Publications

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Renaissance in the Nursing Home During the COVID-19 Pandemic: Telemedicine Blooms in a Time of Crisis

JAMDA
March 1, 2021
Prior to the pandemic, telemedicine was not well adopted in nursing facilities in the United States and was nearly non-existent in Hawaii. Many nursing facilities have since acknowledged its value due to the need for stricter infection control...

Reducing Sliding Scale Insulin Use and Fingerstick Glucose Monitoring in a Long-Term Care Facility

JAMDA
March 1, 2021
Diabetes Mellitus (DM) affects many residents in nursing facilities (NF), and sliding scale insulin (SSI) is commonly prescribed even though it is not recommended by the American Diabetes Association, the Society for Post-Acute and Long-Term Care...

Quality Improvement Project to Enhance Knowledge of Hospice Interdisciplinary Team of Post-Acute Care Services

JAMDA
March 1, 2021
Hospice services provided to residents of Post-Acute and Long-Term Care (PALTC) facilities are associated with higher resident and family satisfaction and lower health care cost. One barrier to timely hospice enrollment is limited understanding of...

“It’s Worth the Time and Energy”: Nursing Home Provider Perspectives on Implementing a Person-Centered Communication Intervention During a Global Pandemic

JAMDA
March 1, 2021
Person-centered care (PCC) is a philosophy that recognizes “knowing the person” and honoring individual preferences. However, obtaining the knowledge and communicating important preferences across staff is challenging in NHs. The Preferences for...

Improving Transitions of Care After Discharge from Skilled Nursing Facility

JAMDA
March 1, 2021
Use of skilled nursing facilities (SNF) as an intervening step in the transition from hospital to home is increasing among older adults. Evidence suggests that after hospital discharge, patients are at risk of adverse drug events, lost test results...

Improving Access of Advance Directives in a Skilled Nursing Facility

JAMDA
March 1, 2021
Skilled nursing facility (SNF) patients should have good quality Advance Care Planning (ACP) to ensure that their wishes are respected. However, SNF patients often lack advance directives (AD) due to barriers including multiple care transitions and...

Implementation of Basic and Practical Approaches to Reduce Urinary Tract Infections and Related Costs in a Nursing Facility

JAMDA
March 1, 2021
Urinary tract infections (UTIs) are the second most frequent infections in long-term care facilities preceded only by respiratory conditions. The incidence of UTIs in nursing facilities (NFs) is 0.19-2.3 cases per 1000 resident care days making...

Implementation and Evaluation of a Patient Handoff Tool to Improve Nurse to Nurse Communication

JAMDA
March 1, 2021
Poorly conducted handoffs are implicated in 80% of preventable adverse events in healthcare facilities. As a result, The Joint Commission (TJC) (2017) calls on healthcare organizations to implement a standardized, evidence-based communication...

Hypoglycemia Protocol Institution at SNF/LTC Facility

JAMDA
March 1, 2021
The geriatric population is at high risk of severe low blood glucose (LBG) events due to diminished homeostatic mechanisms especially on hypoglycemic medications. Moderate to severe LBG events in these patients can contribute to behavior changes...

Getting to Know Our Patients Through the Lens of Trauma Informed Care

JAMDA
March 1, 2021
It was not mandatory for Skilled Nursing Facilities (SNFs) to screen patients’ past or recent history of trauma until November 28, 2019, when CMS phase 3 required SNFs to participate in the initiation of Trauma-Informed Care (TIC). With the release...