Restorative Nursing

Restorative Nursing: A Win-Win

Angie Szumlinski Health, Training

A strong restorative services program can boost resident outcomes and independence. By Angie Szumlinski, LNHA, RN-BC, RAC-CT, BS and Erica Holman, BA, LMSW, LNHA, CDP At a local skilled nursing center, the administrator asks staff for assistance to enhance their restorative program. Fortunately, the center had both a therapy director and restorative nurse who expressed a desire to work together …

Frailty and falls in the elderly

Frailty and Falls in the Elderly

Angie Szumlinski Health, Studies

Angie SzumlinskiDirector, HealthCap Risk Management Services Resident falls continue to challenge our communities, it is the highest cause of rehospitalizations, negative outcomes, immobility and claims in long-term/post-acute care. There are many products on the market that appear to have some promise in early identification of fall risk including the use of assessment tools to measure the level of frailty. The …

Oral Care

SNF Patients Dependent on Staff for Oral Care Have Lower Oral Hygiene Scores

Angie Szumlinski Health, Studies

The Hospital Readmissions Reduction Program targets pneumonia as a critical disease because it has the highest mortality and morbidity rates of all hospital-acquired infections and a major threat to patients in long term care facilities. Many of the risk factors for pneumonia involve oral hygiene and oral care, including pathogens in the oral cavity and trouble swallowing properly. Aspiration pneumonia, …

National Incidence of Adverse Events Among Medicare Beneficiaries in Long-Term-Care Hospitals

Angie Szumlinski Health, News, Studies

The Inspector General performed an in-depth review of adverse events on a subset of people receiving care. A summary of their findings and recommendations is as follows: The Office of Inspector General (OIG) found that 21 percent of Medicare patients in Long-Term-Care Hospitals (LTCH) experienced adverse events, which are particularly serious instances of patient harm resulting from medical care.  The …

Social Knowledge Networking and Meaningful Use of EHR Medication Reconciliation

Angie Szumlinski Health

Many health systems across the USA face a scenario of low physician engagement in, and limited use of, Electronic Health Record Medication Reconciliation (EHR Med Rec) leading to high rates of medication discrepancies and low accuracy of the patient’s active medication list, during transitions of care. A Social Knowledge Networking system was implemented to create an increase in meaningful use …

Depression in Dementia with Lewy Body

Dementia with Lewy Bodies is associated with higher scores on the Geriatric Depression Scale than Alzheimer’s disease

Angie Szumlinski Health

Several reports have suggested a higher morbidity of depression in patients with dementia with Lewy bodies than those with Alzheimer’s disease. Unfortunately, those results have not been consistently duplicated. The psychiatric symptoms of dementia, such as depression, are important for its diagnosis and management. As a result, this study aimed to clarify the qualities of the depressive symptoms in DLB …

Caretaker Burnout

Burnout: The Caretaker’s Disease

Angie Szumlinski Health

Burnout is a syndrome of emotional exhaustion, depersonalization, and a decreased sense of accomplishment at work that results in overwhelming symptoms of fatigue, exhaustion, cynical detachment, and feelings of ineffectiveness. It is by and large a result of systematic issues, not personal issues or psychological makeup. This syndrome is found to affect 20% of all staff in one study, while …

Oral Care

Care Program Released for Oral Hygiene for Cognitively and Physically Impaired

Angie Szumlinski Health

UNC’s Center for Health Services Research has unveiled Mouth Care without a Battle, a care guide available in two versions. One for In-Service training, and another for in-depth training, especially concerning program and nursing implementation. The program highlights the many health risks of poor oral hygiene. It also focuses on best practices such as the use of interdental brushes instead …

hepatitis a vaccination

Protect Yourself from Hepatitis A

Angie Szumlinski Health

The state of Michigan has released a report of quick-hitters detailing a serious disease: Hepatitis A. Hepatitis A is a vaccine preventable liver disease caused by a virus, which causes health issues ranging from weeks of discomfort to premature death. The document concerns the spread and symptoms of Hep. A, as well as at-risk groups and treatment of the highly …

Is Efficiency a Trade-off For Safety?

Angie Szumlinski Compliance, Health

A randomized clinical trial conducted on a study group of over 3,300 Clinicians, who in total recorded almost 4.5 million order sessions, discovered a causative behavior between the number of patient records open at a time and the number of wrong-patient order errors incurred. Clinicians were placed in one of two groups. The first could only have one record open …