Clinical

Voice-Activated Documentation Comes Into Its Own

As a nationally ranked academic healthcare system, University of Pittsburgh Medical Center (UPMC) serves the health needs of more than 4 million Read More »

Lift team prevents staff/patient injuries, saves money

At OSF Saint Francis Medical Center in Peoria, Illinois, lift injuries have decreased substantially and staff satisfaction has soared after the Read More »

Polio: Managing its late effects in the nursing home

For most Americans today, polio is a vaccine, not a crippling disease. However, in the 1940s and '50s poliomyelitis was an epidemic across the Read More »

Recognizing dysphagia at meals

Most of us look forward to mealtime. It is, of course, an opportunity to eat, but it is also a chance to socialize with others and relax from the Read More »

Is pressure ulcer prevention alive and well?

Prevention of pressure ulcers is a constant process for long-term care facilities, but vitally important to preserve residents' health and avoid Read More »

Focus on Skin Integrity

Pressure-Management Mattresses With features that address prevention through stage IV pressure ulcers, Direct Supply's Panacea® foam and powered Read More »

The continuing threat of C. difficile infection

Clostridium difficile—also known as C. diff—is a bacterium commonly found in hospitals and long-term care (LTC) settings. Infection can lead to Read More »

New and improved: 2007 pressure ulcer definitions

Advances in wound care science and knowledge occur every day. In February 2007, the National Pressure Ulcer Advisory Panel (NPUAP), via a consensus Read More »

Pain mismanagement

Pain has been clinically defined as “whatever the experiencing person says it is, existing whenever the experiencing person says it does.” Read More »

Focuson Infection Control

Skin Care Lantiseptic® skin care products, available from Links Medical Products, Inc., provide skin barrier protection for incontinence. They are Read More »

A long-term care facility attacks UTI prevalence

Infection control is one of four quality measures that state regulators assess on annual review surveys in long-term care (LTC) facilities in Read More »

Keeping nighttime fright away

Every care community administrator knows that nighttime can be a frightening time for some seniors. When the sun goes down, physical and Read More »

Complying with urinary incontinence F-tag 315

In June 2005, the Centers for Medicare & Medicaid Services (CMS) issued new surveyor guidance—F-tag 315—for urinary incontinence (UI) and indwelling Read More »

Is your staff prepared to handle a diabetic crisis?

According to the National Diabetes Information Clearinghouse (NDIC), 10.3 million people age 60 years or older in the United States have diabetes. Read More »

Supporting families through the nursing home transition

Long-term care placement is probably one of the most difficult, heart-wrenching, but necessary decisions of a family's lifetime. The difficulty Read More »

Cutting-edge wound technology

Once upon a time being a long-term caregiver merely meant you had the time to write a letter, read a book, or just share experiences with a Read More »

Continuing care at home

Gina Bell, a Live At Home driver who consistently receives a 100% satisfaction rating, transports an average of 10% of program members to medical Read More »

Use standing orders judiciously

The use of standing order programs has found a place in long-term care, specifically related to influenza and pneumococcal vaccinations. These Read More »

Connecting with seniors to reduce hospitalizations

Phillip Rubin and Health Buddy Every morning when Joann Wayans wakes up, she is asked a variety of questions: Did you take your medicine? Are you Read More »

The weaning of long-term mechanical ventilator–supported patients

In the early 1950s, New York's Goldwater Memorial Hospital opened its first ventilator unit in response to polio epidemics. You may remember Read More »

Bringing more definition to end-of-life decisions

Most nursing home residents will eventually die there. Yet only 3.1 percent of residents at the end of life (that is, with fewer than six months to live) are receiving hospice care. Read More »

The role of nutrition in treating and healing wounds

Frustrated by a dearth of scientific research on the effects of nutrition in wound care, S. Kwon Lee, MD, FACS, initiated a study to determine what Read More »

Hearing Loss: Perceptions and Solutions

BY AMANDA D. NICHOLS  Hearing Loss: Perceptions and SolutionsHearing loss can be dealt with effectively to improve a resident's quality of life Read More »

Upgrading Respiratory Services

Upgrading Respiratory Servicesby the staff of The Silvercrest Center for Nursing and Rehabilitation, Briarwood, New York   Mechanical ventilation Read More »

Preparing for a Flu Pandemic

BY KEVIN M. KAVANAUGH, MA, AND SUSAN DUDA-GARDINER, BSN, RN  Preparing for a flu pandemicEmergency planning is key to addressing this possible crisis Read More »

Take a Look Before You Hook

BY JULIE A. BRAUN, JD,LLMTake a look before you hookPreventing deaths and serious injuries from medical gas mix-ups   Nursing homes Read More »

Focus On…Wound, Ostomy, and Continence

focuson Wound, Ostomy, and ContinenceThe case for hiring a wound care professionalJanet Stoia Davis, RN, CWOCN, sheds light on the down- and upsides Read More »

Focus On…Infection Control

focuson Infection ControlThe changing role of infection-control programs in long-term care managementLinda L. Spaulding, RN, C; CIC, explains how a Read More »

F314 and Pressure Relief

BY KAREN MERK, RN, BS, CRNAC   F314 and pressure reliefThe new federal guidelines have much to say about support surfaces and Read More »

Focus On…Incontinence

Learning to live with F315 incontinence management Read More »