In the United States 4% of men and 19% of older women have sustained a hip fracture: the clinical manifestation of osteoporosis. The rate of hip fractures among nursing home residents is 2 times higher than community-dwelling older adults. Fewer...
Based on the CDC’s 2019 National Health Interview Survey, veterans are more likely to experience chronic pain than the general population (31.5% compared to 20.1%). Chronic pain negatively affects residents’ balance, mobility, sleep, mood, social...
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...
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...
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...
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...
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.
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...
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-...
