Annals of Long-Term Care

Kenneth R Cohen

Zvi G Loewy

Martha M Rumore

Annals of Long-Term Care Clinical Care and Aging

End-of-Life Care: Law, Ethical Principles, and Jewish Medical Ethics

临终关怀：法律、伦理原则与犹太医学伦理

Tolulope Famuyiro

Sarah Toombs Smith

Mukaila Raji

Making the Case for Universal Herpes Zoster Vaccination in Older Adults

为老年人普遍接种带状疱疹疫苗的论证

Richard G Stefanacci

Skilled Nursing Facility Value-Based Purchasing: Are You Ready?

熟练护理机构价值型采购：你准备好了吗？

Victor Lane Rose

OR Manager

Top 10 Patient Safety Concerns, 2018

2018年十大患者安全问题

Ilene Warner-Maron

Commonly Heard, Commonly Said: Catchphrases That Hurt Long-Term Care Practice and How to Address the Issues They Imply

常听常说：伤害长期护理实践的流行语及其所隐含问题的应对之道

Associations between provision of independent access to outdoor areas and frequency of Australian nursing home (NH) residents going outdoors with health-related quality of life (HR-QoL, EQ-5D-5L) are examined in a cross-sectional study (541 participants, 17 homes, 84% with cognitive impairment) using multilevel models. After adjustments for potential confounders (including comorbidities and home location), independent access to outdoor areas was not associated with HR-QoL (β=-0.01, 95% CI, -0.09–0.07). Going outdoors daily (β=0.13, 95% CI 0.06–0.21), but not multiple times a week (β=0.03; 95% CI, -0.03–0.09), was associated with better HR-QoL. Residents living in small-scale, clustered, homelike facilities had greater odds of going outdoors daily (odds ratio 15.1; 95% CI, 6.3–36.2). Provision of independent access to outdoor areas alone may be insufficient to achieve HR-QoL benefits of NH residents venturing outdoors, in a pre-COVID era. Staffing structures, organizational attitudes, environmental design, and activities to support residents of NHs venturing outdoors frequently, despite any COVID-19-related restrictions, are needed.

Suzanne M. Dyer

Enwu Liu

Emmanuel Gnanamanickam

Stephanie L. Harrison

Rachel Milte

Maria Crotty

Associations between quality of life and outdoor access in nursing homes : A cross-sectional study

养老院生活质量与户外活动机会的关联：一项横断面研究

Depression is a common medical condition present in about 14% of nursing home patients. Many older patients prescribed antidepressants (AD) rarely have them discontinued. The goal of this quality improvement project was to implement a process in a long-term care (LTC) facility in rural New York to decrease use of ADs among 55 residents by 25% within 3 months of implementation, while monitoring their overall health and well-being. The project resulted in a higher success rate than what had been previously achieved. This process can be implemented for other medications and at other LTC facilities.

Alicia Harbison

Joseph Mwesige

Meaningful Use of Antidepressants in Long-term Care Facilities

长期护理机构中抗抑郁药物的合理使用

As social media engagement plays an increasingly bigger role in our personal lives, it should be no surprise that use is growing among older adults as well. According to the Pew Research Center, as of January 2018 (the most recent data available), 37% of adults aged 65 or older use at least one social media platform; the most common was Facebook, at 41%, followed by Instagram at 10%.

Managing Risks in the Age of Social Media

社交媒体时代的风险管理

Providing care to patients with morbid obesity is uniquely challenging due to multimorbidity, functional impairment, and high mortality rates in this population. Older adults with morbid obesity, accelerated health decline, and malnutrition often approach the end of life before palliative and hospice services are initiated. Having a better understanding of the role of palliative and hospice care in the care of patients with morbid obesity is important for health care professionals. We describe an older adult with morbid obesity who experienced a steady health decline during his last year of life, requiring recurrent hospitalizations, subacute rehabilitation, and subsequent transition to long-term care and hospice. This case serves to demonstrate gaps in care for this population and provides recommendations for intervention.

Shenbagam Dewar

Marcos L Montagnini

The Role of Palliative Care in Morbid Obesity

姑息治疗在病态肥胖中的作用

With a projection short fall of between 46,900 and 121,900 physicians in the health care workforce by 2032, who will fill the gap?1 One answer could be nurse practitioners (NPs). NPs are advanced practice registered nurses (APRNs) who are prepared through advanced graduate education and clinical training to provide a range of health services, including the diagnosis and management of common as well as complex medical conditions to people of all ages. They hold advanced degrees, either an MSN (Master of Science in Nursing) or DNP (Doctor of Nursing Practice), national certification in a patient population focus, and state APRN licensure. APRNs are helping to mitigate the effects of the national physician shortage by serving as primary care providers (PCPs).

Matthew Pakizegee

The Ever-Expanding Role of Nurse Practitioners in LTC

长期护理中执业护士不断扩展的角色

Publication Information	Publisher: HMP Communications LLP，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1998，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:

Annals of Long-Term Care

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