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Updated: 1 hour 29 min ago

Resident Survival Low After Cardiac Arrest in Nursing Homes

Thu, 05/31/2018 - 23:00
At 30 days, survival after out-of-hospital cardiac arrest (OHCA) was 1.7% among nursing home residents, although those who received resuscitation efforts had an increased likelihood of survival, according to the results of a Danish study.

Don’t Miss These Events

Thu, 05/31/2018 - 23:00
June 28, 2018

Webinar Promotes Win-Win Care Planning Talks

Thu, 05/31/2018 - 23:00
The idea of having a difficult conversation with someone where they may get upset or angry can make you tense and anxious just thinking about it. This is certainly true of many practitioners when it comes to conversations with patients and families about end-of-life and advance care planning. If you missed the May 9th Society webinar on this topic, you can still access the archived program online, and, as always, this program is free for Society members.

The Catastrophic Transition

Thu, 05/31/2018 - 23:00
“Why won’t my hands stop shaking

Senior Care Pharmacist: Specialized in Medication Management

Thu, 05/31/2018 - 23:00
Care for older Americans is a team sport involving physicians and other practitioners who have special expertise caring for this population. In the coming months, watch for columns about these different team members. This month Al Barber, PharmD, CGP, talks about the role of the senior care pharmacist.

Journal Highlights From the June Issue of JAMDA

Thu, 05/31/2018 - 23:00
Patients with chronic heart failure warrant noninvasive monitoring with communication technology apps vs. invasive implant-based telemonitoring, a New York study concluded.

Review: Scant Research Into Frailty in Post-Acute Care

Thu, 05/31/2018 - 23:00
A new scoping review found limited research into understanding and addressing frailty in post-acute care (PAC). The review suggested more investigation is needed to build on mixed results from intervention studies, and the investigators have proposed the creation of a comprehensive approach to frailty in this population.

Are Your Processes and Systems Sabotaging Your Person-Centered Practices?

Thu, 05/31/2018 - 23:00
I recently had the privilege of exhibiting for Pioneer Network at AMDA – the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference, as well as presenting a session, “Pioneer Network: Helping You Find the Processes to Support Your Passion,” with Jonathan Evans, MD, CMD. I thoroughly enjoyed it, and I was very encouraged to hear the many references to person-centered care in the sessions I attended as well as in the many conversations I had with other attendees.

Telemedicine Moves From Niche to New Normal

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — In a world where there is a shortage of practitioners and specialists, as well as tight budgets and growing pressure to keep patients out of the hospital, telemedicine increasingly is a promising tool to enable quality, cost-effective care.

Polypharmacy Screening Tools

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — A variety of tools may be used to help screen for polypharmacy and implement evidence-based deprescribing practices in the post-acute and long-term care setting. At AMDA — the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference, Kamal Wagle, MD, MPH, CMD, of the University of Indiana School for Medicine, presented the following “toolbox” for deprescribing.

Make Deprescribing Facility-Specific, With Thoughtful Communication

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — Participants in a survey conducted in 2017 at AMDA — the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference said they were likely to strongly agree that deprescribing can improve residents’ quality of life and prevent transfers to the emergency department and hospital, reduce administrative time and burden, and reduce the cost to the resident, Steven M. Handler, MD, PhD, CMD reported at this year’s conference.

Keynoter: We Are the Change We’ve Been Waiting For

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — The field of post-acute and long-term care is “at the edge of a transformational cliff,” keynote speaker Cheryl Phillips, MD, CMDR, president and chief executive officer of the Special Needs Plans Alliance, told her audience at AMDA – the Society for Post-Acute and Long-Term Care’s Annual Conference. “The earth underneath us is shifting, and ignoring change will have its own consequences.”

There’s Joy in the PA/LTC Journey, Says Outgoing Society President

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — In her address at the Friday morning General Session at AMDA – the Society for Post-Acute and Long-Term Care Medicine’s Annual Conference, Society Immediate Past President Heidi White, MD, CMD, welcomed new members and stressed how the Society has responded to continuing changes in PA/LTC.

Guterman Poster Winner Highlights SNF Residents Discharged With Disability

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — Physical therapist Allison Gustavson, PT, DPT, set out to determine the functional profile of a typical heterogeneous skilled nursing facility population and found that most patients are being discharged back to the community with severe disability, risk for falls, and other adverse events. “Are we setting patients up for failure?” her award-winning poster asked.

Louisiana Nursing Home Residents Escape Mass Evictions

Thu, 05/31/2018 - 23:00
A divided Louisiana Senate voted 27-10 to back a state operating budget of more than $28 billion that would make steep cuts across state government to protect health programs for the elderly and disabled. The budget approved on May 15 will protect nursing home residents from evictions and keep Louisiana’s safety-net hospitals from closure.

The Ties That Bind: When Families Intervene in Resident Care

Thu, 05/31/2018 - 23:00
Dear Dr. Jeff:

FDA to Reevaluate Safety of Parkinson’s Psychosis Drug

Thu, 05/31/2018 - 23:00
Amidst reports of safety concerns involving pimavanserin, a drug approved to treat psychosis symptoms among patients with Parkinson’s disease, the Food and Drug Administration stated it has begun reassessing the safety of the drug.

Inclusivity Is a Virtue

Thu, 05/31/2018 - 23:00
We recently received a thoughtful letter from Susan Martin, MSN, NP-C, of Aurora, IN, that contained many kind observations about Caring for the Ages as well as some constructive criticism. Our Editorial Advisory Board used Ms. Martin’s letter as a springboard for some robust discussion, and we are grateful for the feedback she shared.

Filkin Lecturer Urges New Look at Thriving

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — Thriving meshes well with excellent clinical care, according to Eleanor McConnell, PhD, associate professor and director of the Geriatric Nursing Center of Excellence at the Duke University School of Nursing.

Shark Tank Competition Highlights Innovation in PA/LTC

Thu, 05/31/2018 - 23:00
GRAPEVINE, TEXAS — The competition among the four finalists was fierce, but in the end two sharks emerged victorious from a yearlong battle of innovation staged by AMDA — the Society for Post-Acute and Long-Term Care Medicine’s Innovation Workgroup, and showcased at the Annual Conference.