Skin care

OIG: Nursing homes provide ‘criminally poor care,’ fail on care plans

A new report from the Office of Inspector General accuses skilled nursing facilities (SNFs) of misusing their Medicare payments, since more than one-third of SNFs don’t fulfill—or even create—the care plans and discharge goals required for their residents. Read More »

California shines in ‘Best Nursing Homes’ annual report

Where does your city rank in U.S. News & World Report's new "Best Nursing Homes" list? Read More »

CMS cleans up guidelines on laundry and infection control

Modern detergents and new laundering technologies have prompted the Center for Medicare & Medicaid Services to revise the laundry notes under F tag 411. Read More »

Spots on my nails

At times, health conditions, such as quadriplegia, can have some unusual manifestations on other parts of the body. Are they the result of an existing condition or a symptom of another health issue? Don't ignore spots, rashes, discoloration and other changes as Kathy Mears can verify. Read More »

Skin and wound care programs for LTC

In many LTC facilities, nurse aides and practical nurses don't always have the benefit of regular contact with physicians and registered nurses. Do your NAs and PNs have the training they need to recognize skin conditions and administer the best wound care? Read More »

Drug company must repay Medicare up to $48M for selling unapproved Xenaderm cream

The Healthpoint pharmaceutical company has to give back millions in Medicare reimbursements for false marketing of a skin ointment cream. Read More »

Dementia-friendly bathing

Bathing a person with Alzheimer's or other dementias can be a challenge and a frustration for the individual and the caregiver. Cindy Keith, RN, BS, is a certified dementia practitioner, lecturer and trainer. Her practical advice can ensure that frayed nerves, tempers, and emotions will not "bubble" up to ruin what should be a pleasurable experience. Read More »

Incontinence: Documentation risks and payment issues

How many of your residents have some sort of incontinence? More than you think. Improper assessment and MDS 3.0 coding of incontinence can result in inadequate treatment for residents, costly overuse of incontinence products and payment issues for caregivers. Read More »

Law firm launches nursing home neglect site

One law firm has created a website to educate consumers about nursing home neglect—and to give them easy access to lawyers who specialize in eldercare neglect cases. Will other states follow suit? Read More »

How well can we control healthcare-associated infections (HAIs)?

Several recent studies show varying levels of success for infection-reduction programs, including efforts to curb MRSA, CLABSI and CAUTI rates. But the jury is still out on whether healthcare-associated infection (HAI) programs are making progress because of Medicare's new policies—or in spite of them. Read More »

Promoting continence and healthy skin in dementia care

Bathing is a regular part of routine hygiene and good skin care, but for a person with Alzheimer’s or other dementias, it can be an upsetting, even terrifying, experience. Read More »

Penalties for readmissions could hit low-income regions below the belt

CMS penalties for readmissions will have disproportionate effects on healthcare facilities in lower-income communities. Read More »

Nurse burnout increases infection rates

Staff overload could cost your facility plenty, as one research center draws a direct relationship between burnout and healthcare-associated infections. Read More »

HHS: Long-term care is the next step in national plan to combat infections

The Department of Health & Human Services has released the LTC chapter in the national plan to reduce infections: C. difficile and urinary tract infections are the first of many high-priority targets. Read More »

Pressure Ulcers: Changing habits can combat clinical and legal problems

Pressure ulcers are painful and dangerous for residents and costly for facilities. Next year, PUs are going to cost facilities even more. Learn how to improve wound care intervention to protect your patients and manage risk. Read More »

Listen to what your feet are telling you

Sore feet, ingrown toenails and sore are no laughing matter. Whether young or old, foot problems can plague anyone. Recent data show that a staggering number of Americans age 21 and older have had one or more foot problems. Read More »

Hospital readmissions won’t improve without better transitions of care

Solving the problem of hospital readmissions will take much more than follow-up calls at home. Each link in the care chain has quality improvements to make, say health IT experts at the 2012 LTPAC Health IT Summit. Read More »

Watch your language: Culture change for the medical record

Picture a bedsore. Stare at it. Now, focusing on that same image, re-label it “skin failure.” Suddenly, the identical wound no longer looks or ‘feels’ the same. Here are suggestions for modifying commonly used words and phrases to clarify what is communicated to residents, families and others. Read More »

Leaders of Tomorrow: R. Gary Sibbald, BSc, MD, FRCPC (Med) (Derm), MEd

Congratulations to the fourth of five Leaders of Tomorrow award winners profiled this week: R. Gary Sibbald, BSc, MD, FRCPC (Med) (Derm), MEd, professor of public health and medicine, University of Toronto, Ontario. Read More »

Muscle training treats urinary incontinence for older women, study finds

The cost of incontinence care in the United States averaged $19.5 billion in 2004, and by one estimate the annualized cost of women's nursing home admissions due to urinary incontinence was $3 billion, according to AHRQ. Read More »

Prevent pressure ulcers: Is it possible?

Age alone is not the only contributing factor to pressure ulcer development. It is also about the inconveniences of old age such as impaired mobility, poor nutrition, changes in mental status or chronic diseases. High blood pressure, heart disease and diabetes affect blood flow to organs including the skin, increasing the risk of pressure ulcers. Read More »

Incontinence and associated skin care

Martha Sparks, PhD, GCNS-BC, NGNA Fellow There are four types of urinary incontinence (stress, urge, overflow, functional) and multiple types of Read More »

Take control of incontinence

Facility staff empathizes with the pain and discomfort of the resident with incontinence, but they frequently do not have the opportunity to discuss Read More »

A special challenge of MDS 3.0 Section M: Skin Conditions

One of the rewards of editing Long-Term Living is fostering friendships and professional kinship with providers, clinicians, academics, and policy Read More »

MDS 3.0 Section M: Skin Conditions

When MDS 3.0 went into effect in October 2010, Section M: Skin Conditions was immediately perceived as a special challenge. It was not simply that Read More »

Just the FAQs: Skin care, incontinence

ABOUT CLINICALLY SPEAKING Clinically Speaking addresses clinical topics of interest to the long-term care community, such as skin care and Read More »

Skin tears

At a glance… Long-term care providers must ensure that their skin tear procedures and practices reflect the current literature and clinical Read More »

Incontinence-associated dermatitis

Denise Nix Vicki Haugen What is incontinence-associated dermatitis (IAD)? Perineal dermatitis, recently relabeled incontinence-associated Read More »

Five FAQs about SCALE

At a glance… The Skin Changes at Life's End panel has compiled a consensus statement. Ten statements were issued concerning geriatric skin meant Read More »

Pressure ulcer evaluation: Best practice for clinicians

The Wound, Ostomy and Continence Nurses (WOCN) Society recognizes and supports the fact that a pressure ulcer evaluation represents one aspect of a Read More »