A recent study by researchers at the University of Chicago found that the reporting of wounds, especially pressure wounds, by long term care facilities is significantly underreported. Although the Centers for Disease Control states that approximately 11 percent of residents have pressure wounds, the Chicago study estimates that that number could be quite a bit higher.
Read the entire article at https://www.providermagazine.com/Articles/Pages/Creating-a-Wound-Care-Culture.aspx
Data shows that fall risk peaks between 6-9 pm and again from 3-6 am, when senior care staffing is reduced. What’s more, 50 percent of residents who fall overnight will have another overnight fall. These statistics become even more critical as they are applied to those living with Alzheimer’s and other forms of dementia—as the sun goes down, these residents are at even greater risk for falls as they experience sundowning, increased restlessness, anxiety, and disorientation—all of which can become more intense as the diseases progress.
Read more at https://www.providermagazine.com/Articles/Pages/4-Ways-To-Reduce-Fall-Risk-in-the-Most-Vulnerable-Hours.aspx
Transitioning patients between settings has always been a bit of a roller coaster: improving, then facing challenges, then put on the back burner. The COVID pandemic brought the issue front and center, and many hope this is the start of a smooth ride. The need for clear, real-time communication between settings became a priority, and many organizations developed new systems and processes. However, while we’ve made strides, there are still gaps that need to be filled and opportunities for improvement.
Reducing the number of falls in long term care facilities is a goal for everyone. Current strategies to reduce falls typically include complex, multicomponent interventions requiring significant resources, staff time, and resident education. To be sure, these measures help mitigate the risk and reduce the number of falls at nursing homes and senior care facilities; but there is one novel approach that has been theorized over the last decade that has been recently validated through research and come to light.
Read more by going to https://www.providermagazine.com/Topics/Guest-Columns/Pages/2022/A-Simple-Fall-Prevention-Strategy-Comes-to-Light.aspx
The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) released a new report today highlighting data that shows the quality of care in skilled nursing facilities (SNFs) has been on an upward trend in the 10 years prior to the COVID-19 pandemic. Information collected by the federal government proves that industry-wide efforts to raise the standard of care have benefited long term care residents across the country.
Key findings from the report include:
- Nursing homes welcomed approximately 3.5 million admissions from hospitals each year for the past decade, and nearly two-thirds of those patients were able to return home after receiving rehabilitation therapy from SNFs.
- Since 2011, 8.7 percent fewer residents were sent to the hospital during their nursing home stays.
- On average, nurses were putting in an additional 198 total hours of care per nursing home each quarter.
One out of three nursing homes received four or five stars from the Centers for Medicare and Medicaid Services (CMS) for staffing.
Fewer than one in seven nursing home residents are receiving antipsychotic medication – a 40 percent decline since 2011.
Nursing homes improved on 19 out of the 22 quality outcomes measured by CMS.
Read more at https://www.providermagazine.com/Breaking-News/Pages/AHCA-NCAL-Highlights-Nursing-Home-Quality-Improvements.aspx
The full Nursing Home Quality Improvement report is available HERE.
“The best transition of care is when there is no transition at all.” James Lett, MD, coined this maxim many years ago, and it’s still the mantra of post-acute and long term care providers.
“Of course, sometimes transitions are necessary, so we need to focus on doing this as seamlessly as possible,” says Rajeev Kumar, MD, CMD, FACP, chief medical officer of Symbria in Warrenville, Ill. “Even though we are well into the third decade of meaningful EHR [electronic health record] use, we still have discordant records, and what happens in the hospital doesn’t always filter back to the nursing home, and vice versa.”
Read more at https://bit.ly/3pi1sRG
Long COVID—symptoms that drag on long after someone gets ill with the coronavirus—has many in long term and post-acute care experiencing déjà vu. Diagnostic challenges, questions about treatments, and a limited body of research—these are the same issues they faced at the start of the pandemic over a year ago.
However, while there are still questions, providers have learned much from the pandemic that will help centers navigate the challenges of long COVID and implement and sustain standards, processes, protocols, and interventions that maximize outcomes and quality of life for residents with this condition.
Read more by going to https://bit.ly/3lRAwoq
During the pandemic, sleep was in short order for many people. In one survey, 56 percent of U.S. adults said they have experienced more sleep disturbances—ranging from problems falling or staying asleep to having disturbing dreams or nightmares—in the past year and a half. In fact, this has been so common, the phenomenon has been given a name—COVID-somnia.
Pandemic-related sleep issues haven’t discriminated. Young and old people alike report some sleep-related problem. Long term and post-acute care centers not only need to identify and address sleep disturbances in their residents but in their staff as well.
See the full article at https://bit.ly/3DWPXE1
The article from Provider magazine discusses how clinical leaders can train nurses in various stages of growth through briefs and follow-through tutoring during resident assessments.
The complexities of the COVID-19 public health emergency required skilled nursing facility (SNF) operations to change dramatically and often to save the lives of the most vulnerable population. Through heroic efforts, SNFs transformed clinical systems of care, sometimes in less than a day, to win the war against the pandemic.
While operations and resources shifted to battle COVID-19, unintended consequences emerged—one being greater incidence of pressure injuries. Now that the pandemic is at a turning point, facilities can start to refocus and improve this trend. This article suggests ways to reorient efforts toward preventing and managing pressure injuries.
Read the full article at https://www.providermagazine.com/Monthly-Issue/2021/July/Pages/Hitting-Reset-on-Pressure-Injury-Prevention.aspx