Advanced Practice Registered Nurses Poised for Takeover of Medical Care in LTC

Angie Szumlinski Health, News

The healthcare workforce is expecting a startling shortage of between 46,900 and 121,900 licensed physicians by 2032. One group that may mitigate the catastrophic impact of this shortage could be advanced practice registered nurses. Advanced practice registered nurses (APRN) are prepared to offer a myriad of services including diagnoses and treatment due to their masters-level education. What Does This Mean …

Culture, Confidence, and Past Experiences Factors in Failure to Detect Deterioration

Angie Szumlinski Health, News

A review of one of the most tragic issues in modern nursing homes, failure to detect patient deterioration, used a five-step process to extract and examine data on study aims, key findings, afferent/efferent consequences, and team implementation and practice of rapid response procedure. Ultimately, 23 of 120 potential articles were used in the review, with 15 of those focusing upon …

Anticholinergic Drugs and Dementia

Common prescription drugs could result in dementia

Angie Szumlinski Health, News

A new study by JAMA Internal Medicine found that certain classes of anticholinergic drugs — particularly antidepressants such as paroxetine or amitriptyline, bladder antimuscarinics such as oxybutynin or tolterodine, antipsychotics such as chlorpromazine or olanzapine and antiepileptic drugs such as oxcarbazepine or carbamazepine increased the odds of dementia by nearly 50%. This reinforces the suspected belief that there is an …

ARMOR Protocol Study on Reduction of Psychotropic Medications: Improvement in Daily Living

Angie Szumlinski Health, News

Polypharmacy in older nursing home patients is a well-documented concern. Several large studies have demonstrated an association between treatment with antipsychotics and increased morbidity and mortality in people with dementia, and the economic impact of polypharmacy is also substantial, with annual medication-related issues costing $7.6 billion in nursing facilities alone. A recent study uses the Assess, Review, Minimize, Optimize, Reassess …

Nonalcoholic Fatty Liver Disease discovered to be new risk factor for heart failure patients

Angie Szumlinski Health, News

A recent study finds that nonalcoholic fatty liver disease (NAFLD) is an emerging risk factor for incident heart failure (HF). Before this study, NAFLD was suspected to increase all-cause mortality in patients admitted for acute HF, but was never proven to do so. The study was conducted on 264 patients, of whom all were admitted for acute HF between 2013 …

Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention

Angie Szumlinski Health, News

A recent study to summarize the effects of long-term osteoporosis drug treatment and of osteoporosis drug treatment discontinuation and holidays found that long-term alendronate, zoledronate, and oral hormone therapy reduced nonvertebral fractures in older women, with oral hormone therapy also reducing hip fractures. While absolute reductions in typical fractures with long-term bisphosphonates are large relative to increases in AFF, reduced …

Seniors doing exercises

Movement Helps Maintain Memory

Angie Szumlinski Health, News

Despite brain lesions or biomarkers linked to dementia, higher levels of daily movement may be linked to better thinking and memory skills in older adults. Researchers from Rush University Medical Center found that older adults that exercise regularly or participate in routine physical activity, such as housework, may maintain more of their memory and thinking skills. Their findings were published …

Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older

Angie Szumlinski Health, News

Healthcare Cost and Utilization Project (HCUP) Statistical Brief #244 states  that opioid misuse in older adults is an underappreciated and growing problem. Although opioid misuse overall is lower among older than among younger Americans, the rate of opioid misuse among older adults nearly doubled between 2002 and 2014. In 2016, a third of the more than 40 million Americans enrolled in …

House Bill Would Allow Groups to Use Telemedicine for Long-Term Care

Angie Szumlinski Health, News

The Reducing Unnecessary Senior Hospitalizations Act of 2018, or the RUSH Act would allow medical groups to use telemedicine to treat patients in long-term care facilities rather than transporting them to the hospital. At present, Medicare is unable to reimburse skilled nursing facilities for the cost of telehealth providers. The RUSH Act would address this problem by allowing Medicare to make arrangements …