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Long Term Care Information Series

Constipation and Diarrhea in the Long-Term Care Setting

Constipation and diarrhea are common problems in the post-acute and long-term care (PALTC) setting. Up to 80% of patients are affected. Chronic constipation has been shown to affect both overall psychological well being and quality of life. Diarrhea is a major cause of morbidity and mortality in this popul...
Clinical Practice Guidelines (CPG)

COPD Management CPG

This package includes the COPD Management Clinical Practice Guideline, and the COPD Management Pocket Guide. Chronic obstructive pulmonary disease (COPD) is currently the third leading cause of death in the United States. COPD caused an estimated 134,676 deaths in the United States in 2010. The disease ...
CPG Teachling Slides

COPD Management in the PALTC Setting Teaching Slides

The CNA Teaching Slides reviews the important role of the CNA in observing the COPD patient and how to be aware of ways to maximize activity and exercise tolerance in addition to the recognizing the signs of hypoxia. The IDT Teaching Slides provides a quick reference to the recognition, assessment, trea...
CPG Pocket Guides

COPD Management Pocket Guide (Set of 5)

The COPD Management Pocket Guide provides a quick reference to the recognition, assessment, treatment, and monitoring of COPD, with information adapted from the GOLD initiative for chronic obstructive lung disease. The pocket guide also includes an Algorithm for Pharmacological Treatment of COPD. The COPD ...
Clinical Practice Guidelines (CPG)

Dehydration and Fluid Maintenance CPG

This CPG offers a structured approach to the recognition, assessment, treatment, and monitoring of dehydration and fluid and electrolyte imbalances and acknowledges the ethical implications of this condition for patients, their families, and the staff of post-acute and long-term care (PALTC) facilities. It...
Clinical Practice Guidelines (CPG)

Dementia CPG

Dementia, a disorder characterized by progressive decline in multiple areas of cognitive function, causes a range of cognitive, mood, behavioral, and functional impairments. Optimal management of dementia involves the entire interdisciplinary team, with practitioners playing an important leadership role. T...
Clinical Practice Guidelines (CPG)

Depression CPG

Depressive symptoms are common among older adults and can have a major effect on their quality of life. It has been estimated that between 12 and 16% of older adults living in post-acute and long-term care (PALTC) facilities have major depression and 50% may have a minor depressive disorder. This CPG assi...
Long Term Care Information Series

Determination of Medical Necessity of Rehabilitation Therapy Services

Medicare defines medical necessity as a determination that a service is reasonable and necessary for the diagnosis or treatment of illness or injury. However, the use of this term in health care settings is controversial and often confusing. Applying the concept of medical necessity to rehabilitation thera...
Clinical Practice Guidelines (CPG)

Diabetes Management CPG

Residents of post-acute and long-term care (PA/LTC) facilities who have diabetes often take multiple medications and experience frequent infections, high rates of cardiovascular complications, dehydration, hospitalizations, hyperosmolar states, and physical and cognitive disability. A comprehensive approa...
Assisted Living Series

Diabetes Management for the Older Adult

PALTmed has created a training program and tool kit for ALC staff as well as family caregivers to help them care for older adults with diabetes. Our goal is to keep these older persons with diabetes in the most independent living environment possible. Following the recommendations and using the tools in th...
Clinical Practice Guidelines (CPG)

Falls and Fall Risk CPG

This tool guides physicians, other practitioners, and staff in assessing and managing individuals who have a recent history of falls or who are at risk of falling. This CPG will help identify ways to modify some of the risk factors for falls, as well as identify ways to adjust the patient's environmen...
Clinical Practice Guidelines (CPG)

Gastrointestinal Disorders CPG

Although aging has relatively minimal effects on gastrointestinal (GI) function, age-related changes can cause or contribute to several GI disorders. Aging can result in impaired function of the gastric mucosal barrier and increased risk of peptic ulcer disease. Patients residing in PALTC facilities typica...