54 episodes

Advances in Long Term Care Medicine is produced in cooperation with the American Medical Directors Association (AMDA), the only national organization representing long term care physicians and professionals. This series addresses the most relevant clinical and practice management issues facing those working in long term care settings.

Advances in Long Term Care Medicine ReachMD

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Advances in Long Term Care Medicine is produced in cooperation with the American Medical Directors Association (AMDA), the only national organization representing long term care physicians and professionals. This series addresses the most relevant clinical and practice management issues facing those working in long term care settings.

    Venous Thromboembolism Management and Antithrombotic Therapy in Long-Term Care

    Venous Thromboembolism Management and Antithrombotic Therapy in Long-Term Care

    Guest: Thiruvinva Dharmarajan, MD FACP AGSF

    Host: Eric Tangalos, MD


    Patients in hospital settings are often screened and promptly treated for venous thromboembolism, or VTE, but perhaps less commonly in long-term care, even though these patients may be at risk. Dr. T.S. Dharmarajan, clinical director of the division of geriatrics at Montefiore Medical Center (North Division) in the Bronx, New York, discusses the medical conditions in long-term care that put patients at risk for VTE, and ways to assess patients for the condition. What anticoagulation medications and treatments may be used for treating VTE in long-term care? Should long-term care clinicians treat VTE as aggressively as hospitals often do, or are there other unique considerations clinicians should keep in mind for managing patients at risk for VTE in long-term care? Dr. Eric Tangalos hosts.  

    Focusing on Comfort in Caring for Patients with Dementia and Alzheimer's

    Focusing on Comfort in Caring for Patients with Dementia and Alzheimer's

    Host: Eric Tangalos, MD

    Guest: Tena Alonzo, MA


    How can creating a more positive emotional experience for patients with dementia or Alzheimer's diminish behavior issues and improve quality of life? Tena Alonzo, director of research and co-director of the Palliative Care for Advanced Dementia program at Beatitudes Campus in Phoenix, discusses a common-sense approach to creating a comforting environment for those with dementia and Alzheimer's, which focuses on meeting each patient's unique needs. What simple steps can long-term care facilities and caregivers take to enhance the lives of patients with cognitive disorders? Dr. Eric Tangalos hosts.

    Choosing Between Nursing Homes and Assisted Living: Helping Patients and Families Decide

    Choosing Between Nursing Homes and Assisted Living: Helping Patients and Families Decide

    Guest: Robert Kane, MD

    Host: Eric Tangalos, MD


    Deciding between assisted living facilities or nursing homes can be daunting for patients and families. How can healthcare professionals discuss long-term care expectations with patients and families and help with the selection process? Dr. Robert Kane, Minnesota Chair in Long-term Care and Aging at the University of Minnesota School of Public Health and director of the University of Minnesota's Center on Aging, discusses the genesis and evolution of assisted living facilities and nursing homes. What are some of the common precursors to patients and families deciding it is time to choose long-term care, and how can they determine which type of care is best?  Dr. Eric Tangalos hosts.
     

    A Public Policy Primer for Long-Term Care Professionals: How to Achieve Regulatory Compliance

    A Public Policy Primer for Long-Term Care Professionals: How to Achieve Regulatory Compliance

    Guest: Steven Levenson, MD, CMD

    Host: Eric Tangalos, MD


    As healthcare reform evolves, so too do the public policies governing long-term care facilities. How can healthcare professionals stay up-to-date with the latest changes in federal and state regulations? What are the differences between regulations governing assisted living versus skilled care environments? How successful have regulations been at facilitating better quality of care in skilled care and assisted living? Dr. Steven Levenson, medical director of six long-term care facilities in Maryland and past-president of AMDA, says that having a "watchful eye" over long-term care facilities is generally useful in promoting quality of care, but laments the fact that there are some inconsistencies in the ways regulations are applied and implemented. How can healthcare providers aim towards regulatory compliance and better patient care, without getting bogged down with seemingly overwhelming details? Dr. Eric Tangalos hosts.

    Improving Access to Controlled Substances in Long-Term Care

    Improving Access to Controlled Substances in Long-Term Care

    Guest: Matthew Wayne, MD, CMD

    Host: Eric Tangalos, MD


    Regulations regarding nurses as prescribing agents of physicians in long-term care facilities are more restrictive than in the hospital setting, because controlled substance licenses are not currently approved for nursing homes in most states. These restrictions can make it challenging for long-term care patients to receive timely access to narcotics. Dr. Matthew Wayne, medical director, geriatric medicine, University Hospital Richmond Medical Center in Richmond Heights, Ohio, and assistant professor of medicine at University Hospitals Case Medical Center in Cleveland, suggests revisions to some provisions of the Controlled Substances Act in order to ensure long-term care patients have access to pain medications when they need them the most. What hurdles are the most significant impediments to improving patient care with appropriate access to narcotics, and how can medical professionals best navigate the waters until revisions are made to the current law? Dr. Eric Tangalos hosts.

    Improving Medication Safety in the Nursing Home Setting

    Improving Medication Safety in the Nursing Home Setting

    Host: Eric Tangalos, MD

    Guest: Steven Handler, MD, PhD, CMD


    Because residents in long-term care facilities often have comorbidities, polypharmacy can be an issue. What are the most common types of adverse drug events that can occur among long-term care patients taking multiple medications? Dr. Steven Handler, assistant professor in the department of biomedical informatics and the department of geriatric medicine at the University of Pittsburgh School of Medicine, and the medical director for long-term care health information technology for the University of Pittsburgh Medical Center, says the current methods for monitoring medications in nursing homes are inadequate for protecting against adverse drug events, and suggests ways to improve medication safety in long-term care. What tools might help practitioners in long-term care better detect and prevent adverse drug events? Dr. Eric Tangalos hosts.

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