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Caring for the Ages
May 1, 2020

Nearly one in five older adults develop fear of falling, according to a longitudinal study that also suggests older age, use of a walking aid, and symptoms of depression can help predict who is more likely to develop this fear.

Caring for the Ages
May 1, 2020

In theory, there is no difference between practice and theory, while in practice there is.— Benjamin Brewster

Caring for the Ages
May 1, 2020

Two months ago, we were eagerly planning on another Annual Conference of AMDA – The Society for Post-Acute and Long-Term Care Medicine. We were anticipating how we would renew old Society friendships, learn how to be better clinicians, and have therapeutic conversations with the only people on the planet who know exactly what our world is like. What a difference a pandemic makes, huh?

Caring for the Ages
May 1, 2020

A research paper that describes a three-question screening tool for detecting delirium in patients with dementia has won JAMDA’s 2020 Morley Award for its potential to impact practice and policy in post-acute and long-term care medicine. Once validated, the screening tool could assist clinicians who practice in settings with a high prevalence of dementia to quickly exclude patients without delirium and to identify those who need further assessment, its authors say.

Caring for the Ages
May 1, 2020

This year’s award recipient, Fred Feinsod, MD, MPH, DSc, CMD, FACP, touches the lives of those around him in a powerful way. 3

Caring for the Ages
May 1, 2020

Nursing homes have been a part of our history since the 17th century. They began as almshouses, and then in the 20th century transitioned into “convalescent homes” that provided basic care and meals. The Omnibus Budget Reconciliation Act (OBRA) in 1987 introduced new government provisions, oversight, and regulation to address improved quality of care in nursing homes, so the nursing home that we are familiar with today is actually a relatively new concept. Our “industry” is only 33 years old! We’ve certainly come a long way in these few decades, and the journey of creating a sustainable...

Caring for the Ages
May 1, 2020

It is difficult to imagine a time without COVID-19, even though it has only been a few months. As health care providers, we serve a population vulnerable not only to deleterious physical effects of the virus but also to the psychological impact of the many restrictions put in place to protect our patients’ health. As health care providers, we are called to lead, protect, care, heal, advise, teach, and reassure our patients, their families, staff, and other colleagues. Many of us also care for small children, parents, or grandparents, and we check in on neighbors during these stressful...

Caring for the Ages
May 1, 2020

Every day, there are so many opportunities to witness the joys, frailties, regrets, hopes, fears, acts of kindness or vengeance, shyness, resilience, and love that occur in the life of staff, patients and peers in our busy venues. There is material for a lifetime. To pause and recognize what was just witnessed, write that raw information down, categorize it within our library of thoughts and feelings, see where it fits, and share it with others so engaged, if it helps them with their perspective, enthusiasm.

Caring for the Ages
May 1, 2020

There has never been a more important time to implement treating-in-place for skilled nursing facility residents than the ongoing COVID-19 pandemic. With emergency department (ED) and hospital beds filling with potentially contagious patients and health care staff stretched to respond to a demanding infection, managing residents within the SNF has become a priority.