Latest Long-Term Care News

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Identifying and Managing Long-Term Care Residents With Criminal or Correctional Histories: Preliminary Analysis of One Facility’s Experience

6/13/2014 |
1,422 reads |

Little is known about the impact of elderly individuals with criminal or correctional histories on nursing facilities or strategies to minimize the risk posed by residents who have the potential to abuse others. To address this paucity of information, the authors conducted a study that included a convenience sample of 46 individuals with disclosed criminal or correctional histories admitted to their facility between 2001 and 2013. They found that although a large proportion of those with known criminal histories can be safely placed in long-term care settings with minimal disruption and risk, there are certain factors that increase the likelihood of problematic behaviors. This article outlines these factors and describes strategies for assessing risk, identifying and protecting potential victims, and preventing or managing problematic behaviors to decrease liability while balancing the rights of the criminal with those of residents, staff members, and the community at large.

Building a Health Information Technology Infrastructure in Long-Term Care

6/13/2014 |
1,092 reads |

There is increasing interest in the potential of health information technology (HIT) to improve quality of care, prevent medical errors, and increase administrative efficiencies in the nursing home setting. The purpose of this study was to identify characteristics of nursing homes that were predictors of high versus low levels of technology adoption. Using data collected as part of a systematic technology needs assessment among Rhode Island nursing homes, the authors assessed the baseline level of technology adoption prior to a statewide initiative to assist nursing homes with the purchase and installation of computers in clinical areas. The results showed that only 36% of the nursing homes in the state had computers with Internet access placed in all clinical areas. Not-for-profit and chain-affiliated nursing homes were more likely to have computers in clinical areas, positioning them for easier participation in a health information exchange. These findings can guide nursing homes as they plan for increased HIT capacity in the ongoing initiative to improve quality and management of care for their residents.

Geriatrics Evaluation and Management Tools: A New Feature for Readers From the American Geriatrics Society

6/13/2014 |
810 reads |

Providing high-quality care for older adults, many of whom have multiple complex chronic conditions, requires specific knowledge and skills. The current healthcare system is already overwhelmed by demands for geriatric care in a variety of settings, and these demands continue to increase as our population ages.

American Diabetes Association 74th Scientific Sessions

6/20/2014 |
1,007 reads |
  • Gait Speed to Determine Microvascular Disease and Inflammation in Older Diabetes Patients
  • Study Examines Barrier to Self-Care

 

American Geriatrics Society 2014 Annual Scientific Meeting

6/13/2014 |
2,931 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

Sustaining Mobility Through Enhanced Bed Egress

7/11/2014 |
724 reads |

This article focuses on the physical actions required to rise and get out of bed and discusses how these actions may present a challenge for older adults with reduced physical abilities. Solutions that facilitate the successful performance of the physical actions of bed egress are also discussed. To ensure the quality, function, and safety of long-term care living environments, it is important to consider the ergonomics of bed systems and other key furnishings.

Advancing Nutritional Care for Older Adults

6/13/2014 |
1,626 reads |

There is major potential in the year 2014 for improving the quality of nutritional care in long-term care settings. In particular, updated guidelines on the role of nutrition in preventing and treating pressure ulcers are in the pipeline, and the Centers for Medicare & Medicaid Services issued a new rule giving greater autonomy to registered dietitians. Increasingly, dietitians and nutritionists are being viewed as vital members of a resident’s interdisciplinary care team, applying their expertise in “nutraceuticals,” probiotics, and adverse food–medication interactions to ensure optimal nutritional status in older adults. Annals of Long-Term Care: Clinical Care and Aging® discussed these current topics with geriatric nutritionist Becky Dorner, RDN, LD.

Ensuring Resident Safety

6/13/2014 |
610 reads |

While striving to meet our day-to-day goal of providing each resident with the best care possible, the growing demands on long-term care (LTC) facilities imposed by federal regulations present many challenges. But it’s important to remember that these regulations help safeguard residents’ personal rights, dignity, and wellbeing. This issue of Annals of Long-Term Care: Clinical Care and Aging® includes articles that emphasize resident safety.

Geriatrics Evaluation and Management Tools: Pressure Ulcers

6/13/2014 |
4,590 reads |

This is the first in the American Geriatrics Society's series of Geriatrics Evaluation & Management Tools. This two-page handout reviews all aspects of evaluating and managing pressure ulcers. This resource is intended to be downloaded and shared.

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