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Examining the Effects of Modified Recreational Activities on the Mental Health of Nursing Home Residents During COVID-19

JAMDA
March 1, 2021
Social isolation from COVID-19 has been shown to affect the mental health of all socioeconomic, ethnic, and age groups, one of the most affected populations is long-term care (LTC) residents. This increased separation from their families and society...

Changes in Antibiotic Prescribing Metrics at 3 Nursing Homes Collaborating on Antibiotic Stewardship, Atlanta, GA, 2020

JAMDA
March 1, 2021
Unnecessary use of antibiotics is common in nursing homes (NH) and can contribute to the spread of antibiotic resistance and increased rates of associated adverse events, such as C. difficile infections. As of November 2017, NHs are required to...

Addressing Population Health Care Transitions by Utilizing Swing Bed Post-Acute Care

JAMDA
March 1, 2021
In 2019, over 2500 acute care hospitals were subject to readmission penalties (Nelson, 2019). SGCMH has a swing bed hospital-based program for Transitional Care (skilled nursing). SGCMH has developed an innovative care model, standardized triage...

Use of Smart Glass Technology for Resident Education in Long Term Care Facilities During the COVID-19 Pandemic

JAMDA
March 1, 2021
During the ongoing COVID-19 pandemic, long term care facilities have restricted visitation by non-essential personnel to limit the spread of coronavirus in their facilities. These restrictions have impacted the educational experience of resident...

When “Weakness” is Something More: A Case Series of Patients Who Were Newly Diagnosed With Neurologic Conditions While Admitted to a High-Functioning Post-Acute Rehab Unit

JAMDA
March 1, 2021
Traditionally post-acute rehabilitation (PAR) is utilized for the primary purpose of regaining strength and stamina, while medical services in PAR play a supporting role. However, diagnoses can be overlooked in the acute hospital stay, particularly...

Unilateral Pressure Ulcers and Upper Extremity Paresthesia – the Importance of Addressing Repositioning in Proned SARS COV-2 Patients

JAMDA
March 1, 2021
Novel coronavirus is spreading all around the world causing severe acute respiratory distress syndrome requiring mechanical ventilation in approximately 5% of infected people. Prone position ventilation has been used to improve oxygenation in...

Sterocoral Colitis: A Serious Complication of Constipation

JAMDA
March 1, 2021
Stercoral colitis is a rare inflammatory colitis resulting from fecal impaction. The obstructing fecaloma compromises colonic blood supply by increasing intraluminal colonic pressure, leading to inflammation and ulceration or ischemia. Our Case...

Reducing Recurrent Hospitalizations in a Resident With Short Gut Syndrome

JAMDA
March 1, 2021
Residents with short gut syndrome (SGS) on long-term total parenteral nutrition (TPN) present a management challenge in the skilled nursing facility. We describe a patient with SGS managed successfully at our SNF leading to improvement in gut...

Recurrent Hip Dislocations in a Frail Older Adult in Post-acute Care

JAMDA
March 1, 2021
Falls and fractures cause significant morbidity in older adults, including functional decline and decreased quality of life. More than 1 out of 4 older people fall each year, and 1 out of 5 falls result in serious injury in the form of fractures or...

Pain Control With Intra-Articular Steroid Injection Can Reduce Dementia-related Mood and Behavioral Changes in Nursing Home Settings

JAMDA
March 1, 2021
This case highlights the possible role of intra-articular steroid injection for pain control as a treatment option for behavioral changes in patients with dementia in long-term care (LTC) facility settings.