Chronic subclinical hypohydration in SNF residents is real, measurable, and consequential — and the clinical and regulatory framework for addressing it already exists. This article is a response to Nursing Home Parenteral Therapies: Clinical Guidance and Payment Considerations in last month’s Caring for th...
Endless research has been done to evaluate the factors that initiate and lead to smoking addiction. The teenage years are usually the starting point for most smokers. It begins as a cool thing when company and peer pressure persuade them to perform certain acts. Rationalization and introspection are not th...
For many young people, nursing homes are invisible—rarely discussed and often portrayed as symbols of decline. A Gallup/West Health poll found that nearly 70% of Americans feel uncomfortable at the thought of being admitted to one. Younger generations often imagine these places as sterile, sad, or even fri...
The most fundamental principle in geriatric and long-term care medicine: ensure every treatment order aligns with the resident’s values and goals of care—eliciting these is a core skill for long-term care physicians. Many residents have multimorbidity, and a substantial proportion are at the end of life. E...
In November 2019, the Centers for Medicare & Medicaid Services (CMS) launched the final phase of a trauma-informed care (TIC) provision for post-acute and long-term care (PALTC) as part of F-tag F699, which requires facilities to provide trauma survivors with culturally competent trauma-informed care. ...
Since 2022, the Foundation for Post-Acute and Long-Term Care Medicine has supported a research grant program awarding funding to the “best” proposals. Five stellar projects were selected between 2022 and 2025 following a rigorous process of review by a committee of experts. The Grant Committee applies hig...
After the decision was made to reinvent the beloved Caring for the Ages as a joint monthly online-only publication of PALTmed and the Foundation for Post-Acute and Long-Term Care Medicine, the search began for a new editor-in-chief. The Search Committee soon chose Barbara Zarowitz, PharmD, MSW, BCPS, BCGP,...
One of the highlights of PALTmed’s annual conference each year is the presentation of the Foundation for Post-Acute and Long-Term Care Medicine’s four excellence awards: Medical Director of the Year, Clinician of the Year, the James Pattee Award for Excellence in Education, and the William Dodd Founder’s A...
While teaching a CNA class on death and dying, I asked my students how they explained a resident’s passing to others. One young nursing assistant raised her hand: “We are told to say the resident has gone to Montana.”
I phoned the nursing director from the facility and asked if she was aware that the nurs...
Caring for the Ages appreciates Dr. Levine’s nuanced and well-referenced letter, which shares his perspective on the proposed new ICD-10 skin failure codes discussed in our October 2025 issue. Dr. Levine is a renowned wound care expert and raises valid points about whether rushing to get new codes adopted...