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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 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 ...


 
October 16, 2009 9:40 AM by Brian Garavaglia of Gerotalk

Read my latest Gerotalk column on the ADVANCE web site: The ...

 
October 15, 2009 4:34 PM by Heather Simons of ADVANCE Perspective: LTC

A study published in The New England Journal of Medicine questions whether dialysis is the best treatment for nursing home patients. As reported by USA Today, more than half of older nursing home residents die within a year of starting dialysis and "nearly another third experience a significant decline ...


 
October 15, 2009 2:56 PM by Carol Kleinman of Clinical Corner

Issues of long-term care have dominated public concern since President Clinton proposed his health care reform plan in 1993. Efforts towards a universal long-term care policy address priority areas of aging and disability in various ways such as the use of Medicaid waivers. Problems of long-term care, such as the nature of entitlement programs, are now the major concerns of the Administration on Aging and the Department ...

 
October 14, 2009 10:37 AM by Tony DeWitt of Legal Speak

In law school one of the more esoteric doctrines of property law -- the bailment -- gets a lot of attention. Cases involving bailments for hire are distinguished from other bailments. The effects of disclaimers are studied.  In the end, the bottom line is this:  when someone delivers to another a piece of property for safekeeping, the common law requires ...

 
October 14, 2009 10:33 AM by Tony DeWitt of Legal Speak

On September 17, 2009, the Oklahoma State Supreme Court overruled a decision by the Court of Appeals involving a licensure proceeding filed against a former nurse's aide by the Department of Health.

In the proceeding, the Department of Health charged that the nurse's aide copied parts of a patient's medical record to bolster her employment discrimination claim and thereby misappropriated the patient's property ...


 
October 9, 2009 1:41 PM by Maureen Salera of ADVANCE Perspective: LTC

A letter to the editor in today's Philadelphia Inquirer details the reasons why two Philadelphia-area registered nurses are rejecting the swine flu vaccine after attending a conference on the subject. Read the letter to the editor here.

Given the recent push ...


 
October 9, 2009 9:21 AM by Carol Kleinman of Clinical Corner

If you suffer a massive heart attack and need expensive medical care in your golden years, it is likely that Medicare will cover your bills. But if you have the bad luck to contract Alzheimer's disease, sorry, you're on your own.

Howard Gleckman's new book Caring ...


 
October 7, 2009 3:34 PM by Adkins-Ali Carrie of ADVANCE Perspective: LTC

This morning, two of my three children got their first H1N1 vaccinations. Now that it's available to high-risk groups, I thought I'd give my doctor's office a call about getting mine. (I have asthma, so I'm in the high risk group.)

Not only does my doctor's office not have any, but they don't even know if they'll get any at all. Off I went to the Dept. of Health to investigate.

Each provider must put in ...


 
October 7, 2009 2:56 PM by Tony DeWitt of Legal Speak

There is a difference between a novel and a news story in a newspaper, even though both are printed on paper. Similarly, there is a difference between a legal drama like Law and Order, and what actually happens in the nation's criminal courts.  The fact is that those who practice in the criminal and civil justice systems know that these dramas badly depict the actual legal process.

In the early ...


 
October 7, 2009 10:51 AM by Adkins-Ali Carrie of ADVANCE Perspective: LTC

 

I recently discovered a rather interesting awards ceremony, the IG Nobels. Hosted by the Harvard-based journal Annals of Improbable Research , the awards honor less-than-traditional research and are handed out by real Nobel laureates.

Highlights from this year include:

  • The veterinary medicine prize went Catherine Douglas and Peter Rowlinson at Newcastle University's ...

 
October 5, 2009 10:45 AM by Liz Rosto of ADVANCE Perspective: LTC

The following is a guest blog from Anthony Cirillo:

Recent Harvard articles have been consistent in their insistence that a different mode of leadership will be required in all businesses going forward. Business as usual got us into the predicament we are in so we can't simply go back to it when the economy recovers. New leadership will be about facilitating, collaborating and empowering. I write a lot about ...


 

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.