Assisted living (AL) is the largest provider of long-term care in the United States, recently overtaking nursing homes in providing custodial care. The glaring difference between these levels of care is the degree of consistency and the amount of...
Dear Dr. Diane: In my role as a clinical manager, I cover a large territory that includes PALTC facilities in rural and suburban areas. I notice that there are many residents with chronic conditions in my rural facilities, and I think that the...
POLST, known as Portable Medical Orders, has been a tool to help patients receive goal-concordant care for about 30 years since its development in Oregon (then called “Physician Orders for Life-Sustaining Treatment”). POLST calls for a quality,...
In our recent conversations with nursing home residents, we frequently hear about the challenges of short staffing. “There aren’t enough,” one resident said about certified nurse assistants (CNAs). Another resident said that in the face of low and...
All training programs for both undergraduate and graduate medical education include rich exposure to the hospital and clinic environments. The level of exposure to community-based care settings such as skilled nursing facilities is much more...
To examine the dose-response relationship between physical activity (PA) and all-cause and cardiovascular disease (CVD) mortality, specifically among older adults.
To explore if older adults with osteosarcopenia are at a greater risk of falls, fractures, frailty, and worsening life satisfaction and activities of daily living (ADL) compared to those with normal bone mineral density (BMD) and without sarcopenia.