Clinical

Highlights from previous OPTIMA Award submissions: The Angel Care Program

“I wish I knew she was dying. L.R. and I have been friends for five years. We have been on the same floor. We ate in the same dining room, at the Read More »

Quality indicator meetings ‘de-stress’surveys

State surveys bring butterflies and stress to long term-care staff and administration. In order to survive these events, facilities must design Read More »

A team approach to effective wound care

Most nursing facilities will tell families they do wound care, but not all wound care programs are as effective and successful as others. There are Read More »

Nursing home wound care: The case for hyperbaric medicine

Bed sores, lesions, pressure sores, and chronic wounds are a constant source of worry, not to mention infection, and are enormously problematic for Read More »

Eliminating inappropriate medications in the elderly

When thinking of quality improvement in the long-term care setting, not many areas are more important than the threat of medication errors and their Read More »

Dying in place

Ahospice prognosis once meant that seniors who were living in care communities were required to leave that setting for a hospital or hospice Read More »

Across-the-board savings with resident lifts

Savings-not only in insurance and worker's compensation dollars, but in reduced problems for residents and staff-accrued in a major way with the Read More »

Enhanced continence care

Resident incontinence represents a major challenge for the long-term care (LTC) industry. It negatively impacts residents on many levels and has a Read More »

Nursing challengessupport association

“Do we really need another nursing association?” This question is raised occasionally as the number of long-term care (LTC) nursing associations Read More »

How to keep the nursing in long-term care facilities

It's no secret that the United States has a nursing shortage, one that promises to grow to alarming proportions—particularly in this country's Read More »

Advancing Excellence in Pain Assessment (Part 2)

Click here for Part 1 of Advancing Excellence in Pain AssessmentScreening  Screening all residents for pain is the baseline step in the Read More »

Advancing Excellence in Pain Assessment (Part 1)

Every resident has the right to be pain free and this can only be accomplished through an effective pain management program. Every long-term care Read More »

The case for care transparency

When the new Congress gets down to business early next year, organizations representing the nursing home community will be confronted with two Read More »

Flu season

As flu season approaches, Long-Term Living magazine asked board-certified geriatrician Jonathan Musher, MD, CMD, president of Metropolitan Read More »

Resident care process

Quality of care deficiencies can be devastating in any nursing home: devastating to the resident, who can suffer a decline in health status or even Read More »

Group effort makes hospice house a reality

In a tranquil setting overlooking 9.5-acres of virgin woodlands in Duluth, Minnesota, sits a $4 million, 12-bed hospice house. Inside, original oil Read More »

Was the medication given?

Errors in medication administration are all too common in healthcare facilities, a fact that's documented in many medical journals and studies. In Read More »

Evidence-based skin tear protocol

A common experience: Aresident's daughter comes to the front office wanting to see the administrator. She reports her mother has very fragile skin, Read More »

Facility for vision-impaired residents

The new community can accommodate 38 residents in private and semiprivate rooms, along with community space featuring public and private areas Read More »

The Future of Assisted Living

Assisted living has become the fastest-growing long-term care option for those who want to live independently with assistance, according to the Read More »

Todays bariatric trends

Bariatric patients are no longer a segregated part of the patient population. In the United States, 65% of the population is overweight or obese. Read More »

The obesity epidemic

Nearly 135 million adults in the United States are either overweight or obese; 14 million are considered morbidly obese, and an amazing 1 million Read More »

When restraints are not an option

Editor's note: Since 1996, Nursing Homes/Long Term Care Management has been honor-ing long-term care facilities that are proactive with programs Read More »

Holistic Wellness

A recent study in the Journal of the American Medical Association supports research that indicates adults over the age of 60 who had high levels of Read More »

The evolution of subacute services: One facility’s view

In 1996, The American Health Care Association (AHCA), the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and the Association Read More »

Correct assessment is key to treatment

Aggregate MDS data indicates that more than 50% of the nursing home population experiences some degree of urinary incontinence (UI).1 UI, however, Read More »

A collaborative model takes on the care gap, part II

Read Part I here. JO: You’ve mentioned some of the functions that the program plays for employees. Can you expand on those and explain some of the Read More »

A collaborative model takes on the care gap, part I

Michigan’s elderly population is expected to expand during the next 25 years by more than 52%—from 1.2 million to 1.8 million. Its traditional source Read More »

Is your infection control program effective?

It is well known that the elderly population has a substantially increased incidence and severity of many infectious diseases. In fact, the Centers Read More »

Confronting the risk of elopement

You've received a call from the local hospital that one of your residents, after being found on the street by the police, has been brought to the Read More »