I don’t think that there will be very many of us working in post-acute and long-term care settings who will be sorry to see 2020 come to a close. The COVID-19 pandemic, natural disasters, economic instability, and racial injustice have challenged us...
When asked to describe the ideal medical director, nursing home administrator Mike Moranz’s face beamed with a broad smile. “Well, to understand today’s ideal, you must understand how far we have come over the past 20 years.” Mike Moranz, MPH,...
The American nursing facility has been in continuous evolution since its inception in the early 19th century. The early “old age homes” were places to save “formerly respectable people from the indignities of the almshouse” (Elon et al., “Post-Acute...
Older adults often take numerous medications each day, contributing to polypharmacy and the continuous prescribing cascade. This may lead to adverse effects, poor outcomes, and decreased quality of life. Deprescribing may be one solution to this...
Ms. B is an 86-year-old woman with advanced dementia and multiple comorbidities who is a long-term care resident of a nursing home affiliated with a large hospital system. Her family is very involved; her daughter lives locally, and her son, who has...
When it became clear that society would face the greatest challenge of this generation, post-acute and long-term care clinicians found themselves on the front lines of battling the deadly COVID-19 pandemic. Since March when the news broke of the...
Many guidelines take four to six years to be understood and implemented, but at the Annual Conference of AMDA – The Society for Post-Acute and Long-Term Care Medicine, Thiruvinvamalai S. Dharmarajan, MD, cautioned against any further delay in...
The onset of the COVID-19 pandemic significantly challenged the capacity of long-term care (LTC) homes in Canada, resulting in new, pressing priorities for leaders and health care providers (HCPs) in the care and safety of LTC residents. This study...