Benzodiazepines (BDZ) are included in the Beer’s list as a potentially inappropriate drug class for older adults due to risk of confusion, falls, cognitive decline and dependance. Nonetheless, it is common dental practice to prescribe this class of...
The striking purple urine in the urine bag and tubing also known as “purple urine bag syndrome” (PUBS) is a rare disorder seen in older patients with chronic urinary catheters in place. The purple color is due to the buildup of indigo and indirubin...
We present a root cause analysis of a pressure injury in the setting of transition of care, that highlights need for improvement in SBAR (Situation, Background, Assessment, Recommendation) of wound status, to enhance multidisciplinary delivery of...
Platypnea-orthodeoxia syndrome is a rare disorder resulting from an interatrial shunt, such as patent foramen ovale (PFO) in this case, and functional component that promotes abnormal shunting when the patient rises to upright position.
Hindsight can be 20-20 and practicing during difficult times can inform professionals about lessons learned during crisis as well as routine efforts in long-term care. Nursing homes in the United States were the highest risk places for death caused...
This case depicts an atypical clinical presentation of bacteremia in a patient with complex pathology. Patients with bacteremia of unknown source have a greater mortality rate and are difficult to manage especially in the nursing home setting. There...
Palmoplantar Keratoderma is an uncommon disorder characterized by hyperkeratosis in the epidermis of the palms and soles, leading to the development of abnormally thickened skin. This disorder can be acquired or inherited, interfering with the...
Parkinson’s disease (PD) is a movement disorder that is characterized by the loss of dopaminergic neurons in the substantia nigra and presence of alpha-synuclein protein Lewy body. A triad of rigidity, bradykinesia, and tremors is the core of the...
Our five post-acute care (PAC) facilities house 1500+ residents. The PAC setting is unique because it serves as home for residents - creating space for their loved ones to visit, leading to strong relationships between staff, residents, and families...
Pain is very common among post-acute nursing home (NH) patients. Balancing appropriate pain management in NHs is a challenge due to concerns for potential adverse pharmacologic effects, high prevalence of multimorbidity and polypharmacy. Prescribing...
