There has been a growing emphasis towards emotional well-being in the care of older adults. This is especially important with regards to residents in a nursing home, where they can often feel marginalized or depressed. The aim of this study is to...
Many patients are discharged to post-acute care facilities (PACFs) following surgery. These patients have either had major surgery and require close monitoring and intensive rehabilitation, or have significant medical co-morbidities. Currently they...
VA CLCs are surveyed per Centers for Medicare and Medicaid Services (CMS) regulations by the Long-Term Care Institute (LTCI). With the accreditation focus being primarily on The Joint Commission survey process, we found that many at our facility...
It is critically important to ensure quality care and social support for older adults within long-term care (LTC) and assisted living (AL) facilities. Studies have demonstrated that a higher frequency of visits by family improves the psychosocial...
Nursing home (NH) residents are at increased risk for malnutrition compared to community-dwelling older adults. Poor nutrition is associated with depression, functional decline, and higher 1-year mortality. Communal dining environments create a...
Clostridioides difficile (C. difficile) definition: “a germ (bacteria) that causes life-threatening diarrhea. It is usually a side-effect of taking antibiotics.” According to the Centers for Disease Control and Prevention (CDC) 2015 report, over 100...
An increasing number of older adults are spending their end of life in the nursing home, and many are being hospitalized in the last few months of life. This is often unwanted by patients and their families. We hypothesize that identifying patients...
At San Francisco Veterans Affairs Health Care System (SFVA) Community Living Center (CLC), most veterans have dementia plus co-occurring mental illness. Many demonstrate distressed behavior that interferes with care. CLC restorative care and mental...
The Sunflower Memory Center Long-Term Care Community Living Center had seen an increase in falls. We recognized that our post-fall process was not optimally implemented or utilized, and the decision was made to explore this element to reduce our...
Deaconess Health System developed a post-acute embedded Nurse Practitioner (NP) program in partnered skilled nursing facilities (SNF) to improve patient transitions and coordination of care. This model has improved patient care, lowered 30-day...
