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Diabetes Care In The Hospital, Nursing Home, And Skilled Nursing Facility

Skilled Nursing Facilities Santa Barbara Ca | The Samarkand

Skilled Nursing Facilities Santa Barbara Ca | The Samarkand

We provide the highest level of care andcomfort. Skilled Nursing: You dont have to be a current resident to get the benefit of our care. We offer more than just care for those who require Skilled Nursing. In fact, we go far beyond what youd expect to find at any skilled nursing facility. Our team ensures you are fulfilled mind, body and spirit at our serene Santa Barbara, CA, setting. We offer long-term care, short-term care, and hospice care. Consultant services, including dental, podiatry and audiology Rehabilitative therapies, including physical, occupational and speech Keep in mind, you do not have to be a current residentof our retirement community to benefit from our Assisted Living, Memory Care, Skilled Nursing or short-term Rehabilitation services, nor will you have to pay an entrance fee to enter one of the areas noted above. In our short-term rehabilitation program, we accept Medicare and are in-network providers for a number of managed care and Medicare Advantage programs. Continue reading >>

Skilled Nursing Facility | Kingston

Skilled Nursing Facility | Kingston

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfgung. Rufnummer: 419-247-2880. ATTENTION: Si vous parlez franais, des services daide linguistique vous sont proposs gratuitement. Appelez le 419-247-2880. Wann du Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 419-247-2880. XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 419-247-2880. : ATTENZIONE: In caso la lingua parlata sia litaliano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 419-247-2880. : 419-247-2880 : , . 419-247-2880 . AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 419-247-2880. Atenie: Dac vorbii limba romn, v stau la dispozi servicii de asistena lingvistic, gratuit. Sunai la 419-247-2880. : , . 419-247-2880. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 419-247-2880. ! , . 419-247-2880. CH : Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. Gi s 419-247-2880. D baa ak nnzin: D saad bee ynti go Din Bizaad, saad bee kndawod , t jiikeh, n hl, koj hdlnih 419-247-2880. PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 419-247-2880. Continue reading >>

New Guidance On Diabetes Care In Elderly Residential Facilities

New Guidance On Diabetes Care In Elderly Residential Facilities

New Guidance on Diabetes Care in Elderly Residential Facilities New American Diabetes Association (ADA) guidelines addressing diabetes management in long-term care and skilled nursing facilities emphasize treatment simplification, avoidance of hypoglycemia, and the need to reassess therapeutic goals for patients who are nearing the end of life. The guidelines were published in the February issue of Diabetes Care by Medha N Munshi, MD, director of the Joslin Geriatric Diabetes Program, Boston, Massachusetts, and colleagues. Previous statements from the ADA have addressed care for the elderly in community settings and diabetes care among hospitalized patients, but this is the first to specifically address the unique needs of patients in long-term care settings, where the approach to diabetes management often needs to be dramatically altered from those in younger and healthier patients, Dr Munshi told Medscape Medical News. "We've developed great protocols for looking at the numbers in managing diabetes. My fight in geriatric diabetes is we need to look at what the patient needs," she said. The guidelines are aimed at a variety of audiences. For endocrinologists and primary-care clinicians with expertise in diabetes, they provide additional information about the special considerations in institutionalized elderly patients. This includes guidance on the assessment of functional capacity and common comorbidities that may interfere with diabetes care and strategies for simplifying treatment regimens the opposite of the usual practice of adding more medications. "As a geriatrician, I see a lot of inappropriate care and things done to patients at the end of life, not because people aren't trying to help or aren't paying attention, but simply because they don't know what to do. Continue reading >>

