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Behavioral Health Disorder Diagnosis Decreases Access to High-Quality Facilities

Caring for the Ages
September 1, 2018
Post-acute patients diagnosed with a behavioral health disorder are more likely to enter low-quality nursing home facilities and less likely to enter high-quality facilities than those without the diagnosis, according to study results in the...

Improving Oral Care in Nursing Homes May Reduce Pneumonia Rates

Caring for the Ages
September 1, 2018
Preliminary results from a cluster randomized controlled trial have shown the potential of a mouth care program to curb the rates of pneumonia in the nursing home setting. Philip D. Sloane, MD, MPH, of the University of North Carolina at Chapel Hill...

Nursing Home Culture Influences Hospice Utilization

Caring for the Ages
September 1, 2018
What determines whether an eligible nursing home resident receives hospice care? Familial reluctance and financial disincentives can play a role in hospice underutilization, but so can staff attitudes about end-of-life care.

Growing a Geriatric Emergency Department

Caring for the Ages
September 1, 2018
The concept of the geriatric emergency department is well developed after more than a decade of evolution, and at least nine EDs throughout the country are now accredited by the American College of Emergency Physicians (ACEP) as part of the first...

Proxies’ Perception of Prognosis Impacts End-of-Life Care in Advanced Dementia

Caring for the Ages
September 1, 2018
In a cohort of nursing home residents with advanced dementia, the proxies’ estimate of a resident’s prognosis was moderately accurate, and their perception of a resident having fewer than 6 months to live was associated with a decreased likelihood...

Regulatory and Litigation Risks of Elopement

Caring for the Ages
September 1, 2018
Elopements place nursing homes and assisted living facilities at great risk. When a resident exits the building undetected and the individual is unsafe to be out of the facility environment without supervision, it is very dangerous for the resident...

CMS Finalizes Plans for Pay Hike, Less Regulation

Caring for the Ages
September 1, 2018
Regulatory changes impacting post-acute care facilities for fiscal year 2019 are expected to increase reimbursements while reducing bureaucratic burden, according to federal health officials.

Each One Teach One

Caring for the Ages
September 1, 2018
Dear Dr. Jeff:

(Not Enough) Labor Day

Caring for the Ages
September 1, 2018
Another summer has come and gone, and they certainly seem to be whizzing by faster all the time. I remember in my grade school years how summer vacation seemed to just last forever, even though it was always over too soon. I hope all our readers...

Experts Highlight Best Practices for Managing Incontinence

Caring for the Ages
September 1, 2018
Four experts addressed evidence-based recommendations for assessing and treating urinary and fecal incontinence among older individuals in the PALTC setting at AMDA – the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference.