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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 Linda Jones at ljones@advanceweb.com
LATEST POSTS FROM EACH BLOG
April 15, 2014 10:59 AM by Brian Garavaglia of Gerotalk

It has been known for some time that nursing home care is not the same in every nursing care facility.  In a recent study published by a nonprofit advocacy group, Families for Better Care, the group's review looked at nursing homes and care found in these facilities found in each state.  The Families for Better Care state that it is the first state-by-state review of nursing home care that has been ...


 
March 25, 2014 9:30 AM by Brian Garavaglia of Gerotalk

[Editor's note: the following blog post was written by Brian Garavagli] 

A national report on nursing homes, conducted by the Office of the Inspector General of the United States Department of Health and Human Services, has found some very sobering, if not frightening, results. The study found that as many as one-third of all nursing home residents were harmed by their treatment!

The ...


1 comments  
March 17, 2014 1:55 PM by Brian Garavaglia of Gerotalk

In a recent study conducted by the University of North Carolina at Chapel Hill, a high percentage of Medicare residents who are discharged from nursing homes often are re-hospitalized within 30 days. Individuals receiving care within nursing homes in which the care is being paid for by Medicare are often there after they have been discharged from the hospital and are in continued need of receiving rehabilitative ...


1 comments  
February 21, 2014 7:41 AM by Brian Garavaglia of Gerotalk

[Editor's note: this is only a portion of the complete article]  

A current book that is on the New York Times best seller list, Grain Brain: The Surprising Truth About Wheat, Carbs, and Sugar-Your Brain's Silent Killers, written by Neurologist Dr. David Perlmutter, asserts that a diet high in carbohydrates can actually be instrumental in the development of dementia.  Perlmutter, who ...


1 comments  
January 27, 2014 11:42 AM by Brian Garavaglia of Gerotalk

Recent research over the last few decades has paid increasing attention to aging at the molecular level. In particular, a genetic component called telomeres, has garnered much attention over the last few decades. Chromosomes are long strands of deoxyribonucleic acid or DNA. DNA is our molecular blueprint of who we are, being the genetic blueprint for forming our genome. Telomeres are found at the end of ...


 
December 23, 2013 3:31 PM by Brian Garavaglia of Gerotalk

A recent editorial in the Annals of Internal Medicine has provided considerable debate about whether multivitamin use has any efficacy. The editorial titled, "Enough is Enough: Stop Wasting Money on Vitamin and Mineral Supplements," avers, in a very definitive manner, that using multivitamins is useless, providing no help in aiding one's health. The editorial goes on to state, "we believe that the case is closed ...

 
December 19, 2013 8:46 AM by Brian Garavaglia of Gerotalk

Cognitive decline as one gets older is often something that is feared by many. There are many reasons for cognitive decline, and although many associate it with age, for the most part age in isolation is usually not the only reason for cognitive decline. Furthermore, cognitive decline is not inevitable as one gets older. However, some new research has found that some pathogenic agents that have often been associated ...

 
November 25, 2013 12:00 PM by Brian Garavaglia of Gerotalk

The Longevity Project was a longitudinal study started by Stanford University Psychologist Lewis Terman in 1921. Terman's study initially looked at issues of intellect. The 1,500 subjects were tracked over eight decades. From this initial study some important information was revealed about longevity, including what was instrumental in helping some age well, and what also failed to enhance longevity and healthy, functional ...

 
November 6, 2013 9:18 AM by Brian Garavaglia of Gerotalk

During the 2013 meeting of the American Psychiatric Association, the renowned neurologist, Gary Small, MD, addressed whether a change in one's lifestyle can aid in the prevention of Alzheimer's disease. Although research continues to look for a cure, there currently is no form of treatment that can cure the more than 5 million individuals in the U.S. with the disease. At best, we have a few medications that may slow ...

 
October 23, 2013 3:09 PM by Tony DeWitt of Legal Speak

Employment discrimination cases can be broken down into two separate categories. Hostile work environment claims are based on the environment in the workplace. An environment is hostile if the atmosphere created is one that a reasonable employee feels is hostile on the basis of a protected status. A protected status is age, sex, race, religion or pregnancy. A boss who ran around using four-letter words to describe women ...

 
October 23, 2013 9:53 AM by Brian Garavaglia of Gerotalk

The fear of cognitive debilitation as we age is one of the greatest apprehensions that individuals have about aging. It is also an area of misconception as well. Although dementia and other forms of major cognitive decline are not inevitable as we age as so many think, aging is correlated with greater levels of cognitive debilitation, especially through various forms of dementia. Furthermore, as a larger number of our ...

 
October 15, 2013 8:59 AM by Tony DeWitt of Legal Speak

Carrie was aware the firm was having financial problems, and she knew that other people had been laid off, but was pretty sure of her own job security because she felt like she was "mission essential" to the operations of her employer.

When the intercom buzzed and her boss said "Carrie, please step into my office," she assumed there was a new problem that had arisen, or a job that needed to be done, and she brought ...