The Role Of A Skilled Nursing Home Has Significantly Changed

The Role Of A Skilled Nursing Home Has Significantly Changed

The Role of a Skilled Nursing Home has significantly changed The impact for recovery and future quality of life is defined by the Skilled Nursing Facility you select for post hospital rehabilitation. The right rehabilitation team is a critical component to your transition back home. For those with orthopedic injuries, joint replacement, stroke and neurological conditions, cardiac-related challenges, wound care, oncology care, pulmonary impairment and diabetes management, choosing the right rehabilitation team is the best way home after a hospital stay. The role of a Skilled Nursing Home, SNH, has significantly changed. In the past, care was primarily provided for chronically ill or disabled seniors. Today, the role of a SNH has expanded to include a rehabilitation center which once was the hospital's responsibility. Maximizing recovery and having a chance of returning home to a meaningful lifestyle boils down to the rehab team. Just as a parent would interview candidates to find the best daycare for their child, it is important to tour rehab facilities to find the right fit. Undoubtedly, cleanliness and safety are relevant criteria; however, rehabilitation goes beyond aesthetics. When selecting a skilled nursing facility with rehabilitation services, ask the Administrator, Director of Nursing or Social Services Liaison specifics about rehabilitation outcomes. Find a SNH that has: 1. Strong track record for rehabilitation success using quantifiable data. From admission to discharge, therapists will be able to show the amount of progress patients make through rehabilitation and how many patients have been treated for a specific condition. 2. An array of different equipment. To properly train the brain and body, it is beneficial to have a variety of approaches. Utilizing Continue reading >>

Skilled Nursing Care

Skilled Nursing Care

When a patient leaves a hospital setting, he or she often needs to transition to a skilled nursing facility for a short or extended stay. Our skilled nursing facilities provide an extremely high level of care in a family-oriented, compassionate setting. We work with our patients so they can retain as much independence as possible, and be active participants in their healing journey. Our goal is to make the experience as much like home as possible. Often our care begins with an on-site assessment and discharge planning at the hospital. Our licensed professionals meet the patient and family at the hospital to ensure the smoothest possible transition. A customized program is then developed for the patient to ensure specific needs and goals are addressed. Each of our locations offer individualized care plans; round-the-clock nursing; beautiful and spacious indoor and outdoor surroundings; private rooms; and a wide range of services, therapies and activities - all within an environment that respects the individual and his or her chosen lifestyle. Continue reading >>

Managing Diabetes In Long-term Care Facilities

Managing Diabetes In Long-term Care Facilities

Managing Diabetes in Long-Term Care Facilities Allan S. Brett, MD reviewing Munshi MN et al. Diabetes Care 2016 Feb . An American Diabetes Association position statement reviews the goals and strategies of treatment in such facilities. In 2012, the American Diabetes Association (ADA) first published a position statement advocating a patient-centered approach for treatment of type 2 diabetes ( NEJM JW Gen Med Aug 15 2012 and Diabetes Care 2012; 35:1364). Among other things, the statement recognized that stringent glycemic control was not appropriate for patients with limited life expectancies, extensive comorbidities, and high risk for hypoglycemia. These characteristics apply to many people in long-term care (LTC) and skilled nursing facilities, and now the ADA has issued a position statement on managing diabetes in such facilities. Intensive glycemic control is of limited benefit in this population. Avoiding hypoglycemia is paramount; patients in LTC facilities are at high risk for hypoglycemia, and their ability to recognize its symptoms often is limited. However, severe hyperglycemia also has adverse effects including dehydration, electrolyte abnormalities, and the hyperosmolar syndrome in LTC patients. Sliding scale insulin generally should be avoided; simplified treatment regimens are preferred. In LTC facilities, blood glucose and glycosylated hemoglobin measurements should be performed as necessary to lower risk for hypoglycemia and severe hyperglycemia but not to achieve tight glycemic control. Restrictive diabetic diets often are counterproductive in this setting; patients' personal food preferences should be respected. This ADA statement reminds us that many of the principles of diabetes treatment for community-dwelling adults don't necessarily apply to patie Continue reading >>

