Publications

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What You Need to Know About Disaster Planning

Caring for the Ages
October 1, 2018
Timothy Gieseke, MD, CMD, whose nursing facility survived California wildfires, shares tips about planning for emergencies.

Staffing Assistance Needs Rise With Increasing Resident Obesity

Caring for the Ages
October 1, 2018
New research has demonstrated an increase in the need for extensive staffing assistance with reported activities of daily living (ADLs) when residents’ body mass index (BMI) increases.

Transitions in Assisted Living

Caring for the Ages
October 1, 2018
“I can’t go back home. I can barely walk. How am I going to get around in my apartment?” said a frantic Mrs. S as we sat in a meeting at the skilled nursing facility where she had been receiving care over the last 3 weeks. She turned desperately to...

Facilitating Out-of-the-Box Solutions

Caring for the Ages
October 1, 2018
Health care systems are facing resource constraints, with the post-acute and long-term care field facing perhaps the most pressure. Unfortunately, not much relief is in sight: there are worsening shortages of skilled and competent staff and no...

Communicator or Shill?

Caring for the Ages
October 1, 2018
Dear Dr. Jeff:

UTI Diagnosis and Management Require Formal Protocols

Caring for the Ages
October 1, 2018
Inappropriate antibiotic prescribing for urinary tract infections (UTIs) stems largely from inappropriate use of diagnostic tests, but there are additional factors at play — mainly incorrect antibiotic choice, excessive duration of therapy, and...

Scars of a Lifetime

Caring for the Ages
October 1, 2018
Trauma-informed care figures largely in the final phase of the revised Requirements of Participation for nursing homes, which will be implemented in November 2019. The notion of being sensitive to people who have suffered significant trauma is...

Dysphagia Diets and Terminology Go Global

Caring for the Ages
October 1, 2018
Dysphagia is a worldwide health issue, with approximately 8% of the world’s population experiencing some difficulty in swallowing. If left untreated, a number of negative outcomes can occur, including malnutrition, dehydration, aspiration, and even...

Flu, Pneumococcal Vaccination Rates on the Rise

Caring for the Ages
October 1, 2018
Jane Martin, RN, director of nursing for a small skilled nursing facility in rural Georgia, has won a major immunization coup. In a community that has no hospital, no public transportation services, and only one medical office served by nurse...

Rehabilitation Therapy for Nursing Home Residents at the End-of-Life

JAMDA
October 1, 2018
Ultrahigh therapy use has increased in SNFs without concomitant increases in residents' characteristics. It has been suggested that this trend may also have influenced the provision of high-intensity rehabilitation therapies to residents who are at...