Publications

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Palliative Care Services in a Nursing Home Setting-Influence on Care Preferences

JAMDA
March 1, 2019
Preventing hospital readmissions while meeting patients’ needs is one of the top priorities of subacute facilities. Our experience suggests that for many older patients with multiple comorbidities, the hospital stay adds little to their well-being...

Music & Art in Medicine (MAM): the Effectiveness of MAM Events on the Interest and Perception of Geriatrics and Nursing Homes by Medical Students (MSs)

JAMDA
March 1, 2019
MAM is a MS interest group that provides community service music and art performances. PALTC events are coordinated by the activities director. Music and Art QI projects have revealed a positive response in depression, pain, and cognition. A new QI...

Interprofessional Collaboration Improves Antibiotic Stewardship

JAMDA
March 1, 2019
The challenge to improve effective and safe use of antibiotics in PALTC settings is a national focus of great importance. Goals are to reduce the emergence of multi-drug–resistant organisms, AADE, and unnecessary cost. The Centers for Disease...

Improving Experience of Sleep in the Community Living Center by Implementing Non-pharmacologic Interventions

JAMDA
March 1, 2019
Many older residents are prescribed psychoactive medications to improve sleep quality. These include antipsychotics, anxiolytics, and hypnotics. These medications are often prescribed in together and with narcotics. This practice places older adults...

Improving Deep Tissue Pressure Injury (DTPI) Outcomes: A 2.5 Year-long Quality Improvement Project

JAMDA
March 1, 2019
Long-term care facility (LTCF) residents with multiple co-morbidities, debility and cognitive loss are at higher risk of developing deep tissue pressure injury (DTPI). There is limited research supporting the treatment options for DTPIs, but...

Improving Antibiotic Stewardship Program's Educational Materials in the Long-Term Care Setting

JAMDA
March 1, 2019
In November 2017, the Center for Medicare and Medicaid Services (CMS) mandated the implementation of Antibiotic Stewardship Programs (ASP) within Long-Term Care (LTC) facilities in the United States. A core element of this initiative is to provide...

Implementation of Interdisciplinary Wound Care Rounds in a Skilled Nursing Facility

JAMDA
March 1, 2019
There is scant literature regarding interdisciplinary teams providing wound care in long-term care. Our long-term care facility did not have a consistent process for evaluation and treatment of wounds by nursing and physician teams.

Implementation of Function-Focused Care to Change Practice Behavior of Direct Care Workers in Assisted Living

JAMDA
March 1, 2019
Assisted living (AL) communities are home to over 830,000 adults, who are mostly 85 years and older. Older adults in AL spend the majority of their waking time sedentary and experience more decline in functional performance compared to nursing home...

Impact of the EMediCal Application on the Efficacy of Clinical Communication Among Health Care Providers (HCP) and Nursing Home (NH) Staff

JAMDA
March 1, 2019
Clear and complete communication between health care providers (HCP ) is a prerequisite for the safe patient management and is a key component of the Joint Commission’s 2008 National Patient Safety Goals for Long-Term Care (LTC). There is paucity of...

Impact of Bed Alarm Removal and Implementation of Hourly Rounding to Reduce Falls

JAMDA
March 1, 2019
Audible pressure bed and chair alarms in the post-acute and long-term setting (PA/LTC) have proven to be an ineffective intervention for reducing falls and in fact have met criteria as a physical restraint according to the Centers for Medicare and...