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ACP Video Tool Does Little to Increase DNH Status in Advanced Dementia

Caring for the Ages
August 1, 2018
Compared with usual care, an advance care planning (ACP) video did not change the rate of do-not-hospitalize (DNH) directives at 6 months among proxies for nursing home residents with advanced dementia, according to results of the Educational Video...

Medication Reconciliation: A Necessary Process for Patient Safety

Caring for the Ages
August 1, 2018
Medication reconciliation is the process of determining the most accurate list of medications the patient is taking. Sounds simple, doesn’t it? However, in more than 25 years as a nurse practitioner (NP) — the majority spent in inpatient settings (...

Rebalancing Arrives in Home-, Community-Based Long-Term Care

Caring for the Ages
August 1, 2018
States are currently spending 30% to 80% of their Medicaid long-term care expenditures on home- and community-based long-term care compared with institutional long-term care, which means that the long-sought “rebalancing” of long-term services and...

Idolatry in Care Transitions

Caring for the Ages
August 1, 2018
In our current medical reality, movement of increasingly aged, comorbid and frail patients between sites of care is fraught with potential harm. Enhancing care transitions justifiably demands our attention. Witnessing the illnesses of my parents, I...

Transitioning to ED: A Difficult but Improvable Process

Caring for the Ages
August 1, 2018
GRAPEVINE, TEXAS — Although transitioning patients from post-acute and long-term care to the emergency department (ED) remains a challenging scenario for those involved, opportunities exist to improve the process for health care providers and for...

Promising Care Paths Emerge on the Transition Trail

Caring for the Ages
August 1, 2018
Promising new practices and options are emerging for patients transitioning between emergency departments and skilled nursing facilities or nursing homes, such as averting ED use altogether by treating the patients in place, several speakers...

Revisiting Comfort Care

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

Too Few Patients With Heart Failure Get Palliative Care

Caring for the Ages
August 1, 2018
Few patients with heart failure receive palliative care, although their condition often warrants it and evidence suggests it’s helpful, a specialist in geriatrics and palliative medicine told an audience at the 2018 annual meeting of the American...

Behavioral Health Disorder Diagnosis Decreases Access to High-Quality Facilities

Caring for the Ages
August 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...

Building Community Palliative Care

Caring for the Ages
August 1, 2018
The Center to Advance Palliative Care, in collaboration with the National Coalition for Hospice and Palliative Care, has launched an initiative to build a comprehensive inventory of community palliative care programs across all service settings —...