Publications

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Improving Recognition of Abnormal Vital Signs: A Key Area of Intervention for Earlier Sepsis Diagnosis and Management

JAMDA
March 1, 2020
Sepsis is one of the leading causes of hospital admissions of skilled nursing facility residents and is associated with poor outcomes. Prompt recognition and timely treatment is essential. A key component of early sepsis recognition is the nursing...

Improving Heart Failure Management in Post-Acute and Long-Term Care: A Pilot Study

JAMDA
March 1, 2020
Heart failure (HF) is a leading cause of mortality and hospital readmissions in the United States. A large proportion of these patients are readmitted from skilled nursing facilities (SNF). The implementation of quality initiatives, such as staff...

Improving End-of-Life Care using the Life Sustaining Treatment Decision Initiative in a Veterans Affairs Community Living Center

JAMDA
March 1, 2020
In 2018, the Department of Veterans Affairs (VA) implemented the Life Sustaining Treatment Decisions Initiative (LSTDI), a national, multi-pronged program to support clinicians in conducting Goals of Care Conversations (GoCC) with seriously ill...

Implementation of the Evidence Integration Triangle for the Management of Behavioral Psychological Symptoms of Dementia (EIT-4-BPSD) Intervention in a Nursing Home Setting.

JAMDA
March 1, 2020
Behavioral Psychological Symptoms of Dementia (BPSD) are described as symptoms of apathy, agitation, inappropriate vocalization, aggression, wandering, and resistiveness to care. Not managing BPSD appropriately can cause an increase in frustration,...

Implementation of a Cognitive Stimulation Therapy Program in Long-Term Care

JAMDA
March 1, 2020
Individuals with dementia who exhibit adverse behaviors are often treated with psychotropic medications despite harmful side effects and recommendations to use non-pharmacological interventions. Cognitive Stimulation Therapy (CST) has consistently...

Hypoglycemia Protocol Institution at SNF/LTC facility

JAMDA
March 1, 2020
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...

Evaluating the Effects on Hospital Encounters After Implementing After-Hours Telemedicine Visits in a Senior Living Facility

JAMDA
March 1, 2020
Hospitalizations from senior living facilities result in complications, morbidity, and Medicare expenditures of over 1 billion dollars annually. Lack of after-hours, on-site physician availability in these facilities may contribute to avoidable...

Effects of Participation in Tremble Clefs by Individuals with Parkinson’s Disease on Voice-Related Quality of Life

JAMDA
March 1, 2020
Parkinson’s disease (PD) is a multifaceted condition that impacts a wide range of functions, including speech. The effect of loss of communication ability creates a cascade of effects which includes decreased participation in social events, social...

Effect of an Electronic Face-to-Face Certification Form on Home Healthcare Services Start Date and 30-Day Rehospitalizations and Emergency Room Visits

JAMDA
March 1, 2020
Patients who transition from hospital to skilled nursing facilities (SNF) frequently require home healthcare (HHC) services upon discharge to home. The certifying physician must document that he or she, or an allowed non-physician practitioner (NPP...

Digital Hand Hygiene Audit: Impact on Compliance and Quality Outcomes

JAMDA
March 1, 2020
Hand washing has been established as the single most effective way to significantly reduce the transmission of infections within healthcare facilities. Rising higher complexity of patients, multi-drug resistant infections, and increasing need for...