If you think you’ve seen it all, you haven’t. That’s because they didn’t bare all, just almost all. This is awesome. A dozen women in their seventies and eighties decided to raise...
Dementia or just new batteries needed?
By
Shelly Mesure, MS, OTR/L
Aug 26, 2014
Age-related changes are a natural part of everyone’s existence. We can all expect to get wrinkles, gray hair, and decreases in our vision and hearing, among many other delightful changes. However,...
Can’t touch this or just so gross
By
Jacqueline Vance, RNC, CDONA/LTC
Sep 29, 2020
I am working on putting together a bunch of infection and prevention presentations and it got me thinking of all the stuff we touch in a day, as a nurse. It’s, well, remarkable.
‘The Great Perhaps’ in LTC
By
Tara Roberts
Jul 18, 2014
In post-acute care, particularly the SNF future, it can be “Great” but there are so many “Perhaps” that the definition of what “Great” is going to be is unclear.
The power of words
By
Shelly Mesure, MS, OTR/L
Mar 25, 2014
“The pen is mightier than the sword” is an age-old adage that implies that the power of communication — in this case, written communication — is more powerful than a physical weapon. Do...
Defining tolerance in therapy
By
Shelly Mesure, MS, OTR/L
Feb 12, 2014
How do you define tolerance? Is tolerance measurable? Is tolerance too subjective? What about activity tolerance? We love to document how patients are improving activity tolerance, but many times that’s...
Therapy patients need, and deserve, this simple self-image booster
By
Shelly Mesure, MS, OTR/L
Jan 14, 2014
Have you ever had a day when you looked great but felt depressed? Or you looked your worst but felt great? Perception of self-image is stronger than actual self-image with determining our emotions. Would...
Medically Complex Medicare Part B
By
Shelly Mesure, MS, OTR/L
May 08, 2013
While CMS tries to figure out how to proceed with the manual medical review process, we continue to track our caps and apply our modifiers. In the meantime, has anyone noticed how our typical Medicare...
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
Bon appétit for therapy!
By
Shelly Mesure, MS, OTR/L
Sep 23, 2014
Once upon a time, in a faraway land, physical, occupational and speech therapy used to provide group therapy and often co-treat. This was a totally different time and place for the history of rehabilitation.