Latest Long-Term Care News

Current Issue

Hyperbaric Oxygen Therapy: A Brief History and Review of its Benefits and Indications for the Older Adult Patient

8/7/2014 |
513 reads |

Hyperbaric oxygen (HBO2) therapy has long been used to treat decompression sickness, but more recently has been explored as a primary or adjunctive therapy for a number of injuries and medical conditions, many of which commonly affect the aging adult population. This article provides a brief overview of HBO2 therapy, reviewing its history, potential mechanism of action, indications in the older adult population, safety and side effects, and its potential role in nursing home care.

Diabetes Foot Education: An Evidence-Based Study in Long-Term Care

8/7/2014 |
284 reads |

In this article, the authors describe a study that evaluated the efficacy of an evidence-based program for training nurses in LTC facilities that had two objectives: (1) to increase the knowledge and skills of nurses about foot care in residents with diabetes to prevent and manage diabetic foot lesions; and (2) to encourage nurses to incorporate regular foot examinations in clinical practice. The results of the study show that implementation of the training program can heighten awareness of the barriers involved when executing quality improvement initiatives in LTC environments.

Managing Clostridium difficile Infection on the Verge of the Postantibiotic Era

8/7/2014 |
198 reads |

Over the past few years, there has been nationwide reporting of greater frequency and severity of Clostridium difficile infection (CDI) due to the emergence of so-called hypervirulent strains. In 2013, the Centers for Disease Control and Prevention described the urgency of CDI in the context of an imminent postantibiotic era, a time in which certain infectious diseases will become unresponsive to antibiotic treatment. Annals of Long-Term Care: Clinical Care and Aging® spoke with Teena Chopra, MD, MPH, and Amar Krishna, MD, to gain insight on the complex, multifaceted treatment of CDI in the long-term care setting and how healthcare professionals are rising up to meet the challenge of antibiotic resistance.

More Than Just Location: Helping Patients and Families Select an Appropriate Skilled Nursing Facility

8/12/2014 |
548 reads |

The decrease in length of hospital stay for an episode of care has resulted in a larger proportion of older patients requiring a stay in skilled nursing facilities (SNFs). SNFs vary in their strengths and weaknesses, and some may not be equipped to care for the complex needs of individuals who are ill. It is crucial that the healthcare system educates and assists patients, their family members, and members of the discharge team so that they can collaborate on finding the best SNF to meet the patients’ needs. In this article, the authors present evidence- and experience-based strategies that can guide hospitals to implement systems for facilitating the selection of the most appropriate SNF.

Addressing Lower Extremity Wounds in Residents With Diabetes

8/7/2014 |
184 reads |

Elderly persons residing in nursing homes are at particularly high risk of amputations and other diabetic complications due to their high prevalence of comorbidities, functional impairments, and frailty, making prevention and timely management of diabetic complications essential to reduce morbidity and mortality in this population. This issue of Annals of Long-Term Care: Clinical Care and Aging®  includes two articles that offer insights on how to improve the management of lower extremity wounds in residents with diabetes.

Washington Update - July/August 2014

8/7/2014 |
246 reads |
  • New Legislation on Medical Education
  • Fiscal Year 2015 Appropriations
  • CMS Physician Fee Schedule Proposed Rule
  • Institute of Medicine Report on Graduate Medical Education
  • VA Legislation to Improve Access and Care

American Geriatrics Society 2014 Annual Scientific Meeting

6/13/2014 |
3,630 reads |
  • Urinary Tract Infections May Be Inappropriately Diagnosed and Treated in Nursing Home Residents Evaluated in Emergency Departments
  • Study Sheds Light on Short-Term Outcomes After TAVR in Elderly Patients With Severe Aortic Stenosis
  • Loosening the Reins of Glycemic Control
  • Reducing Inappropriate Screening and Treatment of Asymptomatic Bacteriuria in Patients With Urinary Catheters
  • Improving Accessibility to Advance Directives in Electronic Health Records
  • Using Electronic Health Records to Reduce Medication Errors in Long-Term Care

Digestive Disease Week 2014

8/7/2014 |
176 reads |
  • New Probiotic Strains Shown to Effectively Treat Dyspepsia
  • Many Immunosuppressive Medications Safe for Elderly Patients With Inflammatory Bowel Disease
  • Flexible Dosing Improves Treatment Efficacy of Pancreatic Enzyme Supplementation

ALTC Tip Sheets and Resources

Checklist of Nonverbal Indicators of Chronic Pain in Elderly Residents

Allison H. Burfield, RN, MSN, PhD, and James W. Cooper, RPh, BCPS

Fall Risk Assessment Guidelines

Allison H. Burfield, RN, MSN, PhD, and James W. Cooper, RPh, BCPS

Steps for Evaluating Chronic Pain

Lisa Byrd, PhD, FNP-BC, GNP-B

Steps for Examining the Oral Cavity in Elderly Patients With Dentures

Raza Haque, MD, and Danielle Watkins, DO

Assisted Living Residence Evaluation and Question Checklist

Allan S. Vann

A Guide to the Management of Atrial Fibrillation in Older Adults

American Geriatrics Society

Disaster Preparedness Tips for Caregivers of the Vulnerable Elderly

Shirley M. Neitch, MD, FACP, Christine Gilkerson, MD, and Angela M. Brammell, PA/C

Pressure Ulcers: Geriatrics Evaluation & Management Tools

American Geriatrics Society