PALTtalk

AMDA On-The-Go | Nutritional Concerns in PALTC

Dr. John Morley
John E. Morley, M.D., is known internationally as a gerontological researcher, clinician and educator,  and Professor of Gerontology at St. Louis University. In addition to extensive personal scientific achievements, Dr. Morley has directed the clinical training programs in both endocrinology and geriatrics and supervised research activities ranging from basic biomedical investigation to epidemiology and health services research. His major interests are frailty, nutrition, alzheimers's disease, diabetes and nursing homes.  He is the recipient of the Ipsen Foundation of Longevity Award in 2001, the American Geriatrics Society's Lascher/Manning Award for Lifetime Achievement in Geriatrics in 2002, the Gerontological Society of America's Freeman Award in 2004, and the AMDA Pattee Award for Educational Excellence in 2011. He has developed a number of educational games and has a special interest in continuous quality improvement (CQI).  
 
References:
John Morley, MB, BCh; "Nutritional Supplementation and Sarcopenia: The Evidence Grows", JAMDA, 2015.
John Morley, MB, BCh; "Nutrition and Aging Well", JAMDA, 2017.
John Morley, MB, BCh, et. al.; "Nutritional recommendations for the management of sarcopenia.", JAMDA, 2010.
John Morley, MB, BCh, et. al.; "Is It Time to Retire Santa Claus?.", JAMDA, 2016.
The Gateway Geriatric Education Center

AMDA ON-THE-HILL | VOLUME VIII

Questions? Email Alex at abardakh@paltc.org
Related Resources:
 
The Society's PDPM Page
Society Asks for Parity on E&M Coding in Comments to CMS
CMS Announces Plan to Address Medicare Program Integrity
November 14 House Ways and Means Committee Hearing on Elder Care Programs

AMDA On-The-Go | Antibiotic Stewardship

With Dr. Clay Watson, an infectious disease specialist in Denver, CO.and Travis Neill, Assistant Medical Director at VIVAGE 
 
References:
Daniella Meeker, PhD, et. al., "Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Practices:", JAMA, 2016.
Pranita D. Tamma, et. al., "What Is the More Effective Antibiotic Stewardship Intervention: Preprescription Authorization or Postprescription Review With Feedback?", IDSA, 2017.

AMDA On-The-Go | Hypertension in the Nursing Home

Michael W. Rich, M.D. is Professor of Medicine and Cardiology at the Washington University School of Medicine, and Director of the Cardiac Rapid Evaluation Unit at Barnes-Jewish Hospital in St. Louis.  Since completing his Cardiology Fellowship in 1984, Dr. Rich’s primary research focus has been the prevention and treatment of cardiovascular disease in the aging population.  Dr. Rich has participated in numerous investigator-initiated and multi-center clinical trials involving older cardiac patients, and he has published extensively on heart failure disease management, coronary heart disease, atrial fibrillation, and cardiovascular risk reduction in older adults.  He is an internationally recognized expert in geriatric cardiovascular disease, and he is past president of the Society of Geriatric Cardiology.  He currently serves on the Editorial Boards of numerous publications, and he is Senior Associate Editor for the Journal of Cardiac Failure, Associate Editor for the American Journal of Medicine, and Consulting Editor for the Journal of the American Geriatrics Society. Dr. Rich received the Edward Henderson Award from the American Geriatrics Society in 2014 and the Distinguished Service Award from the American College of Cardiology in 2015.
 
References:
Wilbert S. Aronow, MD, FACC, FAHA; "Hypertension Management in the Very Old", JAMDA, 2019.
"Michael W. Rich, MD, FACC: Navigating Geriatric Cardiology's Uncharted Territory", Cardiology Magazine, 2015.
Michael W. Rich, M.D., et. al.; "A Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients with Congestive Heart Failure", NEJM, 1995.

CMDA Journal Club | Antibiotic Resistance

Topic:
Antibiotic Resistance  presented by Travis Neill, PA-C, MMS
References: 
Travis Neill, PA-C, "Antimicrobial Resistance", 2019.

