The Great Outdoors Are Good for Everyone, Especially in a Post-Acute and Long-Term Care Facility
Senior contributing writer Joanne Kaldy spoke to Erin Vigne, MA, RN, director of clinical affairs at AMDA - The Society for Post-Acute and Long-Term Care Medicine, about the importance of getting outside. (Source: Caring for the Ages)
Source: Caring for the Ages - April 27, 2023 Category: Health Management Tags: Caregiver ’s Corner Source Type: news

Protein Requirements for Older Adults: What Are the Current Recommendations for Intake?
Health care professionals often hear a common message regarding older adults and adequate nutrition: “Are they eating enough protein?” (Source: Caring for the Ages)
Source: Caring for the Ages - April 27, 2023 Category: Health Management Authors: Phyllis Famularo Source Type: news

Fracture Care Pathway Allows Patients to Remain in Facilities
Suspected fractures in residents of long-term care (LTC) facilities have in the past resulted in a transfer to a nearby emergency department, but with the increased risk of exposure to COVID-19, alternatives are needed. In response to this problem, researchers from Sunnybrook Health Sciences Center in Toronto, Ontario, developed a fracture care pathway that allows patients with stable fractures to remain at the LTC facility. (Source: Caring for the Ages)
Source: Caring for the Ages - April 27, 2023 Category: Health Management Authors: Jeffrey S. Eisenberg Tags: Journal Highlights Source Type: news

Exercise Guidelines for Nursing Homes
Some 85% of LTC residents ’ time is sedentary, research has shown, even though sedentary lifestyles can lead to age-related decline, chronic disease, and disability. With that in mind, Eva Peyrusqué, a PhD student at the University of Quebec in Montreal, and colleagues reviewed existing data on physical activity and offer ed guidelines for LTC facilities to engage older adults in physical activity. (Source: Caring for the Ages)
Source: Caring for the Ages - April 27, 2023 Category: Health Management Authors: Jeffrey S. Eisenberg Tags: Journal Highlights Source Type: news

Physician Practice Variables Unaccounted for in Studies of NPs and PAs in Nursing Homes
Paul R. Katz, MD, CMD, of Florida State University College of Medicine, and colleagues conducted a scoping review of peer-reviewed studies examining the impact of care provided by nurse practitioners (NPs) and physician assistants (PAs) in nursing homes to see if they “have accounted for both the collaborative relationship between themselves and physicians as well as physician practice size and type.” The researchers looked at whether these studies accounted for the collaborative relationship between NPs/PAs and physicians as well as practice variables “suc h as the number of physicians, total practice case load, and...
Source: Caring for the Ages - April 27, 2023 Category: Health Management Authors: Jeffrey S. Eisenberg Tags: Journal Highlights Source Type: news

Three Strategies to Improve Training and Education in Post-Acute and Long-Term Care
It was such a pleasure to attend AMDA – The Society for Post-Acute and Long-Term Care Medicine’s Annual Conference in person this year in Tampa, FL. While webinars and virtual meetings keep us connected throughout the year, nothing beats in-person interaction during a conference session. The questions and discussion from conference attendees in the session “Resident Engagement in Care Interactions Among Residents With Dementia: Promoting Positive Care” (chaired by Rachel McPherson, PhD) really got me thinking about how we orient, train, and educate new staff members — many of whom may have limited health care exp...
Source: Caring for the Ages - April 27, 2023 Category: Health Management Authors: Elizabeth Galik Tags: Caring Collaborative Source Type: news

Mark Your Calendar
May 17, 2023 (Source: Caring for the Ages)
Source: Caring for the Ages - April 27, 2023 Category: Health Management Source Type: news

Naloxone Advocacy in Post-Acute and Long-Term Care
We are all familiar with the increased incidence of opioid overdoses and deaths afflicting the nation. Fatalities are linked to increased unsupervised or unauthorized prescription opioid use, adverse drug events due to dangerous high-risk prescribed drug combinations, and illicit street substances used by those who have become addicted. The 2022 Centers for Disease Control and Prevention (CDC) “Clinical Practice Guideline for Prescribing Opioids for Pain” cautions providers about the consequences of opioid use, including when to initiate opioids, how to assess the risks, and ways to address the potential harms of opioi...
Source: Caring for the Ages - April 27, 2023 Category: Health Management Authors: Robert Accetta Tags: LTC Pharmacy Source Type: news

