Exploring and implementing the 3 Cs of skin and wound care
By
Tara Roberts
Mar 19, 2014
All clinicians can fall into one or more categories labeled preventer, predictor and promoter, but I suggest each has a primary role in skin and wound care and wound healing.
Essential steps for treating those with COPD
By
John W. Walsh
Mar 05, 2014
Chronic obstructive pulmonary disease (COPD) is a progressive, presently incurable respiratory illness that is characterized by airflow obstruction. For long-term care professionals, knowledge about every...
A survey and regulatory review of 2013
By
Steven Littlehale
Feb 24, 2014
It’s important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.
Pressure ulcer prevention: Assessing all contributing factors
By
Dr. James G. Spahn
Feb 10, 2014
When analyzing the relationship between soft-tissue injury and support surfaces for pressure ulcer treatment and prevention, caregivers must realize support surfaces deliver unwanted gradient pressure...
Starting with the 3 Cs of wound care
By
Tara Roberts
Jan 31, 2014
While research for the Holy Grail in skin and wound care “best practices” continues, I propose we start with what we “do know” as it relates to the clinicians who are providing...
Asking for the medical record
By
Steven Littlehale
Jan 29, 2014
Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
CNA speak: Take time to learn the language
By
Lori Porter
Jan 03, 2014
In my 32 years of careful study regarding the divide between administration and certified nursing aides, I have learned many things. One of the most important discoveries is that there are two separate...
The need for documentation in therapy
By
Tara Roberts
Dec 23, 2013
Skilled therapy documentation traditionally focuses on prior level of function, current level of function and ultimately desired discharge level of function. Outcomes are typically measured in short and...
Be careful what you wish for
By
Steven Littlehale
Dec 18, 2013
Last January, the U.S. District Court for the District of Vermont approved a settlement agreement in the case of Jimmo vs Sebelius that alleged Medicare contractors were inappropriately applying an “improvement...
Where’s my raise?
By
Dave Sedgwick
Nov 26, 2013
A relatively new administrator asked me a great question recently. He asked, “Do you (and should I) always give a raise along with an annual review?”