 
October 2, 2013 10:51 AM by Tony DeWitt of Legal Speak

One of the most frequent questions I get from people when they learn I'm a lawyer is "what do I do if I know I'm going to get fired?"

Let me be clear: lawyers are problem solvers. We fix problems after they happen. We rarely are able to stop something that is already in play, for example, a plan by your boss to send you packing. While Hollywood and television have imbued lawyers with magical qualities on the order ...


 
September 12, 2013 4:31 PM by Tony DeWitt of Legal Speak

One of the things I tell professionals when I speak on risk management is that it is never the medical error or mistake that gets professionals sued. It is always the collateral circumstances surrounding the error and how those circumstances are handled. While the law in most states used to be that an apology could never be provided because to do so would be an admission of negligence, the laws have changed in most states ...

 
September 4, 2013 12:15 PM by Tony DeWitt of Legal Speak

From Colorado comes a story of a nurse assistant who was accused of raping an elderly resident. There is almost nothing that produces lawsuits quicker than a resident alleging rape in a credible manner. The incident in Colorado is made worse by the fact that, after the nursing ...

 
August 27, 2013 6:51 AM by Brian Garavaglia of Gerotalk

It has been known for some time that the pharmacokinetic features of many medications are quite different based on the age of the person. In particular, many medications that could be given to younger adults with no issues can often lead to adverse affects when given to older adults. Furthermore, the same dosage of a medication that is therapeutically effective for a younger adult may be excessive or build up to dangerous ...

 
August 27, 2013 6:42 AM by Tony DeWitt of Legal Speak

As a plaintiff's attorney I believe that verdicts in all cases should be reasonable. Unreasonable verdicts tend to inflame the passions of people who do not like lawyers, and who do not want people to ever be able to redress their grievances through the court system. As a plaintiff's lawyer one of my biggest obstacles is not defense lawyers, it's other plaintiff's lawyers.

Recently a patently ridiculous ...


 
August 23, 2013 6:55 PM by Tony DeWitt of Legal Speak

Skilled nursing facilities face a number of hurdles in caring for the elderly, not the least of which is the inability to spend a sufficient amount of time providing oral care for residents unable to brush their teeth or maintain their dentures. Numerous articles have been published criticizing the lack of funding for dental care in nursing ...

 
August 20, 2013 7:17 AM by Tony DeWitt of Legal Speak

There was a great commercial many years ago by AAMCO, an automotive company, that featured a hapless mechanic saying "let me try boss, I always wanted to fix a transmission." The commercial's spokesperson looked like the kind of guy who couldn't fix a paperclip. The commercial was funny but it made a point. When something is broken, you take it to someone who knows how to fix it.

Several years ago I went ...


 
August 15, 2013 2:10 PM by Tony DeWitt of Legal Speak

One of the great things about capitalism is that every person has the right to make as much money as they can make, so long as they do not break any laws in the process. Motivational expert Zig Ziglar was fond of saying, "you can have everything in life you want, as long as you help enough other people get what they want." When skilled nursing facilities are operated properly and lawfully, they can and do generate good ...

 
August 15, 2013 7:16 AM by Brian Garavaglia of Gerotalk

A recent study out of France has examined the impact of retirement and the probability of developing dementia. There have been few studies that have examined the relationship between retirement and dementia, but this study demonstrated an impressive and statistically significant relationship between these two variables. ...

 
July 8, 2013 5:12 PM by Brian Garavaglia of Gerotalk

The Joy of Old Age (No Kidding) is a very inspiring editorial written in the New York Times by the well-known and world renown neurologist Oliver Sacks.  Sacks describes his life, as well as his thoughts, about his approaching 80th birthday.  Far from feeling a sense of despair, he explains that he ...

1 comments  
June 24, 2013 2:47 PM by Tony DeWitt of Legal Speak

One of the concepts that lay people have trouble with in terms of the law is the concept of standing. Standing basically means that a person must have a "justiciable interest" in a lawsuit. That means that the decision in the lawsuit must directly affect them.

In its simplest terms, standing is about whose ox got gored  Suppose a woman at the mall, in order to get to a sale item, hits your sister ...


 
June 13, 2013 12:20 PM by Brian Garavaglia of Gerotalk

Some recent research has produced some very interesting results regarding yoga and memory. It was found that a 20-minute session of Hatha yoga significantly improved the cognitive abilities of the participants of the study, especially related to working memory and inhibitory cognitive functions. Although most of the participants in the study were younger, similar results have been found using older adults. The study ...

 
June 10, 2013 10:21 AM by Tony DeWitt of Legal Speak

Suppose you went to the auto mechanic and he told you that you needed your tires rotated and your oil changed. You wait patiently in the waiting room for 20 minutes and then someone brings you out your keys, takes your money, and sends you on your way. But back in the mechanical part of the shop the only service you received was to have the oil that was already in your car topped off, and no one touched your tires. ...


 

ABOUT OUR BLOGS

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.