Publications

Though it is a well-known fact that older patients—particularly women, and particularly in nursing homes—can have bacterial colonization of their uroepithelial tract, an oft-used reflex when a patient has any change in condition—fever, mental status...

Community Based Outpatient Clinics (CBOCs) are centers that allow primary care to be delivered to veterans that are a long distance from a main Veterans Affairs (VA) campus. However, these CBOCs often do not have physicians who are trained in...

Preventing infections and reducing antibiotics use in long term care facilities is a public health issue. Urinary tract infections (UTIs) are often misdiagnosed and over treated with antibiotics. Expectations of patients and families can play a role...

Falls are a major source of morbidity for patients in skilled nursing facilities. Each year, a typical nursing home with 100 beds reports 100 to 200 falls, and the average number of fall is 2.6 falls per person per year in SNF. 10-20% of nursing...