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Caring for the Ages
August 1, 2019
Across all settings of care we are increasingly focused on using and providing behavioral interventions to optimize health, well-being, and quality of life, to increase physical activity, and to manage the behavioral and psychological symptoms...
Caring for the Ages
August 1, 2019
Dear Dr. Jeff: Our facility administrator has asked all the “providers” to participate in a chain-wide program to boost “consumer satisfaction.” Our medical team would be happy to participate in quality improvement projects. But most of us object to...
Caring for the Ages
August 1, 2019
Avoiding an apparently tough challenge that carries an inherently high risk of failure may not always be the best strategy. Failures teach us valuable lessons that may then be applied to tackle the same challenge with a new approach or to address a...
Caring for the Ages
August 1, 2019
In July 2018, the Centers for Medicare & Medicaid Services (CMS) finalized a new case mix classification model, the Patient Driven Payment Model (PDPM), which will be used under the Skilled Nursing Facility Prospective Payment System (PPS) for...
Caring for the Ages
August 1, 2019
We hear it repeatedly with the impending departure of American presidents, particularly those who have served two terms in office: How will I be remembered? What difference did I make? What did I make better? And the specific issue at hand: What...
Caring for the Ages
August 1, 2019
Supported by AMDA — The Society for Post-Acute and Long-Term Care Medicine, an effort to improve the diagnosis and treatment of uncomplicated bladder infections in noncatheterized long-term care facility residents is progressing. The results of the...
Caring for the Ages
August 1, 2019
Sepsis identification and management is as controversial and vexing as ever, but efforts in nursing facilities to identity and track changes in condition, use tools for structured communication, and initiate early management can make an impact,...
Caring for the Ages
August 1, 2019
A clinical diagnosis of bacterial pneumonia in nursing home residents most often can be treated with a single oral course of antibiotic therapy targeted toward community-acquired pneumonia pathogens, Ghinwa Dumyati, MD, said at the AMDA — The...
Caring for the Ages
August 1, 2019
Testing for Clostridioides difficile should be done only for patients who have a new onset of unexplained “true diarrhea,” which means three or more loose stools in 24 hours — unformed stools that take the shape of a collection container, Ghinwa...
Caring for the Ages
August 1, 2019
Elizabeth Galik, PhD, CRNP, and Richard Stefanacci, DO, MGH, MBA, AGSF, CMD, the new Caring for the Ages coeditors in chief, followed different paths to their new role; but their experience, vision, and passion for their profession have brought them...