Listen to this article Your browser does not support the audio element. How to Address ‘I Can’t’ or ‘I Won’t’ When Staff Seem Resistant to Change Change is a constant in nursing home settings, says Alice Bonner, PhD, RN, FAAN, senior advisor for Aging at the Institute for Healthcare Improvement …
Listen to this article Your browser does not support the audio element. Almost every director of nursing services (DNS) has experienced it. A staff member reports an unusual bruise. A resident falls without injury. A medication error is discovered during a chart audit. A family member alleges neglect. Within minutes, …
Listen to this article Your browser does not support the audio element. Medicare Advantage (MA) enrollment continues to grow, with more than half of all Medicare beneficiaries now receiving their coverage through an MA plan. But as enrollment has increased, so have concerns regarding coverage determinations in skilled nursing facilities …
Listen to this article Your browser does not support the audio element. Section GG is one of the most challenging sections of the Minimum Data Set (MDS). The instructions alone span 36 pages in the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual (RAI User’s Manual). Complex task definitions, …
Listen to this article Your browser does not support the audio element. June’s Alzheimer’s & Brain Awareness Month serves as a powerful reminder of the growing impact of cognitive disorders in long-term care (LTC) settings, where many residents live with complex dementia-related needs. Interdisciplinary teams care for residents whose diagnoses …
Listen to this article Your browser does not support the audio element. The ability to identify and act upon potential or actual clinically significant medication issues drives the coding of N2001 (Drug Regimen Review) and its companion item N2003 (Medication Follow-Up) on the PPS 5-Day MDS, as well as N2005 …
Listen to this article Your browser does not support the audio element. Showing appreciation for nursing staff doesn’t have to be defined by the size of an organization’s budget. What’s important is the thoughtfulness behind the recognition. In a profession characterized by long shifts, emotional demands, and constant change, meaningful …
Resident care observations and staff interviews are both core components of the long-term care survey process, so surveyors have multiple opportunities to interact with all levels of nursing staff, says Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, NHA-MT, director of education and certification strategy for AAPACN. “Teaching staff the survey …
Listen to this article Your browser does not support the audio element. A newly admitted resident with dementia exhibits some challenging behaviors: exit seeking, refusing care, and lashing out at caregivers when approached. Helping this resident has become so problematic that some staff suggested sending him to the hospital for …
Listen to this article Your browser does not support the audio element. In the complex world of Minimum Data Set (MDS) assessment scheduling, discharge scenarios can often confuse even experienced interdisciplinary team (IDT) members. When a resident’s stay changes, due to either leaving the facility or a shift in payer …
