JAMDA
January 2, 2022
Showing 2121 - 2130 of 2635 results
JAMDA
November 7, 2023
Breaking the Cycle: Using Serious Illness Communication to Optimize Care Transition Planning in Serious Illness
It is widely recognized that many older adults in their last year of life will cycle between hospitals and skilled nursing facilities—a phenomenon described as “rehabbing to death.” Several strategies to address this complex problem have been proposed, including developing and testing serious illness commu...
JAMDA
December 5, 2017
Impact of Advanced Practice Registered Nurses on Quality Measures: The Missouri Quality Initiative Experience
The purpose of this article is to review the impact of advanced practice registered nurses (APRNs) on the quality measure (QM) scores of the 16 participating nursing homes of the Missouri Quality Initiative (MOQI) intervention. The MOQI was one of 7 program sites in the US, with specific interventions uniq...
JAMDA
April 10, 2020
Practical Steps to Improve Air Flow in Long-Term Care Resident Rooms to Reduce COVID-19 Infection Risk
The potential for spread of COVID-19 infections in skilled nursing facilities and other long-term care sites poses new challenges for nursing home administrators to protect patients and staff. It is anticipated that as acute care hospitals reach capacity, nursing homes may retain COVID-19 infected resident...
Policy Snapshot
March 12, 2025
Statement from PALTmed: Medicaid is Vital for Vulnerable Seniors in Post-Acute and Long-Term Care
Nearly everyone in America has someone they care about who has needed the services and care provided in a skilled nursing facility, nursing home, or assisted living facility. The impact that decreased Medicaid funding can have on the quality of care provided to frail older adults residing in post-acute car...
News Release
November 17, 2023
New CMS Rules is a Victory for Medical Director Transparency
The Centers for Medicare & Medicaid Services (CMS) has released a final rule calling for nursing homes to disclose specific ownership and managerial information—including skilled nursing facility medical directors. AMDA – The Society for Post-Acute and Long-Term Care Medicine has been advocating for...
JAMDA
December 27, 2019
Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings: A Consensus Statement From AMDA's Infection Advisory Subcommittee
The diagnosis and management of urinary tract infections (UTIs) among residents of post-acute and long-term care (PALTC) settings remains challenging. Nonspecific symptoms, complex medical conditions, insufficient awareness of diagnostic criteria, and unnecessary urine studies all contribute to the inappro...
JAMDA
July 24, 2025
Developing and Implementing an Intervention to Increase Immunization Coverage Among Frontline Long-Term Care Staff
In the years following the COVID-19 pandemic, immunization coverage has declined among frontline post-acute and long-term care (PALTC) staff, such as nurses, certified nursing assistants, and kitchen staff. We took a novel approach to addressing these declines by engaging frontline staff in design of immun...
JAMDA
October 1, 2015
Sliding Scale Insulin vs Basal-Bolus Insulin Therapy in Long-Term Care: A 21-Day Randomized Controlled Trial Comparing Efficacy, Safety and Feasibility
Sliding scale insulin (SSI) therapy remains a common means of insulin therapy in long-term care (LTC) for the management of type 2 diabetes mellitus, despite current recommendations not supportive of the form of therapy today. Lack of randomized trial data on the efficacy and safety of basal-bolus insulin ...
JAMDA
December 9, 2016
An Unintended Consequence of Culture Change in VA Community Living Centers
Although a growing body of evidence suggests that culture change and its corollary, person-centered care improves resident outcomes in the nursing home setting, little is known about the effect of culture change in a postacute setting in which patients receive skilled nursing and rehabilitation services fo...
