Durable Medical Equipment, Pharmaceutical, and Practitioner Connections: A Formula for Better Delivery of Care
An important way the Foundation for Post-Acute and Long-Term Care (PALTC) Medicine advances its mission is by embracing and nurturing collaborative partnerships between practitioners and industry partners, both striving for better care for the patients and families we serve. We commend our Industry Advisory Board (IAB) members and highlight here how their support of your Foundation efforts fund many of our key initiatives. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: James E. Lett, David Smith Tags: Our Foundation Source Type: news

The Explosive Growth of Telehealth Throughout the COVID-19 Pandemic and Beyond
Telehealth use in the United States has increased by over 6,000% since the onset of the COVID-19 pandemic. Medicare telehealth visits alone have increased by 63-fold, from 840,000 in 2019, to 52.7 million in 2020 alone, as discussed by a Department of Health and Human Services (DHHS) report issued in December 2021 (https://bit.ly/3N2t6dJ). (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Janet Feldkamp, Christine Pokryfky Tags: Legal Issues Source Type: news

Behavioral Health Integration and Training — A Model to Extend the Reach of Psychiatry
A majority (60% to 80%) of nursing home residents have one or more psychiatric diagnoses, including dementia (Med Care Res Rev 2010;67:627 –656). And post-acute and long-term care (PALTC) residents take an astonishing number of psychoactive medications, most prescribed by nonpsychiatrists for a variety of indications (J Gerontol Soc Work 2012;55:444–461). Finding the best model to provide meaningful psychiatric services in PALTC, h owever, is a perennial struggle (Psychiatr Serv 2002;53:1390–1396). (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Lea Watson Source Type: news

Can Ignorance Be Bliss?
Back in the 1980s, when Studio 54 was in its heyday, I taught high school science in New York City for a few years. Having graduated from a large public high school myself in a suburb of Cleveland, living in Manhattan in the early ’80s was a culture shock for me: exhilarating and wild but also a little scary. I was amazed at how many people were crowded into the city. The sidewalks were filled with drug users, sex workers, and mentally ill indviduals — many of whom seemed very angry and sometimes threw projectiles at othe rs for no apparent reason. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Karl Steinberg Tags: On My Mind Source Type: news

We want to hear from our readers!
Please consider helping us out by taking a 2-3 minute survey about your experience with Caring for the Ages. Scan the QR code below or visit www.caringfortheages.com. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Source Type: news

Thinking About a Career in Post-Acute and Long-Term Care? Consider this Advice
We asked the Caring for the Ages Editorial Advisory Board to answer this question: (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Source Type: news

In This Issue
These communities have found success with intergenerational programs. 3 (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Source Type: news

CMS Issues Updates to Improve the Safety and Quality of Care for Long-Term Care Residents
The Centers for Medicare& Medicaid Services (CMS) recently issued updates to its guidance on the minimum health and safety standards that long-term care (LTC) facilities must meet to participate in Medicare and Medicaid. CMS also updated and developed new guidance in the State Operations Manual (SOM) to address issues that significantly affect LTC residents. The surveyors who use these resources to perform nursing home inspections are responsible for determining whether facilities are complying with the CMS requirements. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Tags: Spotlight on Policy Source Type: news

Infection Control in Assisted Living: Approaches to Keeping Residents Safe
Assisted living (AL) communities are very different state by state and even community by community. Each must adhere to their state-based requirements, which can vary based on the size of the community. AL communities can range from a few beds to a thousand beds, and the residents may have their own rooms, or small apartments, or may share a room with one or more individuals. Given these differences, infection control practices can also vary — but there are some practices that communities can engage in that help keep their residents safe. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Barbara Resnick, Loretta Kaes, Sarah Howd Source Type: news

Parkinson ’s Disease and Orthostasis
Mr. P is a 76-year-old male living in assisted living. He moved into the facility because his care needs exceeded his family ’s capacity to care for him at home. He has multiple medical comorbidities, including a history of falls, and he requires complex medical management. He uses a walker to assist with ambulation. Over the past few weeks, he has been falling frequently and is experiencing a functional decline, which necessitates staff assistance with transfers and ambulation. He expresses feelings of dizziness when sitting up; his blood pressure in a prone position is 200/84, and it drops to 110/70 with dizziness when...
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Barbara Resnick, Paige Hector Tags: Interdisciplinary Team Case Studies Source Type: news

Letter to the Editor
Alan Horowitz eloquently describes how a nurse was scapegoated for the failings of a faulty system in his recent article “Medication Errors and Homicide: When Law and Medicine Collide” (Caring for the Ages, 23(5)). The one part of the system omitted from this analysis was the original order for midazolam (“Versed”). AMDA members are well-aware of the risks of such a medication, especially in older adults with dementia. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Source Type: news

Medical Cannabinoids: What Clinicians in Long-Term Care Should Know
To date, older adults are consuming cannabinoids at a higher (no pun intended) rate than ever before. Chronic pain, cancer-related pain, back and neck issues, arthritis, insomnia, post-traumatic stress disorder, and anxiety are the most common conditions that lend to the use of medical cannabis — and all are common conditions among the older adult population. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Alexandria Hill Source Type: news

Human-Animal Interaction and Intergenerational Programs: Little Moments of Joy Can Transform the Day
The past two years have brought plenty of challenges to post-acute and long-term care (PALTC) communities, and many of us feel the weight of dealing with a marathon of problems that never seems to end. Despite all obstacles, we continue to return to the PALTC settings that we love, and many of us have found some solace in the positive experiences that we have with residents, families, and one another. These little moments of joy are priceless and can truly transform the day. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Elizabeth Galik Tags: Caring Collaborative Source Type: news

News From The Society
AMDA – The Society for Post-Acute and Long-Term Care Medicine’s EDGE Symposium is back for another year of exploring practical approaches to “mending the cracks” in the PALTC system through engaging lectures, panel discussions, and facilitated small group interaction. The virtual program is set f or October 28, and attendees will get practical takeaways they can apply to their practices and share with their teams and colleagues. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Source Type: news

Higher Breakfast Protein Quality Is Associated With Reduced Incidence of Sarcopenia
Reference: Kinoshita K, Otsuka R, Nishita Y, et al. Breakfast Protein Quality and Muscle Strength in Japanese Adults: A Community-Based Longitudinal Study. J Am Med Dir Assoc 2022;23:729 –735.e2. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2022 Category: Health Management Authors: Milta Oyola Little Tags: Pragmatic Research Source Type: news