Lance Youles, Author at McKnight's Long Term Care News

Lance Youles

Most recent articles by Lance Youles

Lance Youles

The challenge of acuity for memory care residents

ADLs are a reliable index of acuity, especially residents receiving Medicare Skilled coverage, those rated as extensive assistance and totally dependent, or those requiring 2 to 3 caregivers for toilet use, incontinence, turning/repositioning, bed mobility, mechanical lifts, and transfers. Night shifts and weekends are the best staffing windows to measure if ADLs are being met.

Lance Youles

Acuity-based staffing: What does it mean?

Resident acuity is a frequently used term, but the meaning is very evasive and rarely defined. This lack of definition is not by accident, because reimbursement, staffing expenses, and profit drive this issue in many eldercare facilities, not nursing assessment and/or medical judgment. Of course, few professionals are willing to admit that there is no…

Lance Youles

When understaffing becomes rationing

No factor has a greater impact on the quality of a nursing home resident’s care and life than staffing levels, whether their outcomes are measured by moments in time (i.e., incidents & condition changes), or periods of time (i.e., physical & cognitive declines).

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