This paper focuses on a quality improvement (QI) project implemented in a home health setting among a population of patients with heart failure (HF). It was discovered there was a lack of nurse-led recommendations and ineffective use of the...
Adults over the age of 65 are at high risk of mortality and morbidity from fall-related injuries. It is estimated that between 10-20% of falls in long-term care result in serious injury. It is imperative that strategies be developed to decrease the...
Acute exacerbation of congestive heart failure (CHF) is the most common reason for Medicare patients to be readmitted to the hospital within 30 days of discharge. Data about managing CHF in the skilled nursing facility (SNF) is sparse and what...
Residents living and dying in long-term care (LTC) homes represent one of society’s most frail and marginalized populations of older adults, particularly those residents with advanced dementia who are often excluded from activities that promote...
Antibiotics are among the most frequently prescribed medications in nursing homes, with up to 70% of residents receiving 1 or more courses of systemic antibiotics in a year. Forty to 75% of antibiotics prescribed in nursing homes may be unnecessary...
Many older adults would like to remain at home as they age. Many of these older adults have dementia and behavioral health challenges. Psychoactive medications such as antipsychotics and anxiolytics are prescribed to manage these behaviors and...
Given the growing older population, chronic disease management will continue to be a major focus of the government, health insurers and providers. Historically, the care system consisted of multiple silos with minimal integration, leading to...
Antibiotic treatment for asymptomatic bacteriuria is one of the key contributors to antibiotic overuse in long-term care. The guidelines from the Infectious Diseases Society of America (IDSA) suggest that antibiotic treatment of asymptomatic...
The assisted living memory care (ALMC) population presents with specific needs and challenges. Recognition that inadequate hydration and nutrition intake is associated with numerous common quality indicators such as falls and re-hospitalization...
