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Long Term Care Information Series

Clinical Collaboration in the Post-Acute & Long-Term Care Setting

Teamed with physicians, advanced practice nurses (APRNs) and physician assistants (PAs) may enhance the nursing and medical care available to post-acute and long-term care facility patients. Driven by documented positive outcomes and favorable legislation, the presence of the APRNs and PAs continues to gro...
CPG Teaching 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...
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...
Practice Management Tools

Starting & Maintaining a Long-Term Care Ethics Committee Tool Kit

The PALTmed Tool Kit for Starting & Maintaining a Long-Term Care Ethics Committee provides a comprehensive guide to medical directors and others working in post-acute and long-term care who encounter ethical issues that need attention. The tool kit provides advice on how to start an ethics committee, c...
Clinical Practice Guidelines (CPG)

Sleep Disorders CPG

Sleep problems are common among residents of post-acute and long-term care (PALTC) facilities. Data suggests that age-related sleep changes, medical conditions common among older people, medications that affect sleep, substance use, and factors related to the long-term care facility environment all contrib...
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...
Assisted Living Series

Caregivers Communication Guide: Protocols for Change of Condition

Small changes may go unnoticed unless the caregiver knows what to look for and what to report. This knowledge can help the primary care practitioner take better care of the older adult. Missing small changes and not reporting them may cause problems for the older adult. This guide demonstrates ways to reco...
Long Term Care Information Series

Atrial Fibrillation in the Long-Term Care Setting

Atrial Fibrillation (AF) is a serious health problem, the most common arrhythmia requiring hospital admission, and is associated with an increase in mortality. Because the prevalence of AF increases steadily with age, the number of patients in the post-acute and long-term care (PALTC) setting who have or a...
Clinical Practice Guidelines (CPG)

Acute Change of Condition CPG

In the post-acute and long-term care (PALTC) setting a primary goal of identifying acute change of conditions (ACOC) is to enable staff to evaluate and manage a patient at the facility and avoid the transfer to a hospital or emergency room. To achieve this goal, the facility's staff and practitioners ...
Clinical Practice Guidelines (CPG)

Anemia CPG

Anemia is common in the post-acute and long-term care (PALTC) setting, with a prevalence ranging from 34 - 60%, increasing with each decade of life over age 70. Anemia often goes unevaluated or is inadequately evaluated in the frail elderly. Studies suggest the importance of treating anemia to improve pati...