Individualizing Glycemic Goals In Residents Of Long-term Care Facilities

Individualizing Glycemic Goals In Residents Of Long-term Care Facilities

Condition Center Home > Clinical Essentials Individualizing Glycemic Goals in Residents of Long-term Care Facilities Its critical to consider the clinical, functional, and psychosocial differences in older adults with diabetes living in long-term care facilities so that approaches to glycemic control can be tailored. Reviewed by Clifton Jackness, MD, Assistant Professor, Hofstra Northwell School of Medicine, New York, NY In real estate, its all about location, location, location. When it comes to caring for certain patient populations, the same mantra might well apply. Experts agree that diabetes management goals in older adults in the long-term care setting need to take into account patients differing comorbidities, functional abilities, and psychosocial challenges.1 Its critical for clinicians to be aware of these differences so that intervention strategies tailored to the older persons personal circumstances can be devised to improve care, lower the risk of hypoglycemia while avoiding extreme hyperglycemia, and increase quality of life.1 Expert consensus states that tight glycemic control should be avoided in older adults in nursing homes to avoid predisposing patients to hypoglycemia. The dangers of hypoglycemia and its consequences, including falls and fractures, are usually a bigger concern in the frail elderly than any complications from poorly controlled diabetes. Recent research suggests that functional decline doesnt differ across several ranges of HbA1c levels among nursing home residents with diabetes. The new American Diabetes Association guidelines [on the management of diabetes in long-term care and skilled nursing facilities]1 emphasize the need for assessing each patient individually and liberalizing diabetes control if patients have significant comorb Continue reading >>

Diabetes Care | Www.davishospital.org

Diabetes Care | Www.davishospital.org

In Utah, diabetes affects approximately 5.4 percent of the population or 120,000 people. Studies indicate that nearly one third of these people are currently unaware that they have the disease. In 2000, the total cost of diabetes in Utah surpassed $1 billion. The statistics may be unsettling, but there is hope for people living with diabetes, and there are ways to control and reduce the complications associated with this disease. The Diabetes Care Centers of Utah offer four convenient locations, including one at Davis Hospital. Our program provides a network of physicians and experts who specialize in treating diabetes, as well as self management tools and education to help patients live successfully with this condition. There may come a time when you have to be admitted to the hospital due to diabetes or a complication of the disease. Our diabetes team will work with your doctor to provide high-quality healthcare and to help achieve successful treatment. Our center also offers a comprehensive outpatient program designed to give you the knowledge and skills you need to live a better life with diabetes. Topics covered in the outpatient program include medication management, diet and nutrition, blood glucose monitoring, exercise, and stress management. Many people need insulin pump therapy to control their diabetes. Scientific studies have concluded that this therapy can prevent diabetes complications, allowing patients to enjoy variety in meals, energy for exercise, and enhanced daily life. The insulin pump therapy programs we offer provide support, information, and the training you need for safe and successful insulin pump use. Safe Travel Tips for People with Diabetes While getaways are often an opportunity to unplug, relax and enjoy quality time with loved ones, peop Continue reading >>

Skilled Nursing | Shannon Medical Center

Skilled Nursing | Shannon Medical Center

The quiet atmosphere of the completely renovated spaces at Shannon Medical Center's Skilled Nursing Facility provides a healthy environment for those patients requiring extended care services. The facility is located on the second floor of the Shannon St. John's campus. Our goal is to have a calm, healing environment that differs from the hospital setting, so our patients and families will feel comfortable staying here. The facility, which measures about 16,000 square feet, offers many more areas to assist in patient therapy and recovery. Skilled nursing facility features include: 28 private rooms with private baths, licensed for Medicare including four rooms that are handicap accessible A spacious 200-square-foot day room for patients and their families to visit 24 hours a day A 1,200-square-foot, fully equipped therapy gym A RT/OT kitchen area for recreational and occupational therapy programs State-of-the-art equipment, such as the Parker Arjo tub, which provides whirlpool therapy for patients with limited range of motion. We are one of the few area facilities to offer this tub Continue reading >>

Types Of Care Offered At A Skilled Nursing Center

Types Of Care Offered At A Skilled Nursing Center

Types of Care Offered at a Skilled Nursing Center Types of Care Offered at a Skilled Nursing Center Todays skilled nursing facilities are a vast improvement from the nursing homes of public perception. The primary focus of a skilled nursing facility is to help people recover and rehabilitate so they can return to their normal life as quickly as possible. The average length of stay in these programs at Brookdale is under 30 days; seventy-one percent of people go home or to lower levels of care. The terminology used to discuss this kind of care can be confusing, with the phrase skilled nursing often serving as an umbrella term. At Brookdale, the programs and services we offer in this arena are: This program provides services on a short-stay basis for people leaving the hospital following surgery, illness or accidents. Offering a variety of physical, speech and occupational therapies, it is designed to help patients return to where they were living before and resume their normal lives. People come to this kind of care to recover and rehabilitate from many different procedures and conditions. Our programs include: This program serves those needing 24-hour nursing care on an ongoing basis, while providing a range of physical, speech and occupational therapies as needed. We also provide respite, palliative and hospice care. Brookdale proudly offers innovative, high-quality rehabilitation and skilled nursing programs, backed by the expertise that comes from our stature as the nations largest senior care provider. We understand your goals and are dedicated to helping you achieve them. We're ready to help you on the road to recovery. Get the care you need to get back to doing the things you love. Continue reading >>