Virtual Reality Could Be a Tool for Well-Being in Older Adults
Fully immersive virtual reality using 360 ° views, or VR 360°, represents a promising tool to improve well-being and manage psychosocial disorders, especially as individuals experience isolation resulting from COVID-19 precautions, researchers in France found. (Source: Caring for the Ages)
Source: Caring for the Ages - April 1, 2023 Category: Health Management Authors: Jeffrey S. Eisenberg Tags: Journal Highlights Source Type: news

From Protection to Collaboration: What to Do and Say to Empower Ourselves When Hearing a Difficult Message
You ’ve had a long day with five admissions, and you still have hours of documentation to finish before you can go home to your family. You are sitting at the nursing station, and Ms. Green’s daughter approaches you with a look on her face that you interpret as intense anger. She says to you, “My mother has been here for 2 weeks, and she’s still not walking. You need to increase her therapy and order another MRI of her back right now since obviously you’ve missed something.” (Source: Caring for the Ages)
Source: Caring for the Ages - April 1, 2023 Category: Health Management Authors: Paige Hector, Aya Caspi Tags: Communication and Culture Source Type: news

In Gratitude to a Colleague Who Brings Calm to the Chaos
It was around 6:00 p.m., and I was on my way to leave the facility when I suddenly heard a new patient screaming. He was bellowing from his room asking for the nurse and pain medication. His transportation packet did not have his pain prescription, but he was on routine as well as breakthrough pain medications based on the discharge summary. The situation required careful and prompt review and intervention, so I was relieved that a colleague, William Karnubah Bazzie, was on duty. (Source: Caring for the Ages)
Source: Caring for the Ages - April 1, 2023 Category: Health Management Authors: Fatima A. Naqvi Tags: Diversity, equity, and Inclusion Source Type: news

The Delirium, Depression, and Dementia (3Ds) Clinical Practice Guideline: A Team Effort and Labor of Love
This past fall, AMDA – The Society for Post-Acute and Long-Term Care Medicine launched a newly revised “3-in-1” clinical practice guideline (CPG): Delirium, Depression and Dementia in the Post-Acute and Long-Term Care Setting (https://bit.ly/3DCPG). The task of combining three older CPGs into one tested the patien ce, skills, and resiliency of the workgroup members — with a global pandemic added to further complicate things! But the end product is one they feel will be beneficial to clinicians working in PALTC settings. (Source: Caring for the Ages)
Source: Caring for the Ages - April 1, 2023 Category: Health Management Authors: Nancy Overstreet, Christian Bergman Source Type: news

Awards Honor Visionaries in Post-Acute and Long-Term Care
Two of AMDA – The Society for Post-Acute and Long-Term Care Medicine’s prestigious annual awards are named after leaders and visionaries who helped shape post-acute and long-term care (PALTC), medical direction, and the Society. They were innovators, mentors, motivators, advocates, teachers, and colleagues. Through these awards — the William Dodd Founder’s Award for Distinguished Service and the James Pattee Award for Excellence in Education — their legacy will live on. (Source: Caring for the Ages)
Source: Caring for the Ages - April 1, 2023 Category: Health Management Tags: News From the Society Source Type: news

JAMDA 2023 Morley Award Recognizes Research That Supports Careful Hand-Feeding Practices
Astudy in Hong Kong that documented a significantly lower risk of aspiration pneumonia in patients with advanced dementia and feeding problems who were placed on careful hand-feeding rather than nasogastric tube feeding has won the JAMDA 2023 Morley Award for both the interest it has generated and its clinical relevance and importance (J Am Med Dir Assoc 2022;23:1541 –1547.e2). (Source: Caring for the Ages)
Source: Caring for the Ages - April 1, 2023 Category: Health Management Authors: Christine Kilgore Source Type: news

In Memoriam: AMDA Past-President Monte Levinson, MD, CMD
Monte Levinson, MD, CMD, a former president of AMDA – The Society for Post-Acute and Long-Term Care Medicine, passed away February 7, 2023. Dr. Levinson was a leader in primary care and geriatric medicine in the north suburban Chicago area. Starting in 1963, as a private practitioner in general internal medicine with patients in the nursing home, h e served as the local primary care physician for many residents over the years. He was a founder of the Michael Reese HMO. He practiced as a senior attending physician at Evanston Hospital and assistant professor at Northwestern University Medical School. (Source: Caring for the Ages)
Source: Caring for the Ages - April 1, 2023 Category: Health Management Source Type: news