Publications

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

Several years after securing grant money to install the It’s Never 2 Late (iN2L) computer system in 24 of Signature HealthCARE’s skilled nursing facilities in Tennessee, Angie McAllister says she was spot on. She and her colleagues wanted an engagement technology that was “dignified,” met their person-centered care values, and “could really promote relationships and create a sense of community.”

Caring for the Ages
April 1, 2019

A new trend for residents in nursing homes and assisted living communities comes from an unexpected source: dance clubs and rock music festivals. The “silent disco” takes personal access to music and the benefits that come from it to a whole new level. “I didn’t know what to expect at first,” said Penny Cook, chief executive officer of the Pioneer Network, of her first silent disco, held during the organization’s annual conference last year. “At first people didn’t know what to do, then everyone got into it, and we ended up with a whole conga line.” She added, “The reaction was immediate,...

Caring for the Ages
April 1, 2019

It takes a lot to surprise Charles Crecelius, MD, PhD, CMD, but the veteran practitioner and long-time member of AMDA — The Society for Post-Acute and Long-Term Care Medicine was “shell-shocked” to learn he’d been named 2019 Medical Director of the Year. “There are so many good people doing good things. I had no idea that I’d even been nominated,” he said. Of course, it’s not a surprise to his colleagues and the many patients and practitioners whose lives he’s touched.

Caring for the Ages
April 1, 2019

Use of basic dressings, namely saline gauze or similar inert dressings, for treating pressure injuries (PIs) should be discontinued in favor of hydroactive dressings, according to a systemic review and meta-analysis that also suggests that use of foam or active wound dressings may be more effective strategies.

Caring for the Ages
April 1, 2019

Due to the changing dynamic in the health care industry, the number and percentage of elderly patients admitted to skilled nursing facilities with mental illness (schizophrenia, bipolar disorder, depression, or anxiety) and dementia (along with the accompanying behaviors) will continue to increase in the next 10 years.

Caring for the Ages
April 1, 2019

This case is not an ambiguous one. I think that in real life very few physicians would implement an order to withhold food and sedate someone who still appears to want food, can still feed himself, and is able to swallow safely like Bill in this vignette. That would probably be a criminal act. But it gets a lot more complicated when the person does not appear to desire food and is unable to put food or fluids into his own mouth, even when it is offered by being placed on a tray in front of him. And the situation becomes more complicated still when the person appears to be experiencing...

Caring for the Ages
April 1, 2019

This study supports previous research that we can’t get residents, families, or caregivers to really believe: exercise is the best way to prevent falls! The problem is everyone would rather just take vitamin D, which we now know is not as effective. Along with the evidence of the value of exercise, the study also confirmed the low rate of willingness to participate (25% among residents). Further, adherence overall was poor, with attendance rates of 60% for the 25 weeks of classes and an even lower adherence of 31% to 50% for the maintenance activities.

Caring for the Ages
April 1, 2019

Whenever we hear the word innovation, mostly what comes to mind is something like an iPhone or a fancy wearable gadget. But the truth is that we can create much needed efficiencies for our communities and our patients by thinking outside the box for simple, day-to-day routines. In one of our previous “Innovations in PALTC” columns we shared the exciting work being led by TimeSlips (timeslips.org), where creativity is helping bring a sense of worth to nursing home residents. In this article, the author has shared a simple yet innovative approach for bringing a sense of purpose to frail...

Caring for the Ages
April 1, 2019

Are we seeing the disability or the potential? Residents with challenges such as Alzheimer’s disease, stroke, Parkinson’s disease, multiple sclerosis, or vision impairment prepare meals and feed the homeless throughout California.

Caring for the Ages
April 1, 2019

“It’s a good day to plan projects and activities around advance care planning and end-of-life conversations, which can be awkward and stressful,” said Charles Crecelius, MD, PhD, CMD, medical director of Delmar Gardens in St. Louis, MO, about National Healthcare Decisions Day (NHDD), set for April 16. “Having a special day for this can take the stigma out of these discussions and enable open, honest, and ultimately productive discourse,” he added.