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Non-TCA/SSRI Antidepressants Increase Fall Risk in Elderly Frail Women

Caring for the Ages
October 1, 2016
Antidepressants from classes other than tricyclics (TCAs) and selective serotonin reuptake inhibitors (SSRIs) did not appear to reduce the risk for falls, according to results of the Zoledronic acid in frail Elders to STrengthen bone (ZEST) study.

Most Sepsis Cases Begin Outside of the Hospital

Caring for the Ages
October 1, 2016
Sepsis is a medical emergency that begins outside of the hospital in 79% of cases. In addition, 72% of patients with sepsis had recently used health care services or had chronic diseases that required frequent medical care.

There’s No ‘I’ in ‘Team’: Working Together in Long-Term Care

Caring for the Ages
October 1, 2016
Dear Dr. Jeff:

Great Expectations: The Most Important Conversation of All

Caring for the Ages
October 1, 2016
Although I am biased, I think there’s a lot to be learned from 12-step programs, and a lot that can be applied to the post-acute and long-term care setting. One of the slogans from my favorite 12-step program is as follows: “An expectation is...

Sarcopenia Gets a Code of Its Own

Caring for the Ages
October 1, 2016
On Oct. 1, sarcopenia received its own International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM) code. The assigned code, M62.84, can now be used by post-acute and long-term care practitioners to indicate sarcopenia...

ENSURE-AF Trial Supports Edoxaban for Electrical Cardioversion

Caring for the Ages
October 1, 2016
ROME — Results of the largest-ever randomized clinical trial of anticoagulation for electrical cardioversion of patients with nonvalvular atrial fibrillation demonstrate that edoxaban is a safe, effective, and convenient alternative to the standard...

Withdrawing Antipsychotics Is Safe, Feasible in Long-Term Care

Caring for the Ages
October 1, 2016
TORONTO — Antipsychotics can be safely withdrawn from some patients with dementia in long-term care facilities, two new studies from Australia and Canada have determined.

Putting a Stop to Schemes, Scams That Destroy Lives

Caring for the Ages
October 1, 2016
Those who say “It’s only money” likely have never been the victim of fraud or financial abuse. When elders are defrauded of their money or other assets through scams or deceit, “I believe it can kill them,” said Elizabeth Loewy, general counsel for...

Society Leaders Climb the Hill, Come Down with Contacts, Connections, Influence

Spotlight
Advance Care Planning, End-of-Life Care, Physician Orders for Life-Sustaining Treatment (POLST), Long-Term Care, Post-Acute Care, Skilled Nursing Care, Observation Status, Coding, Reimbursement, & Documentation, Attending Physician, Certified Medical Director, Medical Director
September 30, 2016
With a contentious election just weeks away, Society leaders hit Capitol Hill to address issues including advance care planning and the three-day inpatient stay requirement. “We had several goals going in, and we accomplished a lot,” says Society...

CMS Releases Final Conditions of Participation Rule for Long-Term Care Facilities

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Federal Regulations, F-Tags
September 30, 2016
This week the Centers for Medicare & Medicaid Services (CMS) issued a final rule to make major changes to improve the care and safety of the nearly 1.5 million residents in the more than 15,000 long-term care facilities that participate in the...