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CDC Issues Warning on ‘Nightmare Bacteria’
March 6, 2013 9:25 PM by Maureen Salera
Federal officials recently warned that "nightmare bacteria" are becoming increasingly resistant to even the strongest antibiotics, and represent a growing threat to hospitals and nursing homes nationwide, according to this article from The Washington Read More...
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Handwashing Falling Off in Nursing Homes
August 27, 2012 10:42 PM by Maureen Salera
In recent years, more nursing homes have been cited for deficiencies in handwashing, according to a study from The Journal of Applied Gerontology . In fact, inspectors found handwashing deficiencies in fewer than 7.4 percent of nursing homes from 2000 Read More...
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CDC reports C. difficile infections at historic high
March 7, 2012 9:56 PM by Maureen Salera
ADVANCE for LTC Management regularly features articles on infection control. Many of those articles have mentioned C. difficile infections in the past. And C. diff, as it's known in the infection control vernacular, is in the news yet again: In fact, Read More...
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Patients With Dementia Hospitalized Unnecessarily
October 2, 2011 10:44 PM by Maureen Salera
One-fifth of Medicare nursing home patients with advanced Alzheimer's or other dementias were sent to hospitals or other nursing homes for questionable reasons in their final months, according to a study published in the New England Journal of Medicine Read More...
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Decreasing Use of Antipsychotics for Dementia
September 17, 2011 9:23 PM by Maureen Salera
After this year's government audit on the use of antipsychotics to control dementia behavior in nursing home patients, it looks like at least some nursing homes are taking positive action, according to an Associated Press article on MSNBC.com. Since antipsychotics Read More...
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AGS Releases Guide to Managing Psychotic Disorders and Dementia
June 25, 2011 12:34 PM by Maureen Salera
The American Geriatrics Society's newest clinical tool, the AGS Guide to the Management of Psychotic Disorders and Neuropsychiatric Symptoms of Dementia in Older Adults , is now available on the AGS Web site, according to an AGS news release . The guide Read More...
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Unnecessary Treatment, Screenings for Elderly Patients
May 25, 2011 10:00 PM by Maureen Salera
It seems that older adults are overtreated and overtested, according to a recent post on Paula Span's New Old Age blog on The New York Times Web site. Span discusses how nearly 20 percent of elderly women with advanced dementia are subjected to mammograms Read More...
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Nursing Home Residents Given Hazardous Drugs
May 10, 2011 8:44 PM by Maureen Salera
An OIG audit found that almost one in seven elderly nursing home residents, nearly all of them with dementia, are given powerful atypical antipsychotic drugs even though the medicines increase the risks of death and are not approved for such treatments, Read More...
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Meet CRKP, the New Superbug
March 30, 2011 10:34 PM by Maureen Salera
It seems we hear about a new "superbug" in the media on an ongoing basis. So I wasn't surprised to see this video on World News with Diane Sawyer last week. The video profiles a dangerous new superbug named carbapenem-resistant Klebsiella pneumoniae , Read More...
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UTI antibiotics often over-prescribed in nursing homes
March 17, 2011 2:16 PM by Maureen Salera
A study at two nursing homes suggests doctors commonly prescribe unnecessary antibiotics to elderly people with suspected urinary tract infections, according to this Reuters Health article on MSNBC.com. In fact, two out of every five residents with urinary Read More...
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Associations Issue Controlled Substance Prescribing Tip Sheet
August 31, 2010 9:41 PM by Maureen Salera
Together with several other associations, The American Geriatrics Society developed a "Tip Sheet on Prescribing for Controlled Substances in Long Term Care," according to an AGS news release . The groups created the tip sheet to help physicians and other Read More...
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The Experience of Aging, Part IV - Depression and Stress
December 5, 2008 3:13 PM by Carol Kleinman
Decreased mobility, functional impairment, and multiple losses frequently lead to depression. It has been well established in the literature that the suicide rate among people over 65 is higher than any other age group. For more on this serious issue, Read More...
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Role Conflict and the Nurse, Part I
October 8, 2008 10:36 AM by Carol Kleinman
As health care organizations have become more integrated and complex, role expectations among staff have become more diversified. To reduce job dissatisfaction among nurses, managers and administrators need to develop an appreciation for the scope and Read More...
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INtrapreneurship
August 18, 2008 11:47 AM by Carol Kleinman
The word entrepreneur creates the connotation of a business-minded individual who pioneers change, who wants to work for herself or himself, and who organizes, manages, and assumes the risks of a business enterprise. An intrapreneur is a person within Read More...
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Part 10: More Budget Secrets
July 31, 2008 1:31 PM by Carol Kleinman
Budgets are done initially as computer-modeled projections based on previous performance. What that means is that the computer looks at what was spent and models a budget for the next cycle based on that amount. Thus, if you spend less, you will get less. Read More...
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About this Blog


    Maureen McAndrews Salera
    Occupation: Health care journalist
    Setting: Wallingford, Pa
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