Pain

Aggression strongly signals pain only when dementia reaches advanced stages, researchers find

By

For a person with dementia, the link between aggressive behavior and physical pain is strong only in the condition's advanced stages, University of Florida researchers have found.

Pain: An LTC rehab perspective

Pain: An LTC rehab perspective

By

LTC therapists seem to be stuck between a rock and a hard place when it comes to patient pain. Pain management is at the forefront of surveyors and scrutinized as a CMS quality measure.

Pain problems still prominent, pervasive for seniors

By

Pain management is a significant problem for adults aged 65 or older in the United States, new study results indicate.

Reducing learned helplessness in LTC

Reducing learned helplessness in LTC

By

John O'Connor's recent post on the pain/depression cycle raised some interesting points about depression in long-term care. Reducing learned helplessness that is often seen in depression is something more providers need to be trying for.

Residents suffer and die as interventions go unused

Residents suffer and die as interventions go unused

By

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.

When it matters most

When it matters most

By

Pondering difficult end-of-life situations made me think, naturally, of Chevy Chase.

NPs face pay challenges in some states

By

While the number of nurse practitioners is expected to nearly double by 2025, many in the field say payer policies hurt their efficiency, even more than state scope-of-practice laws.

Bill to limit hydrocodone access wins broad Congressional support

By

Bipartisan bills introduced Wednesday in both houses of Congress propose tightening access to hydrocodone painkillers such as Vicodin.

Ask the treatment expert ... how to manage painful wounds

Ask the treatment expert ... how to manage painful wounds

By

We continue this month on how to manage painful wounds.

Ask the treatment expert ... about the relationship of pain and wounds

Ask the treatment expert ... about the relationship of pain and wounds

By

How can we best identify pain associated with wounds?

Fixing the empathy gene, Part II

Fixing the empathy gene, Part II

By

If Bill Clinton added "M.D." after his name, slung a stethoscope around his neck and started visiting the residents in your nursing facility, there's a chance that your residents might start feeling better — however briefly — new research suggests.

Operate with an eye on quality, not the next survey cycle

Operate with an eye on quality, not the next survey cycle

By

The anxiety associated with an impending survey should be offset by the fact that the nursing facility holds the secret to its own success - the knowledge of its customers.

Fixing the empathy gene

Fixing the empathy gene

By

If you are reading this, you likely work in long-term care and probably are skilled at empathizing with others. But you might have a coworker who doesn't seem to "get it" yet.

Study: Technology can detect pain in patients who cannot communicate it

Scientists are hopeful that a new technology will be able to objectively measure and detect pain in people — such as elderly dementia patients — who are unable to articulate whether they are hurting, according to a new study.

Nursing homes to be judged by 21 new quality measures on federal website

Nursing homes to be judged by 21 new quality measures on federal website

The National Quality Forum on Wednesday came out in support of 21 measures to be used to care for both long-term nursing home residents and short-stay patients. These measures will be included in the Centers for Medicare & Medicaid Services' Nursing Home Compare website.

DEA loosens grip on nursing home pain medications

The U.S. Drug Enforcement Agency on Thursday issued an interim rule that slightly relaxes its position on pain medications in nursing homes.

AHCA: Chronic pain a major issue for long-term care

AHCA: Chronic pain a major issue for long-term care

The American Health Care Association is supporting a new report that calls on government agencies, Congress and the medical community to address chronic pain as a public health crisis.

State, federal pain policies hurt

By

A lot of Americans suffer from chronic pain. This group includes many nursing home residents. Which is why some new developments on the pain front are encouraging.

Adequate pain management training sorely lacking, new report says

More needs to be done to train doctors and healthcare workers about treating chronic pain, according to a new report.

Quality improvements in nursing homes, rehab facilities right on track, new report says

Nursing home quality improvement efforts over the last few years have largely met their goals, according to a new report examining quality trends in the nation's nursing homes. The report, which also warned about potential ill effects of any reduced Medicare funding, was released Monday by the American Health Care Association and the Alliance for Quality Nursing Home Care.

Nurses, relatives underestimate pain in nursing home residents, study finds

Nurses and relatives routinely fail to detect the severity of chronic pain among nursing home residents, especially those with cognitive impairments, according to a new study.

Nursing home Advancing Excellence campaign results in decrease in pressure ulcers, physical restraints, pain rates, coalition says

Nursing home Advancing Excellence campaign results in decrease in pressure ulcers, physical restraints, pain rates, coalition says

Advancing Excellence, a voluntary, nationwide campaign formed to improve care in nursing homes has done just that, organizers say. There has been a drop in the number of pressure ulcers and the use of physical restraints, and improved pain management for both long-term and short-term stays, according to newly released data.

First reports of swine flu at nursing homes surface, professionals council issues guidelines

A council of long-term care professionals has issued guidelines for dealing with suspected or actual outbreaks of H1N1, or swine flu. The recommendations came out late last week, just hours before the first suspected cases of the flu at nursing facilities began to surface.

Study shows simple foot exercises significantly decrease seniors' risk of falls

Seniors who perform simple ankle and foot exercises a few times per week can noticeably improve their strength and balance, according to recent research.

Guidelines for pressure ulcer prevention to be introduced at conference

New international guidelines for performing prevalence and incidence studies on pressure ulcers will make their debut today and Saturday at the Biennial Conference of the National Pressure Ulcer Advisory Panel.

Seniors have higher rates of cancer, fewer treatment options

The elderly are routinely excluded from clinical trials for cancer treatments, even though 60% of all cancer cases occur among the senior population, according to new research.

Pain management still lacking in hospitals, patients say

A recent nationwide survey of hospital patients finds room for improvement in the area of pain management.

Research: End-of-life discussions improve quality of life for families, patients

Discussions about end-of-life issues between patients, doctors and families improve the quality of life for the terminally ill. They also have "cascading benefits" for both patients and their loved ones, according to new research.

Joint Commission releases new pain management brochure

The Joint Commission, a nonprofit healthcare certification and accreditation organization, has released a new brochure to help patients better discuss issues of pain management with their caregivers.

Advancing Excellence campaign receives major grant from Commonwealth Fund

The Commonwealth Fund has awarded a $474,000 grant to the steering committee of the Advancing Excellence campaign, a two-year campaign that aims to improve care in the nation's nursing homes.

Don't miss any McKnight's news