Prevalence of obesity in older adults is increasing and skilled nursing facilities (SNF) are facing challenges while caring for these complex older adults. Although obesity paradox confers some immunity in Class I obesity, Class II and III obese...
While antibiotics may be necessary for uncomplicated cystitis, they are often prescribed inappropriately. To determine the impact of a multifaceted strategy on the appropriateness of antibiotic prescribing for uncomplicated cystitis in older non-...
Use of mechanical lifts for patient transfer has decreased incidence of work-related injuries, increased efficiency of transfers, improved patient comfort and safety, is cost effective, reduced pressure ulcers and has been proposed to decrease...
Accounting for both significant total medical expense and variation, managing Skilled Nursing Facility (SNF) post-acute care (PAC) utilization has become a major focus area for accountable care organizations (ACOs). In 2017 our healthcare system...
Physiatry-directed rehabilitation teams are assumed to improve patient outcomes, reduce hospital readmissions, and lead to appropriate lengths of stay in inpatient rehabilitation settings. However, there is no evidence to support these assumptions...
Ineffective communication remains a major factor contributing to medical errors and sentinel events in health care that lead to fatalities and billions in malpractice cost. Nurses have a leading role in communicating valuable patient information to...
Plan-Do-Study-Act (PDSA) is widely accepted as an effective Quality Improvement (QI) methodology in Skilled Nursing Facilities (SNF). Accountable care organizations (ACOs) are interested in promoting this methodology in collaborative endeavors with...
Reducing avoidable hospitalizations is a common concern for nursing home residents as debility, functional decline, morbidity and mortality are inevitable complications of hospitalization. Therefore, nursing homes and hospitals across the country...
Indwelling urinary catheters are a frequent cause of infection, which may result in hospitalization and increased morbidity and mortality. Catheter-associated urinary tract infection (CAUTI) and its complications are linked to increased health care...
Each year, the health care system loses billions of dollars due to falls in the geriatric population, causing significant morbidity and mortality. Clinical depression is relatively uncommon among older US adults, but depressive symptomatology has...