November 2018 - McKnight's Long Term Care News

Print Issue: November 2018

November 2018 LTCN, Page 6, Resident Care, Lee A Jennings M.D.

Residents’ own goal-setting effective for Alzheimer’s care

Maintaining physical safety and mental stimulation, receiving medical care related to dementia, avoiding hospitalization and remaining physically active were among the goals set by those with dementia in a recent study. Participants in the UCLA Alzheimer’s and Dementia Care program focused on “goal attainment scaling,” researchers said. In the study, dementia care managers worked with…

November 2018 LTCN, Page 20, State News, State Senator Ralph Alvarado

State News: Media series zeroes in on alleged staffing problems as industry decries possible staffing ratio mandates

KENTUCKY — Several state lawmakers have called for public hearings on nursing home staffing after an investigative series appeared in the Lexington Herald-Leader in late September lambasting the state’s facilities. Among lawmakers under fire is state Sen. Ralph Alvarado (R-Winchester), a medical director who has worked at a handful of nursing homes while also pushing legislation…

November 2018 LTCN, Page 10, Nursing, Businesswoman, Gun

‘Code Silver’ simulations are enhancing staff confidence

A workplace violence training program developed by an Ohio health system equipped staff with new responses and for reacting to potentially violent situations. Summa Health System’s efforts included classroom learning, simulations of “code silver” crises involving weapons or hostage situations, and self-defense techniques. Leaders wanted to develop a response program that gave caregivers more options…

November 2018 LTCN, Page 3, Niccolo Terrando

Vagus prompts stall delirium?

Minimally invasive stimulation of the vagus nerve may help older adults avoid delirium after surgery, Duke University researchers found. In the study in Brain Stimulation, they showed how vagus nerve stimulators used to treat epileptic seizures can reverse brain inflammation. “Delirium is now recognized as the most common complication in older adults after surgery,” said…

Ask the Nursing Expert: How can I help my nurses and therapists who disagree about who should code MDS, section GG

Coordinating completion of the MDS, section GG items, is challenging in nursing facilities! Section GG assessment may seem black-and-white, but it’s complex. It’s unlikely that the 25 self-care and mobility items would be completed by one clinician. A clinically sound process includes nursing, occupational therapy, physical therapy, residents and families.  Think of it this way:…

Reader Poll: “What’s the hardest part of your job?”

“It’s a very fast-paced environment. It’s just a matter of being able to adjust to meet their needs, and everyone’s are different. It starts with staffing, clear to the residents. So, I think the hardest part of the job is just making sure everyone has what they need, when they need it and trying to…

November 2018 LTCN, Page 39, Feature 2, Wound Care, Antibiotics under fire

Antibiotics under fire: Providers must master new methods to keep use down

Skilled nursing facilities must treat both pressure ulcers and surgical site wounds, and never has there been more focus on treating them successfully to minimize infection. The profession is also under immense pressure to reduce its use of antibiotics thanks to revised federal rules, the threat of financial penalty and the all-too-real increase in drug-resistant…

Providers say clinical decisions should be off-limits

A California whistleblower’s contention that doctors’ medical decisions should be subject to the False Claims Act could have new life, if an appeals court agrees to hear the case. The lawsuit alleges that the provider defrauded Medicare by improperly admitting skilled nursing residents as hospital inpatients, despite the fact that they didn’t require such levels…

Golden Living back on hot seat over marketing claims

The Pennsylvania Supreme Court has reignited a lawsuit against Golden Living, alleging that it violated consumer protection laws by engaging in deceptive marketing practices. Golden Gate National Senior Care and its statewide affiliates, which include two-dozen nursing homes, was first sued by the state’s attorney general in 2015. Officials alleged that the provider had exaggerated…

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