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Psychotropic Medication Usage and the Presence/Absence of Geriatric Psychiatry Services in Skilled Nursing Facilities

JAMDA
March 1, 2016
There has been the recent phenomenon of specialists seeing patients onsite in our institutions. With the increase in specialized units for dementia patients with behaviors, there has been an increase in the onsite visitation of psychiatrists. At one...

Pressure Ulcer Reduction Begins with Appropriate Screening

JAMDA
March 1, 2016
Preventative interventions for pressure ulcer begin with identification of high-risk individuals. The Program of All-Inclusive Care of the Elderly (PACE) is a comprehensive care model for older adults with multiple chronic conditions. Centra, a non-...

PRASS: Patient Risk Assessment and Stratification Screening Tool (PRASS): A Novel Tool in Transitional Care

JAMDA
March 1, 2016
The Transitional Care (TC) Quality Improvement and Innovation Project was launched to ensure a safe and comprehensive transfer of elderly patients as they navigate levels of care. It aims to improve overall outcome and as such reduce the 30 day post...

Meaningful Communication Between Medical Providers and the Skilled Nursing Facility

JAMDA
March 1, 2016
It was identified that nursing staff were inundating physicians with fax updates which caused frustration on the physician's part and time lost for the nurses in terms of preparing the faxes, monitoring for response, processing orders, and following...

Increasing Mobility in the Nursing Home Through Implementation of a Restorative Program

JAMDA
March 1, 2016
Nursing homes (NH) provide care to a unique subset of population that is medically, functionally, and cognitively impaired. There is evidence that the majority of residents are physically inactive. It is important to work with residents to achieve...

Improving Care of Patients Undergoing Palliative Sedation at an Urban Inpatient Hospice Center

JAMDA
March 1, 2016
Palliative sedation is defined by the AAPHM as “the intentional lowering of awareness towards, and including, unconsciousness for patients with severe and refractory symptoms”; this is generally performed after other methods to control these...

Improved Hand Hygiene Compliance Reduced the Incidence of Common Multi Drug Resistant Organisms in a Nursing Facility

JAMDA
March 1, 2016
Rates of healthcare- associated MDROs are increasing worldwide with US hospitals accounting for approximately 1.7 million infections and > 98,000 deaths each year. Healthcare- associated infections (HAI's) are also a major cause of...

Implementation of a Spiritual Wellbeing Guideline Among Assisted Living (AL) Residents

JAMDA
March 1, 2016
The Goodman Group defines resident wellbeing as encompassing mind, body, and spirit. Spirituality, defined as the affective approach that seeks to give meaning to life, has been found to be associated with physical and mental health and an important...

Implementation and Efficacy of Personalized Music Therapy in an Assisted Living Center

JAMDA
March 1, 2016
Behavioral and psychological symptoms of dementia (BPSD) are common in patients with dementia who are admitted to assisted living facilities. These symptoms place a large burden on the staff and care providers of such patients to ameliorate such...

Impact of a Monthly Physician Report Card on the Rate of Urine Culture Utilization in a Community Nursing Facility

JAMDA
March 1, 2016
The most common infection in the nursing facility (NF) setting is suspected urinary tract infection. Up to 50% of NF residents have asymptomatic bacteriuria (ASB). Treatment of ASB is unnecessary and increases the risk of adverse drug events, C...