A program that put full-time advanced practice nurses in 16 Missouri nursing homes shows that Medicare should scrap billing restrictions on direct care services given by these providers, investigators say.
An attempt to reduce unnecessary emergency department visits with telemedicine triage failed when senior living healthcare providers were not on board. The findings contain lessons for for clinicians and administrators, investigators say.
Almost a third of older emergency department patients who were subsequently diagnosed with COVID had delirium at admission, investigators say. And many had no other COVID symptoms, such as cough or fever.
Respiratory distress was also linked to more admissions after ED transfers. In contrast, residents with falls, trauma or fracture, non-gastrointestinal bleeding, and pain were more likely to be discharged back to the nursing home.
Respiratory distress is often the culprit when a patient with COVID-19 returns to the hospital within two weeks of discharge, a study finds. These patients also have relatively high rates of COPD and hypertension.
While residents aged 60 to 69 were found to account for 2% of ED visits, those aged 90 and older accounted for 24% of visits, according to new data.
Surveyed facilities with same-day physician access had 21% lower hospitalization rates. Urgent access to nurse practitioners is also linked to fewer transfers.
Too many older, clinically complex patients with diabetes end up in U.S. emergency rooms due to overtreatment, according to a Mayo Clinic study published this month.
Mild, slow heart attack symptoms may sneak up on residents with multiple health problems, delaying time to treatment by five hours.
Telemed decreases emergency department use by seniors … Prostate cancer treatment may increase risk of fatal heart condition … A little less alcohol can bring big drops in heart disease risk
