scholarly journals Nursing home adoption of the National Healthcare Safety Network Long-term Care Facility Component

2019 ◽  
Vol 47 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Andrew W. Dick ◽  
Jeneita M. Bell ◽  
Nimalie D. Stone ◽  
Ashley M. Chastain ◽  
Mark Sorbero ◽  
...  
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
National Healthcare ◽  
National Healthcare Safety Network

scholarly journals The National Healthcare Safety Network Long-term Care Facility Component early reporting experience: January 2013-December 2015

2018 ◽  
Vol 46 (6) ◽  
pp. 637-642 ◽  
Author(s):  
Danielle L. Palms ◽  
Elisabeth Mungai ◽  
Taniece Eure ◽  
Angela Anttila ◽  
Nicola D. Thompson ◽  
...  
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
National Healthcare ◽  
National Healthcare Safety Network

Antibiotic-resistant pathogens associated with urinary tract infections in nursing homes: Summary of data reported to the National Healthcare Safety Network Long-Term Care Facility Component, 2013–2017

2020 ◽  
Vol 42 (1) ◽  
pp. 31-36
Author(s):  
Taniece R. Eure ◽  
Nimalie D. Stone ◽  
Elisabeth A. Mungai ◽  
Jeneita M. Bell ◽  
Nicola D. Thompson
Keyword(s):  
Urinary Tract ◽  
Nursing Homes ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Long Term Care Facility ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Tract Infections

AbstractObjective:Antibiotic resistance (AR) is a growing and highly prevalent problem in nursing homes. We describe selected AR phenotypes from pathogens causing urinary tract infections (UTIs) reported by nursing homes to the National Healthcare Safety Network (NHSN).Design:Pathogens and antibiotic susceptibility testing results for UTI events in nursing homes between January 2013 and December 2017 were analyzed. The pathogen distribution and pooled mean proportion of isolates that tested resistant to select antibiotic agents are reported.Setting and Participants:US nursing homes voluntarily participating in the Long-Term Care Facility component of the NHSN.Results:Overall, 243 nursing homes reported 1 or more UTIs: 121 (50%) were nonprofit facilities, median bed size was 91 (range: 9–801), and average occupancy was 87%. In total, 6,157 pathogens were reported for 5,485 UTI events. Moreover, 9 pathogens accounted for 90% of all reported UTIs; the 3 most frequently identified were Escherichia coli (41%), Proteus species (14%), and Klebsiella pneumoniae/oxytoca (13%). Among E. coli, fluoroquinolone, and extended-spectrum cephalosporin resistance were most prevalent (50% and 20%, respectively). Although Staphylococcus aureus and Enterococcus faecium represented <5% of pathogens reported, they had the highest rates of resistance (67% methicillin resistant and 60% vancomycin resistant, respectively). Multidrug resistance was most common in Pseudomonas aeruginosa (11%). For the resistant phenotypes we assessed, 36% of all UTIs reported were associated with a resistant pathogen.Conclusions:This is the first summary of AR among common pathogens causing UTIs reported to NHSN by nursing homes. Improved understanding of the resistance burden among common infections helps inform facility infection prevention and antibiotic stewardship efforts.

scholarly journals Policy Series: The Elder Justice Act, Nursing Home Reform, and Funding Legislation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-721
Author(s):  
Brian Lindberg
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Elder Abuse ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Congressional Staff ◽  
Elder Justice

Abstract This session will provide updates on major federal efforts to address elder abuse, neglect, and exploitation, including strategies for prevention, intervention, services, and prosecution. Congress has been working on both reauthorizing the Elder Justice Act and policies to address poor long-term care facility quality issues, and this panel will provide an update on those efforts and what lies ahead in2021. The panel will include elder justice and nursing home advocates and congressional staff.

Research in Long-term Care Facilities

1988 ◽  
Vol 1 (3) ◽  
pp. 225-234
Author(s):  
Ruthanne R. Ramsey ◽  
Lawrence J. Lutz
Keyword(s):  
Nursing Home ◽  
Clinical Research ◽  
Long Term Care ◽  
Care Facility ◽  
Study Drug ◽  
Data Bases ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Clinical research in geriatrics, to date, has focused on the ambulatory and acutely ill patient populations. However, the unique host, disease, and environmental factors common to the nursing home resident and facility underline the need to study drug use and response in the long-term care facility. Five specific areas require investigation: efficacy, safety, dosages, utilization, and cost. To adequately study these topics, interdisciplinary research teams may use methodologies from various backgrounds, including the biologic, agricultural, epidemiologic, economic, and ethnographic research traditions. Even with the numerous methodologies available, significant procedural and design issues confront the development and performance of long-term care research. While procedural problems usually involve legal and administrative issues, methodologic concerns often stem from the need to deal with multiple confounding variables or the limitations of available research tools and clinical data bases. Continued improvement in the existing quality-of-life and functional assessment instruments as well as the development of computerized nursing home data bases will enhance clinical research in the long-term care facility.

The Case

2016 ◽  
Vol 25 (3) ◽  
pp. 553-553
Author(s):  
RUCHIKA MISHRA
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Care Facility ◽  
Ethics Consultation ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Code Status ◽  
The Family

Mr. Hope is a 40-year-old man who has resided at a long-term care facility for the past 10 years. The resident was originally admitted to the nursing home for his inability to care for himself secondary to advanced AIDS and complications from progressive multifocal leukoencephalopathy (PML). When he initially arrived at the nursing home, Mr. Hope was able to smile and appeared to respond to some of the staff’s requests. Now, he responds by wincing when told that procedures are being performed and especially when he is told that he has to go back to the hospital. He is extremely contracted, with his arms wedded to his chest in a crossed fashion, as though he is protecting himself from blows. Mr. Hope’s family consists of a partner, his parents, and one sibling. Numerous conversations have been had with the family, and according to the facility staff, “they persist in continuing aggressive measures with the hope that the patient will wake up and walk out of the facility.” What had been frequent visits to the local hospital ER have increased substantially in the last few months, for what appear to be new infections and pneumonia. During most visits he ultimately spends a few days in the hospital to resolve his acute issues. On his most recent return to the long-term care facility, the medical staff approached the family about Mr. Hope’s code status. The family continues to insist on a full code status and that he be provided every opportunity to “live.” The staff is very concerned about Mr. Hope and his welfare. Many of the nursing staff have grown attached to him over the years, and watching him deteriorate has been distressing. They see part of their role as being his advocate and supporting him in ways that his own family has not. They express very strong reservations about performing CPR on Mr. Hope because they think it will be ineffective and they will have to break his upper extremities in order to gain access to his chest for resuscitation. The staff has contacted the ethics consultation service with the request that Mr. Hope needs protection and that his own family is not making the best decisions for him.

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