Publications

Members only publications are marked with a lock icon:
Filter By
Caring for the Ages
October 1, 2019

The presence of an ombudsman can result in worse deficiency outcomes during annual surveys of nursing homes, according to a retrospective secondary data analysis.

Caring for the Ages
October 1, 2019

Dear Dr. Jeff: When I started my position as medical director, the only paperwork that I was required to submit was a timesheet. When our facility became part of a chain, a job description was created to include an evaluation of my performance based on facility quality metrics. Then rehospitalization rates and pharmacy budget targets were added as performance measures, followed by medical staff compliance with mandatory in-services, risk management, antibiotic stewardship, and customer satisfaction ratings of medical care.

Caring for the Ages
October 1, 2019

For my mother and father,

Caring for the Ages
October 1, 2019

Although it is a beautiful time of the year, autumn is a season where impermanence is especially apparent and losses abound.

Caring for the Ages
October 1, 2019

It’s not too early to start planning for AMDA — The Society for Post-Acute and Long-Term Care Medicine’s 2020 Annual Conference, set for April 2–5 in Chicago, IL. The Program Planning Subcommittee is putting together another outstanding program. As always, there will be two days of exhibits, state chapter activities, social events, and networking opportunities.

Caring for the Ages
October 1, 2019

Your input is requested for an ongoing project of the ECRI Institute. The Institute is currently evaluating the usability of discharge documents generated by electronic health record (EHR) systems that are intended to communicate clinical information about acute care visits to long-term care providers (specifically skilled nursing facilities) for geriatric patients. The researchers at the Institute have developed a few questions about your experiences with EHR-generated discharge documents. Your input will provide a valuable real-world perspective on the challenges faced by clinicians in...

Caring for the Ages
October 1, 2019

Annual Conference

Caring for the Ages
October 1, 2019

The Dover Park Hospice in Singapore asked me to visit their hospice to observe how they had adapted Namaste Care, a program I had developed for people with advanced dementia. Originally it was a small group program for nursing homes, but now it has expanded and can be found in care homes and hospice organizations all over the world. On the first day of my visit, I was asked to observe a Namaste Care session. Five social workers were giving five patients hand massages. The room was perfect — very lovely and homelike — and calming music was playing.

Caring for the Ages
October 1, 2019

Mrs. B is a 100-year-old white female with a history of dementia, squamous cell carcinoma to the bilateral lower extremities, and venous insufficiency. She is no longer able to verbally express her opinions or desires, although she recognizes familiar faces and engages with others. She requires minimal assistance with transfers and ambulates with a front-wheeled walker. She is resistant and combative with care (usually hitting staff), especially during dressing, bathing, and transferring.

Caring for the Ages
October 1, 2019

It is a cardinal fact that if one wishes to perpetuate any given behavior, then that behavior needs to be rewarded. A simple “thank you” or “you made a difference in the care of me or my loved one” from a family or resident is always welcome for those of us in the post-acute and long-term care (PALTC) continuum. Even better, a mention by a meaningful person in the facility (a colleague, the director of nurses, the administrator, or others) that you made a great diagnosis, started a meaningful program, or touched the life of a resident in a positive way makes the week better and brings a...