A nation-wide initiative has been established for antibiotic stewardship in an effort to reduce over-treatment and over-diagnosis of infections. In our Skilled Nursing Facility (SNF), there are minimal guidelines for ordering urinalyses (UAs) in...
Concerns of urinary tract infections (UTI) are widespread in long-term care (LTC) settings. Non-specific symptoms can lead to unnecessary testing and inappropriate antibiotic use. There have been numerous protocols developed to standardize diagnosis...
It is common for nurses with limited specialized training in geriatrics to care for older adults at skilled nursing facilities (SNFs). In SNFs on the south side of Chicago, prior needs assessments have identified a gap in knowledge in geriatrics...
In 2013, the Choosing Wisely Campaign launched 5 recommendations pertaining to the care of patients in the post-acute and long-term setting. This was done in an effort to educate clinicians, patients, and other providers about potentially...
Hospitalized older patients are increasingly complex and often require procedures after discharge that lead to burdensome transitions of care. Post-acute care providers practicing in the skilled nursing facility or long-term care setting have often...
Post-traumatic hydrocephalus (PTH) or secondary normal pressure hydrocephalus (NPH) are common complications that follow traumatic brain injury (TBI). PTH clinical features are similar to NPH and can be characterized by a triad of gait apraxia,...
End-of-life care is often assumed to be similar across cultures, countries, religions, and the ethnic background. Its concept and understanding is as varied as the cultures and religions it represents.
Cerebrovascular accident is a common diagnosis in the rehabilitation and long-term care setting and can be associated with deficits in both language and cognition. Because capacity assessment requires a patient to both understand the decision in...
This is the case of a 94-year-old female with a prolonged hospitalization for a small bowel obstruction complicated by multiple intubations and dysphagia leading to a recommendation for a percutaneous endoscopic gastrostomy (PEG) tube for enteral...
