Failure to identify and treat a resident change in condition continues to be a hot spot button for litigation? It has been in the “top 3” for many years and as we promote the “aging in place” philosophy, residents may be at higher risk for experiencing changes in condition. The federal regulations are clear: A “significant change in condition” is …
Fat – Yikes!
We all know that “fat” is not good for us, even “good fats” in excess can cause health issues, but did you know that it may also reduce brain volume? Yikes! In a study of healthy, middle-aged adults, greater visceral and subcutaneous abdominal fat predicted brain atrophy especially in women. Hmmm, that just doesn’t seem fair especially for post-menopausal women, …
Antibiotics and Viruses
They don’t play well together; however, physicians prescribe more unnecessary antibiotics during colder months than warmer months. One study found that between October and March (winter) more inappropriate prescriptions for antibiotics were written, 72.4% compared to 62% during April through September (summer). Why you ask? Well, there is likely more than one reason however, researchers found that decision fatigue could …
Ep 31: Fall 2023 Vaccine Recommendations with Dr. David Gifford
In this engaging podcast episode, Angie Szumlinski, Director of Risk Management at HealthCap and a seasoned expert in the field, engages in a captivating conversation with Dr. David Gifford, Chief Medical Officer at AHCA/NCAL. Together, they delve into the realm of respiratory viruses, shedding light on the latest insights and recommendations concerning their vaccines. From the ever-present RSV to the …
F 602 Freedom from Misappropriation and Exploitation
§483.12 “Each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation… [Another example of] misappropriation of resident property is the diversion of a resident’s medication(s), including, but not limited to, controlled substances for staff use or personal gain.” Opioid Stewardship Implication: Drug diversion constitutes misappropriation of resident property. As controlled substances, opioids are …
Winter Respiratory Season
It is starting again. The front entrance to a skilled nursing center, posting says there is active COVID in the building. I enter, a sign in the lobby indicates that masking is recommended and there is a box of masks on the counter. There is a hand hygiene station next to the front desk, however no notice that handwashing is …
It is Fall
Yes, hard to believe, right? Summer flew by, lots of fun and family events, reunions, weddings, graduations, BA.2.86, Omicron, super spreaders, oh wait, not COVID! Sadly, yes, the number of positive COVID cases is on the rise again. The experts predicted there may be an uptick this winter, but no one predicted the fall? Having been touched personally by this …
Mental Health Challenges in Long-Term Care
Mental illness affects 65-90% of people who live in long-term care facilities. This statistic stems from deinstitutionalization, a phenomenon that occurred more than fifty years ago, where officials shuffled mentally ill patients from state run psychiatric hospitals to community-based programs. When these programs could not meet the high demands of care, long-term facilities and nursing homes experienced a surge of …
Exercise and Cancer
These are two words you don’t generally see together but in a recent study, it was identified that vigorous intermittent lifestyle physical activity (VILPA) may decrease the incidence of cancer. Imagine, having something as simple as this in our toolbox to help prevent cancer! The study suggests that 3-4 minutes of VILPA may be a promising intervention for cancer prevention. …
Gabapentin
Many people call it the miracle drug, commonly prescribed to the elderly for diabetic neuropathy, but hold on! A recent study revealed that this medication can also affect the cardiovascular system. Gabapentin is widely used, and the common side effects seem pretty benign, somnolence and dizziness, but what about cardiac side effects? One observational study showed that gabapentin can be …