AMDA On-The-Go | Trauma Informed Care in LTC

Dr. Nancy Kusmaul
Nancy Kusmaul, PhD, MSW, received her MSW from the University of Michigan and received her PhD from the University at Buffalo School of Social Work. She is an assistant professor in the Baccalaureate Social Work program at the University of Maryland Baltimore County. Dr. Kusmaul was social worker in health care settings for more than a decade. Her research focuses on organizational culture, trauma informed care, and the impacts of culture on care recipients and the workforce. She is particularly interested in the experience of direct care workers in organizations, particularly Certified Nursing Assistants in long term care settings. She is a member of the Baltimore County Elder Abuse Coalition and the Maryland Nursing Home Culture Change Coalition.
References:
Withers, M, Ph.D., "Trauma-Informed Care and Why It Matters", Psychology TodaY, 2017.
Bath, Howard, "The Three Pillars of Trauma-Informed Care", ResearchGate, 2008.
Kusmaul, N., Ph.D. "Putting Together Pieces of Trauma-Informed Care Puzzle", Caring for the Ages, 2019.
Hales, T., et. al., ""An Association Between Implementing Trauma-Informed Care and Staff Satisfaction", Advances in Social Work, 2017.
Hales, T., Kusmaul, N., Nochajski, T., & Sundborg, S. "The Trauma-Informed Climate Scale-10 (TICS-10): A Measure of Staff Perceptions of the Service Environment Human Service Organizations: Management, Leadership, and Governance" Advance Online Publication, doi: 10.1080/23303131.2019.1671928, 2019.
Episode 263 – Dr. Nancy Kusmaul: "Trauma Informed Care in Long Term Care". inSocialWork Podcast Series. Z. Noam (Interviewer), 2019, May 6.
Episode 208 – Dr. Nancy Kusmaul and Ms. Lisa Kendall: "Impacts of Trauma in Later Life". inSocialWork Podcast Series. J. McGinley (Interviewer). 2017, January 30.
"www.samhsa.gov" SAMHSA TIP 57: “Trauma Informed Care in Behavioral Health Services” SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach
" The Institute on Trauma and Trauma-Informed Care" [Request their Trauma-Informed Organizational Change Manual!],

JAMDA On-The-Go | October 2019

This podcast will spotlight articles from the October 2019 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Host: Wayne Saltsman MD, PhD, CMD
Guests: Philip Sloane MD, MPH; Mallory Brown, MD
References:
JAMDA-D-19-00763 Lower Extremity Impairment Parallels Cognitive Impairment as a Cause of Disability: A Call for Public Awareness
Ahmed JAMDA-D-19-00020 Gender differences in trajectories of lower extremity function in older adults: Findings from the International Mobility in Aging Study
Xu JAMDA-D-19-00084 Sedentary behavior, physical activity and all-cause mortality: dose-response and intensity weighted time-use meta-analysis Original Study

CMDA Journal Club | October 3rd Meeting

Topics:
Antipsychotics for Delirium with Sing Palat, MD, CMD
Candida Auris with Fred Feinsod, MD, CMD
References: 
Antipsychotics for Delirium
Candida auris Colonization

AMDA On-The-Go | Pressure Injuries

Dr. Levine is a practicing physician in New York City.  He is Associate Professor of Geriatrics and Palliative care at the Icahn School of Medicine at Mount Sinai.  He is board certified in Internal Medicine and Geriatric Medicine, is a Certified Medical Director and Certified Wound-care Specialist Physician.  Starting off as a fellowship trained geriatrician in long-term care, he developed wound care expertise in outpatient and hospital settings, recently returning to the PALTC environment.  He has been actively involved in AMDA’s educational efforts in promoting wound care skills among primary care practitioners.  Dr. Levine’s is an alumnus of the National Pressure Advisory Panel (NPUAP), and speaks widely and writes on the topic of wound care in older patients.  His publications include the wound care chapter in the Geriatric Review Syllabus published by the American Geriatrics Society, and co-authored a book, Pocket Guide to Pressure Ulcers, published by the New Jersey Hospital Association, that is currently the wound guide of choice in many PALTC facilities across America. Dr. Levine also currently serves as wound care consultant for The New Jewish Home In Manhattan and Advantage Wound Care.   
References:
Mervis, J. S., et. al. "Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation.", Journal of the American Academy of Dermatology, Oct., 2019.
J. M. Levine, AGSF, CMD et. al. “Reexamining the Literature on Terminal Ulcers, SCALE, Skin Failure, and Unavoidable Pressure Injuries", Advances in Skin and Wound Care, 2019.
J. M. Levine, AGSF, CMD; E. A. AYELLO, PHD, RN, "Pocket Guide to Pressure Ulcers" 4th Edition.
J. M. Levine, "Wound Care: What the Medical Director Needs to Know", Caring for the Ages, December, 2016.
L. Q. Corbett, et. al. "What Do Patients Want? Patient Preference in Wound Care", Advances in Wound Care, Aug., 2014.

AMDA On-The-Hill | Volume VII

 
 
The latest policy news from Director of Policy and Advocacy Alex Bardakh.
Questions? Email Alex at abardakh@paltc.org
Related Resources:
Weekly Round-Up article about Hill Day
Navigating PALTC video on the need for trained and engaged medical directors
Advancing Excellence in Long-Term Care Collaborate letter on the need for a directory of medical directors
Geriatric Workforce Enhancement Program
Telemedicine resources