Search | PALTmed

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 ...

Practice Management Tools

Recommendations for Completing Death Certificates

Designed to assist physicians through the complicated process of completing a death certificate, the guidelines include information on understanding the legal definition of death; the roles held by physicians, coroners, medical examiners, and non-physician practitioners during the process of pronouncing an...

Clinical Practice Guidelines (CPG)

Pain Management 2021 CPG

This package includes the Pain Management Clinical Practice Guideline, and the Pain Management Pocket Guide. The CPG provides a foundation for a systematic approach to the recognition, assessment, treatment and monitoring of pain in PALTC care patients. It addresses common questions related to pain mana...

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...

Clinical Practice Guidelines (CPG)

Pressure Ulcers & Other Wounds CPG

Newly updated, the Pressure Ulcers and Other Wounds CPG now includes information regarding arterial and venous ulcers, in addition to pressure ulcers, as well as the new NPUAP staging terminology. Pressure ulcers and other wounds remain a major cause of mortality and morbidity in PALTC, affecting an est...

Clinical Practice Guidelines (CPG)

Health Maintenance CPG

Health maintenance in post-acute and long-term care (PALTC) settings incorporates systemic, proactive approaches that promote patients’ physical, emotional, psychological, cognitive, and functional integrity. Early detection and prevention of illness may reduce morbidity and mortality in the elderly. Stan...

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)

Altered Nutritional Status CPG

Weight has emerged as a principal screening and monitoring indicator in post-acute and long-term care (PALTC) because it is easy to measure and the measurement is reasonably accurate and reproducible, noninvasive, acceptable to most patients, and relatively inexpensive to obtain. Among patients who remain ...

Long Term Care Information Series

Seizures in the Long-Term Care Setting

The Seizures in the Long-Term Care Setting manual is intended to help the interdisciplinary team in the post-acute and long-term care facility to: - Become aware of the prevalence of seizures in the PALTC population - Identify the signs and symptoms of a seizure in an elderly PALTC patient - Determine...

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...