Clinical

6 questions to ask LGBT residents

Nurses are key contacts in addressing the challenges of LGBT older adults to improve quality of care for this culturally diverse segment of the LTC population. Read More »

New drug treatment for COPD receives FDA approval

FDA approves a new weapon that will be added to the arsenal of medications used to treat chronic obstructive pulmonary disease. Read More »

Wanted: Qualified nurse leaders

Beyond the DON’s office door awaits a field of opportunity for nurses to advance in long-term care leadership roles. Read More »

Study links uric acid to bone health, hip fractures

Researchers have connected uric acid levels to a greater risk of bone fractures, giving older men one more reason to watch the sugar and meat intake. Read More »

Consortium releases diagnostic criteria for low muscle mass in older adults

Several national groups join forces to study ways to measure and diagnose the weakened muscle mass condition known as sarcopenia. Read More »

SNF good setting for hemodialysis: study

Those with end stage renal disease who receive home hemodialysis in a skilled nursing facility have better outcomes than those who receive conventional, three-times-weekly dialysis, according to research presented at a medical meeting. Read More »

ACO model challenges Medicare: study

The accountable care organization model is presenting organizational accountability challenges to Medicare, according to a new study and related commentary, which suggest a solution, too. Read More »

NY nurse practitioner independence to increase

A controversial new law in New York will allow nurse practitioners to practice without a written practice agreement with a physician. Read More »

Advance directives highlighted by April 16 effort

April 16 is National Healthcare Decisions Day. Do you know the obligations of healthcare institutions? Read More »

Week celebrates WOC nurses

April 13 to 19 is Wound, Ostomy and Continence Nurse Week. Observe it with these resources. Read More »

Choosing Wisely initiative improvements posed by authors

In the latest issue of JAMA, two authors from the National Institutes of Health suggest ways to make the Choosing Wisely initiative more useful to healthcare professionals and the general public. Read More »

Out of the blue, I fainted

Professional caregivers must try to prepare for the unexpected in their daily work, says our resident blogger. Read More »

To screen or not to screen—Cognition assessments under fire

Screening for possible dementia is always a good idea, right? Maybe not, according to a new report from the U.S. Preventive Services Task Force, which calls some early screening tests and their efficacy into question. Read More »

AHRQ accepting safety data now

UPDATE: Nursing homes that have administered the Agency for Healthcare Research and Quality's nursing home safety culture survey now can submit their data through May 31. The previously announced deadline was April 21. Read More »

Residents, nurses and too little time

Documentation and other paperwork are part of a nurse’s daily routine. It takes a toll on the personal quality of resident/nurse relationships, however. Read More »

Observance puts focus on LGBT health issues

Whether it’s LGBT Health Awareness Week or some other time, several websites offer resources to help educate administrators and professional caregivers about LGBT health issues and related matters. Read More »

12 steps to QAPI: Step 4: Guiding principles

In Step 4 of the continuing series on QAPI, Nell Griffin, LPN, EdM, discusses the importance of a nursing home establishing its sense of self and communicating that image to all staff. Read More »

Tuberculosis still threatens life in U.S.

The infectious bacterial disease remains a problem in the United States, even though the number of cases reported each year is decreasing. Several resources exist for those working in long-term care, however. Read More »

1/3 of community hospital patients receive ‘inappropriate’ treatment for infections

Infection rates are up in community hospitals and SNFs. But who’s infecting whom? Read More »

Reducing ostomy infection risk

Proper care of an ostomy site can avoid unnecessary infections and maintain a resident’s dignity and comfort. These tips and resources can help caregivers manage the challenges associated with pouching systems and help them foster positive attitudes in residents who have them. Read More »

Hospital providers may have difficulty offering end-of-life prognosis

In palliative care situations, prognosis discussions for hospitalized patients may not be held because of the complex composition of providers.  Read More »

Depression vs. appetite

Not eating can pose a serious threat to a resident’s health. What happens when a resident’s “right” becomes dangerous to his or her health? Read More »

Treadmill program may help seniors avoid falls

Seniors and physical therapists one day may benefit from a computerized treadmill program under development to prevent falls and fall-related injuries in older adults. Read More »

What’s in a name?

What if a ton of long-term care death certificates are attributed to the wrong cause? One study says it may be true. Read More »

Chemical restraint replaces physical restraint in SNFs

Public reporting of the use of physical restraints has led to the increased use of antipsychotic medications in nursing home residents whose cognition is severely impaired, according to new research. Read More »

Alzheimer’s blood test could be ready in 2 years, researchers say

Trials of a blood test that can predict the onset of Alzheimer's disease may begin in two years, researchers say, heralding the chance to diagnose the disease earlier, when therapy would be more effective at slowing or preventing symptom onset. Read More »

Facilities using state data to improve quality

Leadership and staff of long-term care (LTC) facilities are focusing their quality improvement efforts on areas that residents value the most by using a tool originally designed for consumers and their families, says one state’s LTC ombudsman. Read More »

PACE crosses the 100 mark

The Program of All-inclusive Care for the Elderly model of senior care reaches a milestone as an alternative to traditional skilled nursing homes service models. Read More »

One-on-one with… Sandra Stimson

Government bodies are instituting new standards as they recognize the importance of special training in the area of dementia. In this environment, Sandra Stimson, executive director of the National Council of Certified Dementia Practitioners and the International Council of Certified Dementia Practitioners, recently took time to answer some questions about the organizations and their programs. Read More »

Geriatric emergency department guidelines issued

Catheter use, medication management, fall assessment, delirium, dementia and palliative care are among the issues covered by new guidelines issued for emergency facilities designed specifically for older adults. Read More »