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Don’t Miss These Events

Mon, 10/01/2018 - 00:00
Montreal, Quebec, Canada

Society Updates Influenza Vaccination Recommendations for Health Care Personnel

Mon, 10/01/2018 - 00:00
Flu season is fast approaching. The 2017-2018 season was especially brutal for older adults, especially nursing home residents. Post-acute and long-term care (PA/LTC) settings such as nursing homes are a particularly dangerous environment for flu outbreaks for a variety of reasons, including the close quarters, the complex medical conditions and weak immune systems of the residents, and the frequent contact with multiple caregivers.

New and Improved Foundation at Work for You

Mon, 10/01/2018 - 00:00
This year I was able to announce changes that are making the Foundation for Post-Acute and Long-Term Care Medicine a dynamic force and an important resource for all providers in post-acute and long-term care, residents, families, and the LTC industry.

Journal Highlights From the October Issue of JAMDA

Mon, 10/01/2018 - 00:00
Errors with patient medications are a common occurrence in nursing homes, according to a retrospective observational study in Quebec, Canada.

Disability, Aging, and Obesity: Are We Prepared?

Mon, 10/01/2018 - 00:00
Obesity is an emerging global public health crisis that affects all age groups. Obesity has received far less attention as it relates to aging — even though it represents a growing public health policy issue with huge financial implications.

What You Need to Know About Disaster Planning

Mon, 10/01/2018 - 00:00
Timothy Gieseke, MD, CMD, whose nursing facility survived California wildfires, shares tips about planning for emergencies.

Staffing Assistance Needs Rise With Increasing Resident Obesity

Mon, 10/01/2018 - 00:00
New research has demonstrated an increase in the need for extensive staffing assistance with reported activities of daily living (ADLs) when residents’ body mass index (BMI) increases.

Transitions in Assisted Living

Mon, 10/01/2018 - 00:00
“I can’t go back home. I can barely walk. How am I going to get around in my apartment?” said a frantic Mrs. S as we sat in a meeting at the skilled nursing facility where she had been receiving care over the last 3 weeks. She turned desperately to the physical therapy team, who politely told her, “We can extend your stay another 2 days, but unfortunately you continue to have difficulties with ambulation after your fall. We are worried about your safety at home alone.” The team went on to discuss the status of her progressive chronic medical conditions, which had prompted two hospitalizations in the past 6 months.

Facilitating Out-of-the-Box Solutions

Mon, 10/01/2018 - 00:00
Health care systems are facing resource constraints, with the post-acute and long-term care field facing perhaps the most pressure. Unfortunately, not much relief is in sight: there are worsening shortages of skilled and competent staff and no projected significant increases in reimbursements. AMDA – The Society for Post-Acute and Long-Term Care Medicine, as a leader in PA/LTC, is redefining its role in these resource-constrained times. In addition to offering our members high-quality education and much-needed advocacy, one of the Society’s aims is to create efficiencies and value through innovation.

Communicator or Shill?

Mon, 10/01/2018 - 00:00
Dear Dr. Jeff:

UTI Diagnosis and Management Require Formal Protocols

Mon, 10/01/2018 - 00:00
Inappropriate antibiotic prescribing for urinary tract infections (UTIs) stems largely from inappropriate use of diagnostic tests, but there are additional factors at play — mainly incorrect antibiotic choice, excessive duration of therapy, and inappropriate dosing, said Muhammad Salman Ashraf, MBBS, at the AMDA – The Society for Post-Acute and Long-Term Care Medicine Annual Conference.

Scars of a Lifetime

Mon, 10/01/2018 - 00:00
Trauma-informed care figures largely in the final phase of the revised Requirements of Participation for nursing homes, which will be implemented in November 2019. The notion of being sensitive to people who have suffered significant trauma is certainly a good idea, although it hardly seems necessary for us, as presumably already compassionate, humanistic health care workers, to have a specific mandate on this. Most of us don’t need to take a class to know that being mindful of the sensibilities of others, in the context of whatever physical and emotional scars they may bear, is a good strategy both at work and in life generally.

Dysphagia Diets and Terminology Go Global

Mon, 10/01/2018 - 00:00
Dysphagia is a worldwide health issue, with approximately 8% of the world’s population experiencing some difficulty in swallowing. If left untreated, a number of negative outcomes can occur, including malnutrition, dehydration, aspiration, and even death. Although effective strategies have been developed to treat dysphagia, there is still considerable confusion regarding the classification of foods and beverages that meet the criteria for varying stages of dysphagia. Due to the global nature of today’s health care environment, clinicians need to find common ground for prescribing and interpreting the foods and liquids that will be safely tolerated by individuals with dysphagia.

Flu, Pneumococcal Vaccination Rates on the Rise

Mon, 10/01/2018 - 00:00
Jane Martin, RN, director of nursing for a small skilled nursing facility in rural Georgia, has won a major immunization coup. In a community that has no hospital, no public transportation services, and only one medical office served by nurse practitioners — a community where getting vaccinations has traditionally “not been a top priority” — her facility, Treutlen Health and Rehabilitation, has achieved a near-perfect flu vaccination record for its patients and its staff in the last 8 years or so.