Turning Difficult Conversations into Chances for Collaboration

In long-term and post-acute care, communication is everything. Most days, conversations with residents, families, and staff flow smoothly. But every so often, a chat takes a sharp turn, voices rise, tempers flare, or emotions spill over. These moments can be stressful, yet they are also an opportunity to build trust …

Preventing Hospital Readmissions: How Effective Nurse Leaders Can Turn the Tide

Hospital readmissions remain one of the most persistent challenges for long-term post-acute care (LTPAC) facilities. National data shows that roughly 13% to 14% of all hospitalized patients are readmitted within 30 days (Burke et al., 2022). But the rate among nursing home residents can climb significantly to 20% to 25% …

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 …