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ADVANCE for Long-Term Care Management welcomes you to Inside LTC: Blog and Forum Community from ADVANCE! Our blog community offers interactive blogs written by our editorial staff and experts in the field. Blogs will discuss issues related to the long-term care, current events and other fun & candid observations. We also look forward to hearing from you! We have provided a comment section so you can voice your opinions and submit feedback. To suggest a blog topic, e-mail Liz Rosto at erosto@advanceweb.com
LATEST POSTS FROM EACH BLOG
November 25, 2009 10:37 AM by Tony DeWitt of Legal Speak

As caregivers, nursing home personnel have an obligation to exercise some protective oversight and supervision over their patients. While most nursing home patients do not have access to their own banking or financial records, and cannot send money or charge items, for the few that do it is imperative that facilities be on the lookout for common scams oriented to elders.

Recently my former mother-in-law ...


 
November 25, 2009 10:32 AM by Carol Kleinman of Clinical Corner

For patients, employers and payers to make well-informed health care decisions, they must have access to meaningful and easy-to-understand quality and cost data; such transparency is critical to overall health care reform.

Strategies to involve patients and families are essential. Examples of important patient feedback include: 

  • An "experience mapping" program that gathers patient perspectives ...

 
November 24, 2009 3:03 PM by Maureen Salera of ADVANCE Perspective: LTC

With the holiday season officially kicking off this Thursday, people's stress levels are sure to increase. Whether it's shopping or entertaining, the holidays often bring a cup of cheer with an added dose of anxiety. Throw the current economic situation into the cookie mix, and you've got a recipe for stress.

But it doesn't ...


 
November 19, 2009 9:48 PM by Maureen Salera of ADVANCE Perspective: LTC

A Penn State researcher has developed a bandage material made from microbial cellulose that the body can absorb. He has developed a method to incorporate enzymes with the bandage that break down the cellulose in a controlled way, according to the Penn State Live news source.

In 2007, Jeffrey Catchmark, associate professor of agricultural and biological engineering in Penn State's College of Agricultural Sciences, ...


 
November 17, 2009 3:30 PM by Tony DeWitt of Legal Speak

Decisions to terminate employees (whether those are described as firings, terminations, layoffs or the more politically-correct "downsizing") are never fun. They're hard on employees, and they're very hard on managers who may be assuming more duties as a result of losing staff.

When termination decisions are made, they are often made on bases that have little to do with job performance, for example, seniority. The ...


1 comments  
November 17, 2009 3:24 PM by Brian Garavaglia of Gerotalk

Those who work in long-term care are all too familiar with death. Death is very much a part of life, but those who work in the long-term care environment become quite acquainted with the death and dying process as part of an endemic feature of this type of environment. It is not a pleasant aspect of life, but it is a very real feature of all our lives. 

Yet, we often lose sight that death in ...


 
November 17, 2009 12:07 PM by Liz Rosto of ADVANCE Perspective: LTC

The following is a guest blog from Kevin R. McMahon:

Multi facility nursing home organizations have a fairly standard arrangement that centralizes the operating authority over individual nursing facilities in a regional office. The regional office through operational directors oversees the operation of individual facilities. Facility administrators in this arrangement report directly to a regional director.

While ...


 
November 13, 2009 11:56 AM by Maureen Salera of ADVANCE Perspective: LTC

A study released last month shows that older adults who don't have much experience using the Internet show changes in their brain activity after only one week online.

These findings, which were presented Oct. 19 at The Society for Neuroscience's annual meeting in Chicago, suggest Internet training can stimulate neural activation patterns and may enhance cognition and brain function in seniors.

To ...


 
November 12, 2009 12:01 PM by Liz Rosto of ADVANCE Perspective: LTC

My favorite part of the conference came to a dramatic finish yesterday afternoon, as the winners of the food and design challenges were announced on the exhibit hall floor.

After very competitive opening rounds, Team Aramark and Team Mather faced off in the Chef Challenge finals on Wednesday, having to work with the secret ingredient chocolate. In the end, Chefs Chip Fegert and Chivo Montero from Team ...


 
November 10, 2009 4:23 PM by Liz Rosto of ADVANCE Perspective: LTC

AAHSA honored several individuals and LTC communities in this morning's general session. It's always important to take time out to recognize those who go the extra mile in caring for seniors.

Award of Honor: David Ferguson, President and CEO, American Baptists Homes of the West, Pleasanton, Calif.

Excellence in Leadership: Gary Puma, President and CEO, PHS Senior Living, Princeton, N.J.

Leading Edge ...


 
November 9, 2009 5:10 PM by Liz Rosto of ADVANCE Perspective: LTC

My first day at AAHSA has been a whirlwind, with so much to see and do in the lecture halls and on the exhibit hall floor! A big hit last year, the Chef Challenge and Last Designer Standing competitions are in full swing. New this year is the AAHSA Idea House, which showcases aging-in-place technology and sustainability.

Stay tuned for a slide show ...


 
November 6, 2009 3:38 PM by Liz Rosto of ADVANCE Perspective: LTC

The following is a guest blog from Anthony Cirillo:  

In his latest book Warren Bennis raises questions about the nature of leadership. He asks, "Can a leader both act and be real?" Bill George, a professor at the Harvard Business School, in his book True North, contends that a "journey to leadership" cannot be made without "framing your life story, discerning your passions, finding your leadership ...