Hospital-based Nursing Facility | Iredell Health

Hospital-based Nursing Facility | Iredell Health

More than a decade ago, Iredell Memorial became the first hospital in North Carolina to apply and receive a Certificate of Need for transitional care, or "short term, long term care." Hospital leadership at that time believed, and State officials agreed, that there was a need between acute hospital care and community skilled nursing home care that simply was not being met. Soon after, Iredell's 18-bed Hospital-Based Skilled Nursing Facility (HB/SNF) opened to provide short-stay nursing care to patients who are not ill enough to be admitted to an acute care hospital but are too ill to go home or to be maintained in a free-standing traditional skilled nursing facility. HB/SNF expanded to two floors and 48 beds when additional bed licenses were purchased from a local nursing home. Even though the Skilled Nursing Facility is located within Iredell Memorial Hospital, it is a separate service and the patient's physician must order the admission. However, all of the hospital's services are available if and when needed. Patients are also invited to take part in daily activities in the One West Dining Room in HB/SNF. These include crafts, games, gospel music, fun classes, Bible study, a breakfast club, weekly church services and family time. Groups such as the Living with Cancer Support Group and Grief Share also hold meetings in the dining room. To be cared for in this facility, a patient's health needs must meet the federal definition of skilled care. If a patient is accepted for admission and is currently a patient in the hospital, he or she will be discharged from the hospital and admitted to the HB/SNF. Iredell's HB/SNF is certified by Medicare/Medicaid. Continue reading >>

Athol Hospital :: The Center For Skilled Nursing And Rehabilitation

Athol Hospital :: The Center For Skilled Nursing And Rehabilitation

The Center for Skilled Nursing and Rehabilitation The Center for Skilled Nursing and Rehabilitation The Center Skilled Nursing and Rehabilitation at Athol Hospital ComprehensivePost-acute Carewith the HospitalAdvantage When you need extra time to heal, choose the Centerfor Skilled Nursing and Rehabilitation at Athol Hospital.Patients recovering from major surgery, an injury or anillness, sometimes require additional rehabilitation andskilled nursing to ensure complete and safe recovery. Aftersurgery and hospitalization, patients often transfer from thehospital to a specialized rehab facility to help improve theirphysical functioning. Here at Athol Hospital, our Centerfor Skilled Nursing and Rehabilitation, allows us to swingbeds from acute care to post-acute care, streamlining yourrecovery process and offering patients the advantageimmediate access to on-site hospital services, likelaboratory, radiology, oncology, cardiology, diabetic careand more. Whether you were first treated here or elsewhere,our Center for Skilled Nursing and Rehabilitation is opento any qualifying patient wishing to recuperate on or nearfamily and friends, or in the personalized comfort andmedical convenience of Athol Hospital. Our Center for Skilled Nursing and Rehabilitation is part ofa federally-approved Swing Bed program that allows small hospitals like ours to use regular patient rooms for post-acutecare. Our specialized nursing staff, physical rehabilitation and occupational therapy staff, and respiratory therapyand speech therapy professionals are available on-site to provide you with comprehensive rehabilitation care. This is the best place I have ever been. The staff is so attentive. I ring the bell and they are there, right away. Everybody has been so caring and wonderful to me during m Continue reading >>

American Diabetes Association Presents Guidance On Managing Diabetes In Older Adults In Long-term Care Facilities | Joslin Diabetes Center

American Diabetes Association Presents Guidance On Managing Diabetes In Older Adults In Long-term Care Facilities | Joslin Diabetes Center

