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Latest Posts

Telehealth Services May Support Mass Exodus From Nursing Homes

Did you know that every nursing home resident in the U.S. must be asked every quarter whether she wants to go home, regardless of her health or mental status? And if she says yes, there is a local agency that must spring into action to make that happen.

This is the result of a 2010 Center for Medicaid/Medicare Services regulation aimed at helping keep older people in their (less expensive) homes rather than institutional settings. A New York Times article notes that the nursing home exodus, while modest to date, is building. This means the number of people with serious chronic conditions like congestive heart failure, diabetes and chronic obstructive pulmonary disease who draw heavily on community-based primary care services will grow.

These returnees are joining their peers and the blossoming crowd of us Baby Boomers who intend to resist living in nursing homes with as much spirit as our parents did, while the consequences of our plump and sedentary lifestyles arrange themselves into a constellation of diabetes, congestive heart failure and COPD similar to the one that plagues our elders.

Much has been written about Read more »

*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*

Hospitals May Not Be The Best Places To Treat Dementia Patients

Sending dementia patients to the hospital could overwhelm the health care system and not offer them any better care at the end of life, researchers noted.

The researchers obtained data on all hospitalizations involving a dementia diagnosis for the 85 years and older group between years 2000 and 2008 from the nationally representative Nationwide Inpatient Sample database, a part of the Agency for Healthcare Research and Quality Healthcare Costs and Utilization Project.

Annual hospitalization data came from the U.S. Census Bureau. They projected the future volume of hospitalizations involving a dementia diagnosis in the 85 years and older group two ways, Read more »

*This blog post was originally published at ACP Internist*

Social Network Keeps Seniors Connected

Care Innovations, a joint venture between GE and Intel, has released Connect, a service designed to address social isolation in seniors.

Connect software runs on a touch screen device and features social networking, as well as health management and reporting tools. The system has been undergoing a successful user trial at a nursing home in Michigan since last year.

More about Connect from the announcement: Read more »

*This blog post was originally published at Medgadget*

A Helpful Guide For Discharge Planning

Medicare has a handy guide to help patients and their caregivers take control of the discharge planning process. It might be good for hospitals to have a stack of these at the ready and a plan to make sure every patient gets one:

Planning for your discharge: A checklist for patients and caregivers preparing to leave a hospital, nursing home, or other health care setting

*This blog post was originally published at ACP Hospitalist*

Wireless Incontience Detection Device

An Australian company called Simavita is releasing an incontinence detection device to be used in nursing homes across New South Wales. The SIMsystem uses a strip that detects liquid and a cellular device to send a note to a nursing station or a care provider.

From the product page:

The SIM™box, when fitted into the individual resident’s stretchpants (SIM™pants), transmits sensor readings from the SIM™strip in the SIMpad® over a wireless network to the SIM™server. The SIMsystem™ Manager software running on the SIM™server then detects key information about continence events and determines when to alert care staff about an event requiring attention.

Alerts are sent via text message to the carer’s mobile phone or via the facility’s paging system if preferred. As carers are often unable to immediately respond to events, the software will display a summary log of alerts and manual observations can also be entered. The final bladder chart includes all observations in one easy-to-read report. Read more »

*This blog post was originally published at Medgadget*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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