topic in assisted living facilities (ALFs), some...

Letter In Response to Tips to Avoid Being Sued

Caring for the Ages
October 1, 2019
Dear Drs. Galik and Stefanacci, AMDA — The Society for Post-Acute and Long-Term Care Medicine has been a strong proponent of team-based care for older adults. The Society has supported collaborative relationships among attending physicians and nurse...