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August 1, 2017

No matter how many times a physician or other practitioner has to break bad news to a patient or family member, it is never pleasant, and it never gets easier. However, instead of postponing these conversations or missing opportunities to address palliation and quality of life, there are ways practitioners can plan for and carry out these...

August 1, 2017

LOS ANGELES — Not long ago, the use of antipsychotics was common at one post-acute care facility near Los Angeles. Nearly 8% of the long-term residents were given these medications, often in a bid to control their behavior. This is a familiar tale in the world of post-acute and long-term care, even as advocates push for less use of the...

August 1, 2017

SAN ANTONIO — Fatima Sheikh, MD, MPH, CMD, manages to balance her duties as the medical director for three nursing homes while teaching and mentoring geriatric fellows from Johns Hopkins, all within a 40-hour workweek, a schedule that leaves her time for family. At the annual meeting of the American Geriatrics Society, her family was there from...

August 1, 2017

The results of a study of nursing home residents with epilepsy showed that approximately two-thirds were taking at least one central nervous system (CNS) drug. Furthermore, the researchers found that a significant percentage of patients taking antiseizure drugs (ASDs) also had been prescribed antidepressant or antipsychotic drugs.

August 1, 2017

Antibiotics are the most common medication prescribed in post-acute and long-term care facilities, and suspected urinary tract infection is the most frequent indication for initiation of antibiotic therapy. However, there has been a growing realization that much of this treatment is unnecessary and potentially harmful.

August 1, 2017

Results from a large multicenter, cross-sectional study suggest that nearly half of nursing home residents receiving proton pump inhibitors (PPIs) were prescribed the drugs for “non-evidence-based indications.”

August 1, 2017

Person-centered care is a phrase that has emerged over the last quarter century in the United States. Despite the newness of the term, it represents values and a philosophy that are as old as humanity, even if not widely adhered to. Few practitioners reading this would question their own desire or ability to provide person-centered care. We...

August 1, 2017

AMDA – the Society for Post-Acute and Long-Term Care Medicine and JAMDA – The Journal of Post-Acute and Long-Term Care Medicine announced the appointment of new JAMDA Editors in Chief: Philip D. Sloane, MD, MPH, and Sheryl Zimmerman, PhD. Drs. Sloane and Zimmerman will succeed retiring Editor in Chief John E. Morley, MB, BCh.

August 1, 2017

Incorporating a well-structured, daily oral hygiene program has a beneficial impact on nursing home residents as well as the entire health care team. But the question is how to logistically accomplish, develop, and implement such a program?