Introduction: The burden of chronic obstructive pulmonary disease (COPD) in post-acute/long-term care (PA/LTC) settings is high, and many patients do not receive guideline-recommended care.
Methods: An interprofessional expert panel of PA/LTC professionals convened to discuss the unmet medical needs in patients with COPD in PA/LTC settings, and to make recommendations for the assessment of COPD patients to individualize the selection of maintenance treatment.
Results: Unmet needs observed in patients with COPD are described in addition to new tools for assessing individual patient abilities and appropriate device selection for maintenance treatment.
Conclusion: COPD management in PA/LTC settings needs to be reevaluated and updated to help reduce exacerbations, hospitalizations, and readmissions.
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http://dx.doi.org/10.1016/j.jamda.2017.03.020 | DOI Listing |
J Am Med Dir Assoc
October 2024
Department of Geriatric and Palliative Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA. Electronic address:
Objectives: Telemedicine has become a widely accepted alternative to face-to-face patient encounters. Although there have been several peer-reviewed journal articles on incorporating telemedicine into the medical school curriculum, particularly during the COVID-19 pandemic, assessments of the effectiveness of remote supervision of medical students have not been reported. This prospective cohort study of student subjects using observational survey data evaluated the efficacy of telemedicine as an educational resource by comparing learning outcomes between osteopathic medical students receiving direct (physically present) supervision with a group who received remote (telemedicine) supervision by clinical faculty within a post-acute/long-term care (PA/LTC) setting.
View Article and Find Full Text PDFAdv Skin Wound Care
August 2021
Jeffrey M. Levine, MD, AGSF, CMD, CWS-P, is Associate Clinical Professor, Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, New York; and Consultant, Advantage Surgical & Wound Care. Gary Brandeis, MD, CMD, is Chief, Geriatrics, Mt Sinai Services, Elmhurst Hospital Center, New York; and Clinical Professor, Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai. At The New Jewish Home in New York, Santhini Namagiri, MD, is Physician; and Ruth Spinner, MD, CMD, is Medical Director. Acknowledgments: The authors thank Orah Burack, Senior Research Associate at The New Jewish Home, who assisted with study design and institutional review board submission; and Shark Bird, MD, Chief Medical Officer of Vohra Wound Physicians, who provided insights into models of wound care. A subset of 27 residents from this database was analyzed and previously published as Levine JM, Menezes R, Namagiri S. Wounds related to malignancy in postacute/LTC: a case series. Adv Skin Wound Care 2020;33:99-102. Parts of this article were presented as an abstract at the AMDA/PALTC Annual Meeting in Atlanta, 2019. The authors have disclosed no financial relationships related to this article. Submitted September 2, 2020; accepted in revised form October 28, 2020.
Objective: To study the characteristics of residents in postacute (PA)/long-term care (LTC) facilities with wounds and prevalence of wound types other than pressure injuries (PIs).
Methods: The authors conducted a retrospective review of all wound care consultations over 1 year at The New Jewish Home, a 514-bed academically affiliated facility in an urban setting. Investigators analyzed residents by age, sex, type of wound, presence of infection, and whether the resident was PA or LTC.
J Am Med Dir Assoc
April 2021
Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO, USA; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Objectives: High rates of adverse events (AEs) are reported for post-acute and long-term care settings (PA/LTC: skilled nursing facilities, inpatient rehabilitation centers, long-term acute care facilities, and home health). However, emergency department (ED)-based studies in this area are lacking. We describe all-cause harm among patients from PA/LTC settings seen in the ED.
View Article and Find Full Text PDFJ Am Med Dir Assoc
July 2019
University of Colorado School of Medicine, Aurora, CO; Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO.
Objectives: Conduct a needs assessment among post-acute and long-term care (PA-LTC) stakeholder groups to identify (1) research topics of highest priority and (2) perspectives on research, including concerns/barriers to conducting research in the PA-LTC setting.
Design: Mixed methods multistakeholder engagement process. Needs assessment conducted with tailored strategies per stakeholder group: interview, survey, and focus group.
J Am Med Dir Assoc
June 2017
University of Cincinnati, College of Pharmacy, Cincinnati, OH.
Introduction: The burden of chronic obstructive pulmonary disease (COPD) in post-acute/long-term care (PA/LTC) settings is high, and many patients do not receive guideline-recommended care.
Methods: An interprofessional expert panel of PA/LTC professionals convened to discuss the unmet medical needs in patients with COPD in PA/LTC settings, and to make recommendations for the assessment of COPD patients to individualize the selection of maintenance treatment.
Results: Unmet needs observed in patients with COPD are described in addition to new tools for assessing individual patient abilities and appropriate device selection for maintenance treatment.
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