Enteral nutrition is a common mechanism for providing adequate nutrition in the long-term care setting. However, enteral nutrition is associated with various complications, which include aspiration and gastrointestinal, metabolic, and mechanical problems. Optimal recognition and management of these complications is critical for safe and successful administration of enteral nutrition. This article discusses types of feeding tubes; possible complications, including common drug–enteral feeding interactions; and recommendations for practice. (Annals of Long-Term Care: Clinical Care and Aging 2008;16[4]:28-32)

Medical malpractice litigation is an increasing concern for practitioners who work in long-term care (LTC). Litigation may be directed at LTC facilities and the practitioners who work in them. Substandard care that leads to poor patient outcomes does occur, and not all litigation is unwarranted or frivolous. There are, however, many aggressive law practices that seek to promote the litigation of LTC facilities and providers. It is important for physicians and others who work in LTC to understand the course of a typical malpractice lawsuit and how to prepare for and participate in your defense. It is also important to adopt some simple risk management strategies to help avoid becoming involved in a malpractice case in the first place. (Annals of Long-Term Care: Clinical Care and Aging 2008;16[4]:39-42)