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Assisted Living Series

Caregivers Communication Guide: Protocols for Change of Condition

Small changes may go unnoticed unless the caregiver knows what to look for and what to report. This knowledge can help the primary care practitioner take better care of the older adult. Missing small changes and not reporting them may cause problems for the older adult. This guide demonstrates ways to reco...
Long Term Care Information Series

Clinical Collaboration in the Post-Acute & Long-Term Care Setting

Teamed with physicians, advanced practice nurses (APRNs) and physician assistants (PAs) may enhance the nursing and medical care available to post-acute and long-term care facility patients. Driven by documented positive outcomes and favorable legislation, the presence of the APRNs and PAs continues to gro...
Long Term Care Information Series

Constipation and Diarrhea in the Long-Term Care Setting

Constipation and diarrhea are common problems in the post-acute and long-term care (PALTC) setting. Up to 80% of patients are affected. Chronic constipation has been shown to affect both overall psychological well being and quality of life. Diarrhea is a major cause of morbidity and mortality in this popul...
Clinical Practice Guidelines (CPG)

COPD Management CPG & Pocket Guide

This package includes the COPD Management Clinical Practice Guideline, and the COPD Management Pocket Guide. Chronic obstructive pulmonary disease (COPD) is currently the third leading cause of death in the United States. COPD caused an estimated 134,676 deaths in the United States in 2010. The disease ...
CPG Teachling Slides

COPD Management in the PALTC Setting Teaching Slides

The CNA Teaching Slides reviews the important role of the CNA in observing the COPD patient and how to be aware of ways to maximize activity and exercise tolerance in addition to the recognizing the signs of hypoxia. The IDT Teaching Slides provides a quick reference to the recognition, assessment, trea...
CPG Pocket Guides

COPD Management Pocket Guide (Set of 5)

The COPD Management Pocket Guide provides a quick reference to the recognition, assessment, treatment, and monitoring of COPD, with information adapted from the GOLD initiative for chronic obstructive lung disease. The pocket guide also includes an Algorithm for Pharmacological Treatment of COPD. The COPD ...
Clinical Practice Guidelines (CPG)

Dehydration and Fluid Maintenance CPG

This CPG offers a structured approach to the recognition, assessment, treatment, and monitoring of dehydration and fluid and electrolyte imbalances and acknowledges the ethical implications of this condition for patients, their families, and the staff of post-acute and long-term care (PALTC) facilities. It...
Clinical Practice Guidelines (CPG)

Dementia CPG

Dementia, a disorder characterized by progressive decline in multiple areas of cognitive function, causes a range of cognitive, mood, behavioral, and functional impairments. Optimal management of dementia involves the entire interdisciplinary team, with practitioners playing an important leadership role. T...
Clinical Practice Guidelines (CPG)

Depression CPG

Depressive symptoms are common among older adults and can have a major effect on their quality of life. It has been estimated that between 12 and 16% of older adults living in post-acute and long-term care (PALTC) facilities have major depression and 50% may have a minor depressive disorder. This CPG assi...
Long Term Care Information Series

Determination of Medical Necessity of Rehabilitation Therapy Services

Medicare defines medical necessity as a determination that a service is reasonable and necessary for the diagnosis or treatment of illness or injury. However, the use of this term in health care settings is controversial and often confusing. Applying the concept of medical necessity to rehabilitation thera...
Clinical Practice Guidelines (CPG)

Diabetes Management CPG

Residents of post-acute and long-term care (PA/LTC) facilities who have diabetes often take multiple medications and experience frequent infections, high rates of cardiovascular complications, dehydration, hospitalizations, hyperosmolar states, and physical and cognitive disability. A comprehensive approa...