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Risk Management for a Resident Who Won’t Follow Medical Advice

Caring for the Ages
December 1, 2018
Mrs. H and her husband are residents at a skilled nursing facility. They are elderly and have extensive gait instability, but are cognitively intact. Mr. H is rehabilitating after a compression fracture of the thoracic spine. They are both receiving...

No DNR Tattoo for Me, Thanks

Caring for the Ages
December 1, 2018
Many of Caring’s readers will recall the November, 2017 letter to the New England Journal of Medicine (2017;377:2192–2193) that recounted the case of an unidentified 70-year-old man who presented, unconscious and very ill, to an emergency department...

Expert Perspective

Caring for the Ages
December 1, 2018
Editor’s note: The new content on this page, Expert Perspective, underscores the lasting relevance of the issue discussed in this previously published column.

Vaccines Should Not Be a Sticking Point

Caring for the Ages
December 1, 2018
Dear Dr. Jeff:

Enjoying Companionship, as Long as It Lasts

Caring for the Ages
December 1, 2018
I’m dedicating this column to my frail geriatric canine, Tessa. I’ve taken dogs on nursing home rounds with me now for almost 25 years, and it never gets old. The joy they bring to my residents is palpable and undeniable, and it brightens up my day...

Top New Drug Approvals of 2018

Caring for the Ages
December 1, 2018
Improving treatments is always one of the key goals for practitioners who work with the older adult population, but the list of new medications released into the market each year can be overwhelming to delve through, especially for the specialty...

New Handbook Offers Path to Pet–Patient Partnerships

Caring for the Ages
December 1, 2018
Society’s attitudes towards pets are changing. We’ve gone from keeping pets outside to putting them in our beds. We are more pet-friendly than ever, but our institutions haven’t caught up,” said Steve Feldman, executive director of the Human Animal...

CMS Announces Efforts to Improve Patient Safety, Quality of Care in Nursing Homes

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Dementia, Practitioners
November 30, 2018
The Centers for Medicare & Medicaid Services (CMS) recently announced upcoming efforts to support better care and outcomes for nursing home residents under the Civil Money Penalty Reinvestment Program (CMPRP). This three-year initiative aims to...

HHS Issues Draft Strategy to Reduce Health IT Burden

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practice Management, Electronic Health Records (EHR), Practitioners
November 30, 2018
The U.S. Department of Health and Human Services (HHS) issued a draft strategy designed to help reduce administrative and regulatory burden on clinicians caused by the use of health information technology (health IT) such as electronic health...

Extreme and Uncontrollable Circumstances Policy for MIPS-Eligible Clinicians Affected by Hurricanes Florence and Michael

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Merit-Based Incentive Program Payment System (MIPS), Practice Management, Practitioners
November 30, 2018
The Centers for Medicare & Medicaid Services (CMS) understands that if you’re a clinician living or practicing in an area affected by Hurricane Florence and/or Hurricane Michael, you may experience difficulties collecting and submitting data for...