It takes a lot to surprise Charles Crecelius, MD, PhD, CMD, but the veteran practitioner and long-time member of AMDA — The Society for Post-Acute and Long-Term Care Medicine was “shell-shocked” to learn he’d been named 2019 Medical Director of the...
Use of basic dressings, namely saline gauze or similar inert dressings, for treating pressure injuries (PIs) should be discontinued in favor of hydroactive dressings, according to a systemic review and meta-analysis that also suggests that use of...
Due to the changing dynamic in the health care industry, the number and percentage of elderly patients admitted to skilled nursing facilities with mental illness (schizophrenia, bipolar disorder, depression, or anxiety) and dementia (along with the...
This case is not an ambiguous one. I think that in real life very few physicians would implement an order to withhold food and sedate someone who still appears to want food, can still feed himself, and is able to swallow safely like Bill in this...
This study supports previous research that we can’t get residents, families, or caregivers to really believe: exercise is the best way to prevent falls! The problem is everyone would rather just take vitamin D, which we now know is not as effective...
Whenever we hear the word innovation, mostly what comes to mind is something like an iPhone or a fancy wearable gadget. But the truth is that we can create much needed efficiencies for our communities and our patients by thinking outside the box for...
Are we seeing the disability or the potential? Residents with challenges such as Alzheimer’s disease, stroke, Parkinson’s disease, multiple sclerosis, or vision impairment prepare meals and feed the homeless throughout California.
“It’s a good day to plan projects and activities around advance care planning and end-of-life conversations, which can be awkward and stressful,” said Charles Crecelius, MD, PhD, CMD, medical director of Delmar Gardens in St. Louis, MO, about...
Jim, I have a hypothetical case for you. One of my residents with dementia, let’s call him Bill, has an advance directive stating that when he no longer has meaningful social interaction, his caregivers should stop giving him food or water. He is...
Michael Fingerhood, MD, FACP, associate professor of medicine and public health at Johns Hopkins University, talks about older adults and alcohol consumption.
