Publications

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Collaboration Between a Post-Acute & Long Term Care Facility and It’s Family Council in Better Serving It’s Patients, Families, and Staff

JAMDA
March 1, 2018
The 1987 Nursing Home (NH) Reform Act includes provisions for families of NH residents to hold private family council (FC) meetings within Medicare and Medicaid certified NH facilities. Literature on FCs including literature recommended by a local...

Better advance care planning in long-term care through starting the conversation

JAMDA
March 1, 2018
Due to cognitive impairment, multimorbidity, and fewer family connections, nursing home residents are at especially high risk for receiving medical care that is medically inappropriate or inconsistent with their wishes. Therefore, Advance Care...

Battlefield Acupuncture (BFA) For Pain Management in a VA Community Living and Rehabilitation Center

JAMDA
March 1, 2018
Chronic pain affects at least 116 Million U.S. adults at an estimated cost of $650 billion annually in direct medical treatment and lost productivity. Approximately 25%-50% of community-dwelling older adults and 45%-80% of nursing home residents...

A Quality Improvement Initiative to Improve Nurse-Physician Telephone Communication in a Long-term Care Facility

JAMDA
March 1, 2018
Telephone calls are the primary mode of nurse-physician communication in long term care facilities (LTCF). Staff turnover, lack of standardized protocols, and employee fatigue and multitasking could contribute to gaps in communication, leading to...

Seeing is Believing: Learners’ Perceptions of Interdisciplinary Team Roles

JAMDA
March 1, 2018
ACGME requirements for family medicine (FM) resident training include long-term care (LTC) education over a 24 month period. Many medical student and residents have little to no exposure with LTC patient care. Furthermore, there are many...

NICHE (Nurses Improving Care for Healthsystem Elders) Program: Long Term Care

JAMDA
March 1, 2018
The Nurses Improving Care for Healthsystem Elders (NICHE) is a nurse-led education and consultation program designed to improve the quality of care for older adults in healthcare organizations. The NICHE clinical practice model seeks to enhance the...

Improving Competences in Geriatric Knowledge of 6th Grade Medicine Students from Instituto Tecnológico y de Eestudios Superiores de Monterrey (ITESM) Mexico in Medical Assistance for Older Adults who Live at the Nursing Home and Long Term Care (NH/LTC)

JAMDA
March 1, 2018
The global demographic transition, which Mexico is part of, with a larger number of older adults, families with less young members and the increase of NH/LTC in Mexico, makes it necessary for medicine students to learn about competences and...

Futures to CMD: 2017 Survey Results and Personal Reflections

JAMDA
March 1, 2018
The number of older adults receiving nursing home care is expected to rise from 1.2 million in 2000 to 2.7 million in 2040. To meet this increase, a geriatric-focused physician workforce with expertise in nursing home care is desperately needed. Yet...

Development of a Localized Community-Based Integrated Home Care System: Model Swapping through an International Symposium

JAMDA
March 1, 2018
The population in Taiwan is aging, and it is becoming a significant challenge for us to use limited resources to take care of all the older adults. Many home-bound older adults receive inadequate care, the majority of whom receive their prescription...

Developing and Testing Training to Improve Palliative Care Communication Skills in the Nursing Home

JAMDA
March 1, 2018
In skilled nursing facilities (SNF), effective communication between interdisciplinary team (IDT) members, patients, residents, and their surrogates is essential to provide high-quality palliative and end of life (EOL) care. However, clinical staff...