Clinical

Positive aging through technology

Keeping up with technologies that enhance independence and wellness promotes “ultimate aging” as tech-savvy boomers grow older. Read More »

‘Silent strokes’ linked to memory loss in older adults

New research offers clues as to why some older people may be losing their memory. Read More »

Diet and nutrition linked to cognitive ability, brain shrinkage

New study shows that elderly people with higher levels of some vitamins and omega-3 fatty acids had better cognitive performance, while poor diets produced the opposite result. Read More »

Hospital discharge summaries often delayed; may affect nursing home re-hospitalizations

The researchers’ findings, recently published in the Journal of General Internal Medicine, determined that discharge summaries regularly lack necessary information on diet, activity level, therapy and pending laboratory tests of nursing home patients after departure from the hospital. Read More »

NCPA: Changes to LTC pharmacy consultants ‘jeopardize rural healthcare’

CMS has proposed changes to LTC pharmacy consultants that the NCPA says could imperil independent community pharmacies. Read More »

Is a return to mobility possible?

Mary M. Harroun, MS, LNHA, demonstrates a leg lift The answer is yes. It might not be possible for all of your residents but a significant number Read More »

Magic or mayhem: What’s ahead? Part 2

Editor's note: Last month, Long-Term Living readers were treated to five of Richard Peck's predictions for the industry in the coming years Read More »

Testing the tears

I don’t trust those “scientists.” Let me say that right up front. But rumor has it they’re working on a better way to do diabetes testing, and I say Read More »

The pharmacist’s role in care transitions

Alfred, a healthy 81-year old, was hospitalized for a knee replacement. He was started on a blood thinner to prevent blood clots following Read More »

A resident receives a flu shot—and then gets sick

A couple of weeks ago two nurses came in my room before breakfast and said they were giving flu shots. When I asked if I could get mine sitting up, I Read More »

Coping with seasonal affective disorder in the nursing home

When I was growing up I became listless and tired every fall. For many years I thought it had something to do with school starting again. But when Read More »

Take the pressure out of pressure ulcers

Kristen Thurman, PT, CWS Susan R. Wickard, RN, BSN, CWCN, CWS, CLNC Pressure ulcers continue to cause pain and suffering to patients and Read More »

Incontinence and associated skin care

Martha Sparks, PhD, GCNS-BC, NGNA Fellow There are four types of urinary incontinence (stress, urge, overflow, functional) and multiple types of Read More »

Top 10 clinical innovations in LTC

Clinical innovations in long-term care might bring to mind invasive procedures and/or pharmaceutical interventions. At least that's how it used to Read More »

Prepare to prevent infectious outbreaks

Jane Kirk, RN, MSN, CIC Sherrie Dornberger, RN, CDONA, FACDONA Have you ever been at a meeting or conference and overheard someone say, “We have Read More »

New approaches to wound care

James G. Spahn, MD, FACS Pressure ulcers are a significant problem across all healthcare settings in the United States. Annually, 2.5 million Read More »

Fall prevention programs receive a new review

Fall prevention strategies have been paid a fair amount of scientific attention as of late. Last month, I wrote on this blog about two researchers Read More »

The comfort of bedside dialysis

When a resident requires dialysis, it can be an emotional and logistical nightmare. Not only does the resident have the inconvenience and discomfort Read More »

LTC nurses focus on infection prevention

Top-down and bottom-up approaches to facility infection control and prevention programs are an evolving force in culture and practice. During an Read More »

Rehab with Heart

The educators (from left): Karla Reese, OT; Barbara Bliss, AD; Theresa Schultz, RN, DCD; and Sue Kocin, RD, LD. Theresa Schultz is Read More »

Fall prevention strategies under scrutiny

How about this for a bold statement: Patient falls in hospital settings should not be considered preventable. That’s the conclusion of a recent Read More »

Physician visits and resident privacy

Though I have lived in nursing homes for many years, I have struggled to get used to how certain doctors conduct themselves during their monthly Read More »

Infection prevention

AMDA-Dedicated to Long Term Care Medicine (formerly the American Medical Directors Association) recently updated its “Common Infections in the Read More »

Honey: An old or new remedy?

Although used by the ancient Greeks and Romans, researchers are only beginning to understand the healing properties of honey. More recently, Read More »

Family history collages for residents with dementia

The daughter stopped me as I began to walk into her mother's room. “My mother says a lot of things that are fabricated, but in her case, the Read More »

Report finds pressure ulcer frequency declining, avoidable hospitalizations rising

Click for larger version The Agency for Healthcare Research and Quality (AHRQ) released its annual healthcare quality and Read More »

Diagnostic advancements in long-term care

Healthcare reform and the Affordable Health Care Act legislation was passed in 2010. Even as components of it are challenged in the courts, we Read More »

A special challenge of MDS 3.0 Section M: Skin Conditions

One of the rewards of editing Long-Term Living is fostering friendships and professional kinship with providers, clinicians, academics, and policy Read More »

MDS 3.0 Section M: Skin Conditions

When MDS 3.0 went into effect in October 2010, Section M: Skin Conditions was immediately perceived as a special challenge. It was not simply that Read More »

Diabetic foot ulcers: Assessment and education

With 285 million people suffering from diabetes worldwide,1 the disease has become a global epidemic.2 Twenty million people suffer from diabetes in Read More »