American Diabetes Association Presents Guidance on Managing Diabetes in Older Adults in Long-Term Care Facilities Offers practical strategies for managing the unique needs of this population BOSTON (February 2, 2016) The care of adults over age 65 with type 2 diabetes is a growing concern: the prevalence of diabetes is highest in this age group and is expected to grow as the U.S. population ages, with many needing care at long-term care (LTC) facilities. To ensure that this population receives proper care, the American Diabetes Association has issued its first position statement to address the management of diabetes in long-term care facilities, which include assisted living, skilled nursing and nursing facilities. The statement appears in the February 2016 issue of Diabetes Care. Medha N. Munshi, M.D., Director of the Joslin Diabetes Center Geriatric Diabetes Program and Assistant Professor at Harvard Medical School. The differences in caring for older people with type 2 diabetes aren't well understood and haven't been the focus of guidelines for managing the disease. We wanted to give long-term care facilities very clear guidelines for caring for patients with diabetes that they can adapt into their care protocols, says statement lead author Medha N. Munshi, M.D., Director of the Joslin Diabetes Center Geriatric Diabetes Program and Assistant Professor at Harvard Medical School. The focus is type 2 diabetes, since the vast majority of patients at LTC facilities have this type of the disease but some recommendations are also included for type 1 diabetes. Managing diabetes in older people presents unique challenges: the disease increases the risk of age-related conditions, such as cardiovascular disease, cognitive impairment, falls, persistent pain and urinary incontin Continue reading >>

The Hurlbut Nursing & Rehabilitation

The Hurlbut Nursing & Rehabilitation

Founded in 1969 by Robert H. Hurlbut and named in honor of his parents, our nursing home is a living tribute to the familys steadfast commitment to providing the highest level of quality care while enriching ones quality of life. It is with great pride that Roberts children now represent the third generation of caring. Our wide variety of activities include musical sing-along, picnics in our lovely enclosed courtyards, pet therapy and enjoyable outings to local restaurants, concerts and much more. Our dedicated staff takes great pride in providing our residents with exceptional, quality care. The comfort and well-being of our residents is our top priority. Every Hurlbut Care Community offers the highest quality skilled nursing care available in a warm, safe and caring environment. Field trips in our wheelchair-accessible bus Staff specially trained in geriatric care Affiliation agreements with area hospitals Nurse-call system in all bedrooms and bathrooms Spacious living, dining and activity rooms Complete laundry and housekeeping services Cable television service available in each room Audiology, dental, podiatry and mental health services available A variety of social and activity programs Religious services available with area clergy Continue reading >>

Diabetes In Long-term-care And Skilled Nursing Facilities: The Ada Position Statement

Diabetes In Long-term-care And Skilled Nursing Facilities: The Ada Position Statement

US Pharm. 2016;41(10)(Diabetes suppl):7-11. ABSTRACT: As the number of elderly people in the United States continues to rise, an increasing proportion of older adults will develop diabetes and will need long-term or skilled care. In early 2016, the American Diabetes Association issued a position statement on the management of diabetes in long-term-care and skilled nursing facilities. This statement provides recommendations for the general approach to care; goals and strategies for glycemic control; diabetes management during transitions of care and end of life; and suggestions for integration of diabetes management into long-term-care facilities. Pharmacists can play an active role in each of these areas in order to help optimize glycemic control in their patients. The prevalence of diabetes in the long-term-care (LTC) setting is estimated to range from 25% to 34%,1 which is equal to or higher than trends seen in the general population. The latest National Diabetes Statistics Report (2014) estimates that, in the United States, 25.9% of persons aged ≥65 years have diabetes, compared with 16.2% of those aged 45 to 64 years and 4.1% of those aged 20 to 44 years.2 Among persons aged 65 to 74 years and those aged ≥75 years, there was an increase of 113% and 140%, respectively, in the rate of diagnosed cases of diabetes from 1993 to 2014.3 Diabetes is the seventh leading cause of death in the U.S.2 As baby boomers continue to age, the proportion of older adults with diabetes who will need nursing homes (NHs) or skilled care is expected to rise. Pharmacists who serve residents in the LTC environment must be prepared to meet this challenge. Type 2 diabetes (T2D) accounts for 90% to 95% of diabetes in the U.S. Age-related changes in older adults that predispose them to the T Continue reading >>

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