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Ensuring a Legacy

Caring for the Ages
August 1, 2019
We hear it repeatedly with the impending departure of American presidents, particularly those who have served two terms in office: How will I be remembered? What difference did I make? What did I make better? And the specific issue at hand: What...

New Recommendations to Improve Management of Uncomplicated UTI

Caring for the Ages
August 1, 2019
Supported by AMDA — The Society for Post-Acute and Long-Term Care Medicine, an effort to improve the diagnosis and treatment of uncomplicated bladder infections in noncatheterized long-term care facility residents is progressing. The results of the...

Surviving Sepsis: Tests, Tools, and Treatments

Caring for the Ages
August 1, 2019
Sepsis identification and management is as controversial and vexing as ever, but efforts in nursing facilities to identity and track changes in condition, use tools for structured communication, and initiate early management can make an impact,...

Practical Tips for Diagnosing and Treating Bacterial Pneumonia in the Nursing Home

Caring for the Ages
August 1, 2019
A clinical diagnosis of bacterial pneumonia in nursing home residents most often can be treated with a single oral course of antibiotic therapy targeted toward community-acquired pneumonia pathogens, Ghinwa Dumyati, MD, said at the AMDA — The...

Overtesting and Overtreating: A Problem With C. difficile

Caring for the Ages
August 1, 2019
Testing for Clostridioides difficile should be done only for patients who have a new onset of unexplained “true diarrhea,” which means three or more loose stools in 24 hours — unformed stools that take the shape of a collection container, Ghinwa...

New Caring Coeditors Followed Different Paths to Same Destination

Caring for the Ages
August 1, 2019
Elizabeth Galik, PhD, CRNP, and Richard Stefanacci, DO, MGH, MBA, AGSF, CMD, the new Caring for the Ages coeditors in chief, followed different paths to their new role; but their experience, vision, and passion for their profession have brought them...

Scheduled Preventive Maintenance

Caring for the Ages
August 1, 2019
When I am on site for a visit, I talk to communities about the importance of having a schedule to conduct preventive maintenance on various pieces of equipment throughout the organization. Recently I experienced this process firsthand as I boarded a...

Seven Challenges Assisted Living Must Get Right

Caring for the Ages
August 1, 2019
The assisted living industry is fascinating, and opportunities abound to improve the lives of the fragile elderly. In this unique social setting, a diverse group of individuals is united by their need for assistance with managing their health care...

Algorithm Can Aid in End-of-Life Decision-Making for Unrepresented Residents

Caring for the Ages
August 1, 2019
Determining the management of incapacitated and unrepresented individuals is a distinct challenge health care team members face in the post-acute and long-term care setting, requiring them to shoulder the emotional burden of making end-of-life...

Caution Ahead! Updated List Tracks Hazardous Drugs in Elderly

Caring for the Ages
August 1, 2019
LOS ANGELES — The American Geriatrics Society (AGS) released a new version of the AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults in early 2019, and care professionals immediately began poring over its updated...