 
November 6, 2009 11:47 AM by Carol Kleinman of Clinical Corner

Health care reform is not possible without health insurance coverage. It comes as no surprise that health insurance decisions are not always made in the best interest of the patient. As Michelle Obama related, in some states it is still legal to deny a woman coverage because she's been the victim of domestic violence. Health care premiums have doubled since 2001 and the cost of care for the uninsured has skyrocketed. ...

 
November 6, 2009 11:25 AM by Tony DeWitt of Legal Speak

One thing soldiers with recent combat experience say is that frequently it's the non-combatants who suffer the worst in battle. This is something like the observation my daughter, a pediatrician, makes about working in the ER:  it's the innocent bystanders that are always hurt the worst.

The same is true when end-of-life issues clash with expectancies arising from a parent's wealth. Issues usually ...


 
November 5, 2009 8:54 PM by Maureen Salera of ADVANCE Perspective: LTC

At a press briefing today at AARP's Washington headquarters, AARP Chief Executive A. Barry Rand said AARP supports the House health care reform bill over other proposals because this plan does more to lower drug costs for Medicare beneficiaries, strengthen Medicare and bar insurance companies from denying people coverage because of their health or age. The bill also would lower premiums for Americans ages 50 to 64 who ...

 
November 2, 2009 4:30 PM by Brian Garavaglia of Gerotalk

The nursing home, being predominately a medical environment, relies overwhelming on pharmacology for addressing issues of pain management. However, as I have mentioned in previous articles, pain is more than just a biological issue. The subjective nature of the pain response, and the psychology of the individual, too often fails to be adequately considered in pain management. 

More can be done ...


 
October 30, 2009 12:40 PM by Maureen Salera of ADVANCE Perspective: LTC

We all know that washing our hands is the best way to guard against the spread of germs. But there are several other measures that can also help protect us from contamination.

 In this Washington Post article, health care professionals share some other tips on how they stop ...


 
October 30, 2009 10:40 AM by Tony DeWitt of Legal Speak

Nearly every nursing home has labor problems related to getting and keeping good staff members. Good help is exceptionally hard to find. Good-hearted nurses and aides, who are willing to work long hours under difficult conditions are often hard to find.  Too many employees means the bottom line of the facility suffers. Too few and sanctions and state citations can result.  Sometimes the line ...


 
October 30, 2009 9:11 AM by Liz Rosto of ADVANCE Perspective: LTC

A new study from PHI, a national non-profit organization working to strengthen the health care services workforce, reveals that less than one-fifth of Massachusetts direct-care workers (nursing home assistants, home health care aides and personal care attendants) are enrolled in employer-sponsored health insurance plans.

The primarily reason for the lapse in coverage is that it's too costly. The study ...


 
October 28, 2009 12:42 PM by Adkins-Ali Carrie of ADVANCE Perspective: LTC

  Women's bodies generate a stronger antibody response to the H1N1 vaccine than men's do, so only half the vaccine may be needed to immunize them, according to an op ed piece in the N.Y. Times. "If we could give women a smaller dose, there would be more vaccine to go around," say authors Sabra L. Klein, assistant professor ...

 
October 27, 2009 2:49 PM by Carol Kleinman of Clinical Corner

 

While health care reform has long been a topic of discussion in Washington, D.C., it has become a leading policy issue for the Obama Administration and Congress. Health care reform is no longer perceived as peripheral to our larger economic condition. Instead, it is viewed as an integral element to our long term economic stability as a nation.

As lawmakers debate health care reform proposals, it is ...


 
October 26, 2009 12:59 PM by Adkins-Ali Carrie of ADVANCE Perspective: LTC

The CDC is just beginning to understand why so little H1N1 virus is available to Americans in need, reports National Public Radio. First, vaccine manufacturers didn't have the reagents to know how much active ingredient was in production. When they finally got them, they learned that they had far less than they thought. Then machine glitches caused a bottleneck in packaging. Next up, some vaccine manufacturers have ...


3 comments  
October 22, 2009 12:52 PM by Maureen Salera of ADVANCE Perspective: LTC

There's a debate raging in a Florida retirement community over evicting a six-year-old girl who lives there with her grandparents.

Kimberly Broffman is the little girl at the center of it all. She lives in the retirement community with grandparents Jimmy and Judie Stottler because they are her legal guardians.

The community's homeowner's association wants Broffman out because the bylaws of the community ...


 
October 16, 2009 1:42 PM by Maureen Salera of ADVANCE Perspective: LTC

Two new studies from The New England Journal of Medicine indicate that nursing home residents may be receiving futile care measures at the end of their lives.

In one study, doctors examined health records of 3,702 nursing-home residents across the nation who started dialysis between 1998 and 2000. While the average age was 73, many had other health ...


 
October 16, 2009 10:44 AM by Liz Rosto of ADVANCE Perspective: LTC

With the H1N1 virus lurking in our office (so far, one confirmed case), experts agree that aside from vaccination, the best defense is thorough handwashing. Check out this video from the Washington Post that shows proper handwashing technique.

We hear these messages all ...


 

ABOUT OUR BLOGS

The ADVANCE for Long-Term Care Management editorial staff will share their perspectives on the hottest issues in long-term care.

Dr. Carol S. Kleinman will offer a nurse's perspective on clinical issues in long-term care.

Dr. Brian Garavaglia will discuss contemporary issues in long-term care, ranging from clinical to operational topics.

A.L. "Tony" DeWitt blogs about important legal issues and protecting yourself from lawsuits.

Kelly Smith Papa, RN, MSN, will look at building a culture of learning to promote innovation, excellence in care and the commitment to change that is necessary when caring for people with diverse personal needs.