Clinical

Low RN staffing hours linked to higher hospitalization, mortality rates during norovirus outbreaks, study finds

Gastroenteritis outbreaks are common in nursing homes. A recent study found that the rates of hospitalization and mortality increased during norovirus gastroenteritis outbreaks in nursing homes as compared with non-outbreaks periods. Read More »

A bad break for sleeping pills?

Recent preliminary research has linked medications that treat insomnia to high hip fracture rates. Read More »

Infection control: It’s time to get immunized!

Coming down with the flu can have serious complications in the elderly. Immunizing residents and staff can help to prevent a serious outbreak in your facility. Take a team approach to assess, plan, intervene and evaluate the threat of influenza for each individual and the facility. Read More »

My new computer’s glitch

I have had my new computer for a few weeks. I would like to say that I have been having a wonderful time with it.  But, in fact, at times it makes me feel stupid. Read More »

How well can we control healthcare-associated infections (HAIs)?

Several recent studies show varying levels of success for infection-reduction programs, including efforts to curb MRSA, CLABSI and CAUTI rates. But the jury is still out on whether healthcare-associated infection (HAI) programs are making progress because of Medicare's new policies—or in spite of them. Read More »

“Frequent users” are not abusing ER services, multi-state studies say

Seniors have been accused of overusing the Emergency Room, often as a substitute primary care provider. But new studies from a national emergency medicine association say that their ER visits are usually justified. Read More »

New drug may slow memory loss in cases of mild Alzheimer’s

Studies on the effectiveness of a new Alzheimer’s drug developed by Eli Lilly score a hit with data that showed it reduced memory decline in patients with mild cases of the disease. Read More »

My missing printer

Last Tuesday when the computer tech came to set up my computer, I asked the receptionist to give him the three boxes I had ordered. She looked rather startled and said only two boxes had arrived. Read More »

Promoting continence and healthy skin in dementia care

Bathing is a regular part of routine hygiene and good skin care, but for a person with Alzheimer’s or other dementias, it can be an upsetting, even terrifying, experience. Read More »

7 methods to educate residents about their diagnoses

Engaging residents to learn more about their medical diagnoses can be a challenge, but seven simple approaches can bring information on illnesses and conditions to the community—for the benefit of both residents and caregivers—and keep the doorways to conversation open. Read More »

Knee replacement patients need extra care to curb infections, readmissions

Knee replacements are one of the most common surgical procedures for those over 60. But the risks of infection and hospital readmission are increasing. Does your facility have a plan to provide best-practices care to residents on knee rehab? Read More »

Study shows antibiotic prescribing for seniors varies geographically

Too much of a good thing? Study finds that seniors living in the South are prescribed more antibiotics than other geographic region in the U. S. Read More »

John Gilligan, RN, receives 2012 Joan Ann McHugh Award for Leadership in Long-term Care Nursing

And the long-term care leaderships award goes to… John Gilligan, RN, of Pensylvania’s Sunshine Gardens memory unit! Read More »

How to keep belongings safe

I wanted to warn Deedrick to be careful with his laptop. I wondered if another resident might have a behavior and damage or destroy it. I was also concerned that someone might take it. Read More »

Chew on this: Dental health and senior dementia may be related

A longitudinal study published in the Journal of the American Geriatrics Society has linked poor dental care to higher dementia rates among seniors. The number of teeth, quality of oral health and frequency of dental exams could all be influences on later dementia, researchers say. Read More »

Seniors need behavioral health services tailored to age, ethnicity

For senior mental health outreach, one size does not fit all. Programs designed to engage seniors within their specific spaces and cultures have the highest success, say behavioral health experts. Are you reaching out across the diversity within your communities? Read More »

LTC has new tools to monitor and prevent healthcare-acquired infections

CDC and the Society for Healthcare Epidemiology of America (SHEA) have recently released new tools and information to track and prevent healthcare-acquired infections (HAIs). Read More »

Identity crisis

The psychiatric symptoms often seen in older persons may actually be an “identity crisis” as Erik Erickson has previously described it. Read More »

Days of inconvenience

Last week the toilet between my semi-private and the next was out of order. Since the three other residents using it are ambulatory, they could use the toilet in the shower room. But, finding a toilet for me (a quadriplegic) was more complicated. Read More »

Seniors with hearing loss have higher dementia rates

Want to help reduce your chance of developing Alzheimer’s? Get your ears checked, researchers say. Read More »

UTI payment study reveals big holes in datasets used for performance measures

What started out as a comparative analysis on reimbursement rates related to catheter-based urinary tract infections (CAUTIs) has opened a huge can of worms concerning hospital datasets and their reliability as performance measurements. Read More »

Dementia denial: The secretive obstacle to intervention

Dementia treatments and memory care regimens have come a long way—if we can first get past the biggest initial obstacle: Patient-centric denial. Read More »

Care during last five years of life could cost $38-66k or more, study says

The last five years of life can cost a bundle, even with Medicare coverage, reveals a new study published in the Journal of General Internal Medicine. Read More »

Opioids, Pain Management and LTC

To achieve the best results, pain management interventions should be customized for each individual. Krista Das, director of marketing and communications for AMDA–Dedicated to Long Term Care Medicine, discusses the myths and methods concerning the use of opiods in LTC pain management. Read More »

Floor cleaning day Part 2

I was concerned about my floor being stripped and waxed because it upsets my routine. Since I wanted things to run smoothly, I had my driver, Debra, come at 8 a.m. on Thursday to help the maintenance guys move things. That way I knew I would have some idea where things were put. Read More »

Art Modell leaves hospice legacy in Cleveland

The late Art Modell, longtime NFL franchise owner, may still stir up feelings in the Cleveland sports scene, but the hospice legacy he leaves behind is one of serenity amid nontraditional end-of-life care. Read More »

Study questions performance measures regarding stroke mortality rates

When it comes to performance based on 30-day mortality rates, care facilities may be getting skewed performance ratings for ischemic strokes, a new study says. Read More »

Certain surgeries have far higher 30-day readmission risks, study shows

Residents who are recovering from surgery need special transitions of care and monitoring to prevent post-operative complications and hospital readmissions. Read More »

New flu shot designed for seniors debuts this fall

We’re still enjoying the vestiges of summer, but it’s never too early to begin educating elderly residents about influenza risks and the importance of vaccinations. Read More »

Experimental treatment shows promise for Parkinson’s

People with Parkinson’s have to take pills many times a day to control their symptoms. A new medication technique developed at the Cleveland Clinic uses a gell-based medication to curb the “fall off” effects that pills often have. Read More »