Publications

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Get a Grip on Falls with LSD-HY (Lights, Shoes, Device (DME) and Hydration)

JAMDA
March 1, 2022
Falls are common in older adults and many studies have been conducted to determine the interventions associated with the greatest reduction in the incidence of falls in community dwelling and nursing facility residents. Falls in older adults often...

Effects of a Pneumonia Care Bundle in a Sub-Acute Rehabilitation (SAR) Center in Preventing 30-day Hospital Readmissions

JAMDA
March 1, 2022
A 30-day unintended hospital readmission can be an important quality indicator for hospitals and SARs. The Centers for Medicare and Medicaid Services (CMS) created the Hospital Readmission Reduction Program. This program directs CMS to decrease...

Applying an Urgent Care Model to the Skilled Nursing Facility Setting

JAMDA
March 1, 2022
Reducing readmissions to hospitals and ED visits has been a priority among health systems and skilled nursing facilities. Approximately 20% of Medicare-funded hospitalizations result in discharge to a skilled nursing facility (SNF). Transitions to...

A Multidisciplinary Approach to Improving Incidence Rates of UTI at a Post Acute and Long Term Care Setting

JAMDA
March 1, 2022
Among patients aged 65 and older, urinary tract infection (UTI) is the most common diagnosis for antibiotic use in nursing homes. Asymptomatic bacteriuria (ASB) comprises a large portion of suspected UTI. Older adults are at increased risk of...

A Deprescribing Initiative to Reduce Risk of Hypoglycemia in Long-Term Care Residents

JAMDA
March 1, 2022
Polypharmacy in long-term care (LTC) facilities is an ongoing concern. To address this issue, the Drive to Deprescribe (D2D) initiative targets reduction of antihyperglycemic agents to improve quality of life and reduce risk of hypoglycemia.

Creating an Interdisciplinary Learning Community to Support Nursing Facility Teams Using the Project ECHO platform

JAMDA
March 1, 2022
With over 1200 nursing homes (NH) in Texas, there is a need for support and education of NH teams. The Project ECHO (Extension for Community Healthcare Outcomes) platform provides a model for creating interactive and interdisciplinary learning...

Xanthogranulomatous Pyelonephritis: An Unusual Cause of Nausea, Vomiting and Recurrent Urinary Tract Infections

JAMDA
March 1, 2022
Xanthogranulomatous Pyelonephritis (XGP) is a rare cause of recurrent UTIs in the nursing home setting.

What Matters in the Hospital, Matters in the Nursing Home

JAMDA
March 1, 2022
This case emphasizes the importance of eliciting a patient’s care goals. These conversations, although ideally done early on in a disease trajectory, can be appropriate and necessary to have in the hospital especially prior to discharge to the post-...

Voluntary Stopping of Eating and Drinking in a Nursing Home with No Prior Experience

JAMDA
March 1, 2022
Voluntary stopping of eating and drinking (VSED) is a last resort to end one’s life when the suffering is unbearable. Since the VSED requires strong will to complete, its occurrence is rare. VSED in a long-term care setting is not well reported.

Temporomandibular Dysfunction: A “Jaw Dropping” Approach to Treatment in the Long Term Care Setting

JAMDA
March 1, 2022
Temporomandibular joint disorder (TMD) is estimated to impact 3-5% of American adults over age 65. Severe symptoms refractory to traditional pharmacologic care can pose a large burden on older adults.