Activities Of Daily Living

Hip fracture often leads to death or immobility of nursing home residents within 6 months, Penn study finds

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More than half of nursing home residents die or cannot walk within six months of sustaining a hip fracture, according to recently published findings from the from the University of Pennsylvania Perelman School of Medicine. More than a third of residents who suffered a hip fracture died within six months, the investigators found.

Construction begins on Houston AL communities

Construction has begun on two 78-unit Heartis assisted living and memory care communities in the Houston area.

Cognitive training can help in ADLs, study finds

Older adults who participate in mental exercise programs reported less difficulty with activities of daily living, according to a new study. Researchers reported that benefits were still apparent as long as 10 years after training took place.

Gender adjustments for Alzheimer's caregivers

Gender adjustments for Alzheimer's caregivers

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For quite some time, I was the only male in my Alzheimer's disease spousal support group. I quickly discovered that I could not resolve some problems for my wife, Clare, in the same way as some women were resolving similar issues for their husbands.

Stroke survivors unaware of therapy options for spastic muscles, survey finds

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Many stroke survivors don't know about the therapy options that can address spastic muscles, which is a common and often disabling condition, according to a recent survey.

High-dose beats standard flu vaccine for elderly in long-term care, researchers find

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Frail, elderly people in long-term care facilities received a greater antibody boost from a high-dose influenza vaccine than a standard vaccine in a recent study, researchers have announced.

Residents suffer and die as interventions go unused

Residents suffer and die as interventions go unused

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When providers consider the challenges residents face, it's usually within the context of activity of daily living limits. Things like trouble with walking, dressing, bathing and eating tend to be top of mind. With mental conditions, Alzheimer's considerations dominate. But a phenomenon that fuels both physical and mental decline often flies under the radar.

I couldn't live without ... Cerner CareTracker

I couldn't live without ... Cerner CareTracker

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Cerner's CareTracker has allowed Presbyterian Manors of Mid-America facilities to provide better resident-centered care, according to director of clinical information Jeanne Gerstenkorn, RN, BSN, MSN.

Exercise will not cure depression: study

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While exercise has been shown to boost mental health among fit seniors and younger adults, a study out of the United Kingdom indicates mild exercise is not effective in reducing depression among nursing home residents.

Incorrect ADL coding is common and costly, expert says

Incorrect ADL coding is common and costly, expert says

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Improper coding related to activities of daily living is common, causing providers to lose significant Medicare reimbursements, a coding expert said during a McKnight's Super Tuesday webcast. "The biggest coding error I find is undercoding," said Mary-Beth Newell, RN, vice president of clinical reimbursement at Post Acute Consulting. "Undercoding is much more prevalent than overcoding."

CDC: Increased numbers of adults have problems with ADLs

More adults are struggling with basic activities of daily living (ADLs), according to research from the Centers from Disease Control & Prevention.

Hearthstone awarded top Transitions prize in McKnight's Technology Awards

Hearthstone awarded top Transitions prize in McKnight's Technology Awards

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By adopting a wireless daily living documentation tool, Hearthstone Health Center lowered its hospital readmission rates by 5.5%. That earned Hearthstone the Gold Award in the Transitions category of the McKnight's Technology Awards — Connect Our World.

Accuracy with ADL coding

Accuracy with ADL coding

If there's one overwhelming challenge in a long-term care setting, it's how to code the Activities of Daily Living (ADLs).

You're not paranoid if the world is out to get you

You're not paranoid if the world is out to get you

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Are long-term care operators overly paranoid? That answer probably depends on your definition of "overly."

Be thorough on evaluating ADLs, expert advises

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The functional status and behavior sections of the MDS 3.0 often lead to risk and liability dangers for providers, a long-term care coding expert said Sunday.

Study highlights needs of U.S. assisted living residents

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Roughly 42% of U.S. assisted living residents has Alzheimer's and other types of dementia, and about 70% are women, according to a newly published data brief.

Managing the clinically anticipated Medicare Part A length of stay

Managing the clinically anticipated Medicare Part A length of stay

The Medicare adjustments of fiscal year 2012 have left the long-term care profession discussing and debating care strategies to ensure success and mitigate the reductions in reimbursement. A key indicator when analyzing clinical and financial solidity is the facility's clinically anticipated Medicare length of stay.

Dementia researchers find non-drug intervention 'at least' as effective as medications in halting disease progression

A non-drug dementia intervention piloted in German nursing homes proved as effective as medications in halting progression of disease, a new study reveals.

Functional impairments raise costs among chronically ill Medicare beneficiaries, report says

Functional impairments raise costs among chronically ill Medicare beneficiaries, report says

Medicare beneficiaries suffering from five or more chronic conditions and functional impairments are nearly twice as expensive as Medicare enrollees with only the chronic conditions, a new report finds.

Study: Many assisted living residents sleep poorly

Poor sleep among residents of assisted living facilities is common, and can lead to a worsening quality of life, and subsequent placement in a nursing home, according to the results of a new study.

Mobility, ADL difficulties rising among middle-aged Americans

More older, middle-aged Americans are reporting serious mobility-related disabilities and difficulties performing activities of daily living than ever before, according to a new study.

Senate inching closer to passing bill with CLASS Act in it

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It appears increasingly likely that proponents of the CLASS Act will have "happy holidays" after all.

Seniors urged to overcome health worries to improve mobility

Cautioning elderly people from attempting to do too much physically is actually counterproductive, researchers suggest. They say that many seniors who worry about their health or possible negative outcomes from exercising instead choose to remain inactive, therefore causing greater potential harm later in life.

Researcher says injections may be answer to incontinence problems

Women who suffer from stress urinary incontinence can be helped by collagen injections, even after surgery has failed, a medical researcher says. A majority of nursing home residents suffer from one or more types of incontinence.

Regulators see need to issue new guide for dining assistants in nursing homes

Regulators see need to issue new guide for dining assistants in nursing homes

The Centers for Medicare & Medicaid Services has completed a guide for providers who want to employ dining assistants in their facilities. After a drawn out battle, CMS agreed five years ago to allow the use of paid feeding assistants--provided they achieve a certain level of training and have the approval of the state.

60 Seconds with...

60 Seconds with...

Anne Tumlinson Analyst, Avalere Health Medicare cost survey

Medicare beneficiaries with several ADLs cost more, report finds

Medicare beneficiaries who require assistance with three or more activities of daily living account for up to one-quarter of all Medicare Part A and B spending. This despite the fact they constitute only 7% of the Medicare population, according to a new analysis.

Seniors who leave rehab with new disabilities likely to die sooner

Seniors discharged from hospital rehabilitation facilities with new activity of daily living (ADL) disabilities have a greater chance of dying within a year as those discharged without additional disabilities, according to new research from Johns Hopkins University.

Researchers show how Florida vision law keeps seniors over 80 safe on the roads

A Florida law requiring all seniors over 80 to pass a vision test before renewing their driver's license may have lead to a reduction in traffic-related fatalities among that age group. New study results show how.

Report: Dual eligibles challenge New York's healthcare reform plans

The dual-eligible population of New York--those elderly individuals enrolled in both Medicare and Medicaid--pose a significant cost burden on the healthcare system, and hinder reform efforts, according to a report released last week by the United Hospital Fund.

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