Back to Basics: Reinforcing Clinical Fundamentals

The beginning of a new school year has a particular energy—fresh notebooks, sharpened pencils, and a renewed focus on learning the essentials. In the long-term and post-acute care (LTPAC) world, we can take a cue from that “back to school” spirit. No matter how long we have been in the …

A Fresh Perspective on Fall Prevention in LTPAC

Falls remain one of the most persistent and expensive challenges in long-term and post-acute care (LTPAC) settings. For the director of nursing services (DNS), the responsibility to decrease fall risk while maintaining resident dignity and autonomy is a delicate balance. Conventional approaches, such as checklists, environmental modifications, and routine assessments, …

Targeted Prevention: Stopping Urinary Infections in Their Tracks

Urinary tract infections (UTIs) and catheter-associated urinary tract infections (CAUTIs) remain significant concerns in long-term care settings. They contribute to increased morbidity, extended hospital stays, higher healthcare costs, and reduced quality of life for residents. The Centers for Disease Control and Prevention estimates that 75% of UTIs in hospitalized patients …

Rethinking Pain Management: Non-pharmacological Solutions for a Holistic Approach

Pain management is an essential piece of the care provided in long-term and post-acute care (LTPAC) settings. Many residents experience acute or chronic pain due to a variety of conditions, such as postsurgical recovery, arthritis, and neuropathy. Pain traditionally was managed with pharmacological interventions, including narcotics and nonsteroidal anti-inflammatory drugs. …

Shifting Mindsets on Infection Prevention and Control: From Policy Adherence to Personal Ownership for Staff

An effective Infection Prevention and Control Program (IPCP) goes beyond compliance with policies and ideally reflects a cultural shift toward personal responsibility. The nurse leader has a key role in helping healthcare professionals recognize their part in preventing infections and understanding how their actions directly impact resident safety. The goal …

The “Golden Hour” of Admission

For both residents and their loved ones, admission into a post-acute care facility can be an overwhelming experience. In addition to the condition that brought residents to the facility, the transition itself involves changing environment, acclimating to new routines, and entrusting one’s care to a team of unfamiliar people. Amid …

Emergency Preparedness Plan: How the DNS Can Ensure the Nursing Department Is Ready When Disaster Strikes

Emergency preparedness is a vital component of maintaining safety and ensuring continuity of care in post-acute care settings. Facilities face unique challenges in emergency situations. The vulnerable people they care for, including the elderly and those recovering from surgery or a serious illness, are especially susceptible to adverse outcomes. The …