The American College of Physicians has made three recommendations on assessment of risk and prevention of pressure ulcers based on the most current available evidence.

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A new study looked at the "immune signatures" of chronic fatigue syndrome, finding evidence that it is more biological than psychological, uncovering potential to develop targeted treatment that may stop fatigue from progressing to a long-term, recalcitrant illness.

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The importance and core elements of an antibiotic stewardship program are reviewed.

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A large population-based study is the first to show a strong dose response relationship between anticholinergic agents and risk of dementia and Alzheimer’s disease in older adults.

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On Friday, the CMS plans to launch the new version of Nursing Home Compare. Among the changes, inappropriate use of antipsychotics will now be included in star ratings.

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Practical Research

Offering 2 oz of citrus sorbet prior to meals can help ameliorate drug-induced xerostomia and improve food intake among elderly LTC residents. View More
The authors describe a study that evaluated the efficacy of an evidence-based program. View More


The article reviews 4 key components to ensuring comfort care in end-of-life dementia. View More
The mortality associated with this disease process is staggering in this vulnerable population. View More
This article provides a brief overview of HBO2 therapy indications, safety and side effects, and its potential role in nursing home care. View More

Ask The Expert

Long-term use of SSI regimens are not safe or effective in elderly people with diabetes, yet they continue to be prescribed in LTC settings. View More
A Q&A with a CDC medical epidemiologist on antigenic drift and guidelines for antivirals in older adults. View More
Part 2 discusses identifying and managing xerostomia due to numerous etiologies in older adults. View More

Quality Improvement

This QI project improved staff ability to document pain and use targeted pain assessments. View More
A QI project involving a specialized NP led to significant improvements in patient outcomes. View More
The authors describe the perceptions of nursing home providers who participated in a PIPP-funded QI project and completed a survey addressing a variety of QI-related concerns. View More

Case Reports/Photo Quiz

The authors discuss issues involving dabigatran use in older adults. View More
Conflict arises when patients and their families seem to accept the palliative care philosophy in principal, yet demand or refuse interventions in a way that is contrary to the basic principles of comfort care. View More
The authors discuss common issues encountered in managing these cases and illustrate the process through two case presentations. View More


The importance and core elements of an antibiotic stewardship program are reviewed. View More
Poor outcomes do not always result from poor care. This article explores this important distinction. View More
This is the fourth article in a series from Allan Vann, who has shared his experience as a caregiver for his wife, Clare, who has Alzheimer's disease. View More

AGS Viewpoint/Resources

Preview of the sessions that LTC providers should not miss at AGS 2015. View More
This two-page resource reviews identification and treatment of delirium in older adults. Log in to download and print. View More
A new clinical practice guideline offers a framework for healthcare facilities and professionals to implement actionable, evidence-based measures to improve delirium prevention and treatment. View More

Medicare Update

2015 will bring many changes sure to impact long-term care providers. Those who understand these changes are poised to share in substantial healthcare savings and improve quality care. View More
How will long-term care be financed and delivered in the future? The 15-member Commission on Long-Term Care recently submitted its final report to Congress outlining its answers to this important question. View More

Special Articles/Ethics

The therapeutic potential of animals in numerous clinical areas has been increasingly recognized. View More
SNFs vary in their strengths and weaknesses, and some may not be equipped to care for the complex needs of individuals who are ill. View More