Publications

Members only publications are marked with a lock icon:
Filter By

Implementation of Function-Focused Care to Change Practice Behavior of Direct Care Workers in Assisted Living

JAMDA
March 1, 2019
Assisted living (AL) communities are home to over 830,000 adults, who are mostly 85 years and older. Older adults in AL spend the majority of their waking time sedentary and experience more decline in functional performance compared to nursing home...

Impact of the EMediCal Application on the Efficacy of Clinical Communication Among Health Care Providers (HCP) and Nursing Home (NH) Staff

JAMDA
March 1, 2019
Clear and complete communication between health care providers (HCP ) is a prerequisite for the safe patient management and is a key component of the Joint Commission’s 2008 National Patient Safety Goals for Long-Term Care (LTC). There is paucity of...

Impact of Bed Alarm Removal and Implementation of Hourly Rounding to Reduce Falls

JAMDA
March 1, 2019
Audible pressure bed and chair alarms in the post-acute and long-term setting (PA/LTC) have proven to be an ineffective intervention for reducing falls and in fact have met criteria as a physical restraint according to the Centers for Medicare and...

Focused Heart Failure SBAR Implementation in Home Health Care to Increase Interventions in the Home and Decrease Re-Hospitalizations Among HF Patients

JAMDA
March 1, 2019
This paper focuses on a quality improvement (QI) project implemented in a home health setting among a population of patients with heart failure (HF). It was discovered there was a lack of nurse-led recommendations and ineffective use of the...

Fall Reduction Program in a Skilled Nursing Facility: a Multidisciplinary Approach

JAMDA
March 1, 2019
Adults over the age of 65 are at high risk of mortality and morbidity from fall-related injuries. It is estimated that between 10-20% of falls in long-term care result in serious injury. It is imperative that strategies be developed to decrease the...

Evaluation of the MaineHealth Skilled Nursing Facility Congestive Heart Failure Protocol

JAMDA
March 1, 2019
Acute exacerbation of congestive heart failure (CHF) is the most common reason for Medicare patients to be readmitted to the hospital within 30 days of discharge. Data about managing CHF in the skilled nursing facility (SNF) is sparse and what...

Evaluating the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Program in Canada

JAMDA
March 1, 2019
Palliative care in long-term care (LTC) homes is a global problem.

Evaluating the Namaste Care Program to Improve Quality of Living and Dying for Residents with Advanced Dementia in Long-Term Care

JAMDA
March 1, 2019
Residents living and dying in long-term care (LTC) homes represent one of society’s most frail and marginalized populations of older adults, particularly those residents with advanced dementia who are often excluded from activities that promote...

Developing a Culture of Antibiotic Stewardship in Post-Acute Care Setting

JAMDA
March 1, 2019
Antibiotics are among the most frequently prescribed medications in nursing homes, with up to 70% of residents receiving 1 or more courses of systemic antibiotics in a year. Forty to 75% of antibiotics prescribed in nursing homes may be unnecessary...

Decreasing Disruptive Behavior While Decreaseing Psychoactive Medications in Our Nurisng Facility

JAMDA
March 1, 2019
Many older adults would like to remain at home as they age. Many of these older adults have dementia and behavioral health challenges. Psychoactive medications such as antipsychotics and anxiolytics are prescribed to manage these behaviors and...