Clinical

Todays bariatric trends

Bariatric patients are no longer a segregated part of the patient population. In the United States, 65% of the population is overweight or obese. Read More »

The obesity epidemic

Nearly 135 million adults in the United States are either overweight or obese; 14 million are considered morbidly obese, and an amazing 1 million Read More »

When restraints are not an option

Editor's note: Since 1996, Nursing Homes/Long Term Care Management has been honor-ing long-term care facilities that are proactive with programs Read More »

Holistic Wellness

A recent study in the Journal of the American Medical Association supports research that indicates adults over the age of 60 who had high levels of Read More »

The evolution of subacute services: One facility’s view

In 1996, The American Health Care Association (AHCA), the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and the Association Read More »

Correct assessment is key to treatment

Aggregate MDS data indicates that more than 50% of the nursing home population experiences some degree of urinary incontinence (UI).1 UI, however, Read More »

A collaborative model takes on the care gap, part II

Read Part I here. JO: You’ve mentioned some of the functions that the program plays for employees. Can you expand on those and explain some of the Read More »

A collaborative model takes on the care gap, part I

Michigan’s elderly population is expected to expand during the next 25 years by more than 52%—from 1.2 million to 1.8 million. Its traditional source Read More »

Is your infection control program effective?

It is well known that the elderly population has a substantially increased incidence and severity of many infectious diseases. In fact, the Centers Read More »

Confronting the risk of elopement

You've received a call from the local hospital that one of your residents, after being found on the street by the police, has been brought to the Read More »

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 »