Publications

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Improving Deep Tissue Pressure Injury (DTPI) Outcomes: A 2.5 Year-long Quality Improvement Project

JAMDA
March 1, 2019
Long-term care facility (LTCF) residents with multiple co-morbidities, debility and cognitive loss are at higher risk of developing deep tissue pressure injury (DTPI). There is limited research supporting the treatment options for DTPIs, but...

Improving Antibiotic Stewardship Program's Educational Materials in the Long-Term Care Setting

JAMDA
March 1, 2019
In November 2017, the Center for Medicare and Medicaid Services (CMS) mandated the implementation of Antibiotic Stewardship Programs (ASP) within Long-Term Care (LTC) facilities in the United States. A core element of this initiative is to provide...

Implementation of Interdisciplinary Wound Care Rounds in a Skilled Nursing Facility

JAMDA
March 1, 2019
There is scant literature regarding interdisciplinary teams providing wound care in long-term care. Our long-term care facility did not have a consistent process for evaluation and treatment of wounds by nursing and physician teams.

Implementation of Function-Focused Care to Change Practice Behavior of Direct Care Workers in Assisted Living

JAMDA
March 1, 2019
Assisted living (AL) communities are home to over 830,000 adults, who are mostly 85 years and older. Older adults in AL spend the majority of their waking time sedentary and experience more decline in functional performance compared to nursing home...

Impact of the EMediCal Application on the Efficacy of Clinical Communication Among Health Care Providers (HCP) and Nursing Home (NH) Staff

JAMDA
March 1, 2019
Clear and complete communication between health care providers (HCP ) is a prerequisite for the safe patient management and is a key component of the Joint Commission’s 2008 National Patient Safety Goals for Long-Term Care (LTC). There is paucity of...

Impact of Bed Alarm Removal and Implementation of Hourly Rounding to Reduce Falls

JAMDA
March 1, 2019
Audible pressure bed and chair alarms in the post-acute and long-term setting (PA/LTC) have proven to be an ineffective intervention for reducing falls and in fact have met criteria as a physical restraint according to the Centers for Medicare and...

Focused Heart Failure SBAR Implementation in Home Health Care to Increase Interventions in the Home and Decrease Re-Hospitalizations Among HF Patients

JAMDA
March 1, 2019
This paper focuses on a quality improvement (QI) project implemented in a home health setting among a population of patients with heart failure (HF). It was discovered there was a lack of nurse-led recommendations and ineffective use of the...

Fall Reduction Program in a Skilled Nursing Facility: a Multidisciplinary Approach

JAMDA
March 1, 2019
Adults over the age of 65 are at high risk of mortality and morbidity from fall-related injuries. It is estimated that between 10-20% of falls in long-term care result in serious injury. It is imperative that strategies be developed to decrease the...

Evaluation of the MaineHealth Skilled Nursing Facility Congestive Heart Failure Protocol

JAMDA
March 1, 2019
Acute exacerbation of congestive heart failure (CHF) is the most common reason for Medicare patients to be readmitted to the hospital within 30 days of discharge. Data about managing CHF in the skilled nursing facility (SNF) is sparse and what...

Evaluating the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Program in Canada

JAMDA
March 1, 2019
Palliative care in long-term care (LTC) homes is a global problem.