University of the Sciences in Philadelphia
Editorial Archives
March/April 2008  •  Volume 4, Number 2
From the Editor
The Government's Heavy Hand (PDF, 3 pages)
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD  •  p. 8
Feature Articles
Medicare Diabetic Measures That Pay (PDF, 3 pages)
Medicare’s PQRI initiatives, especially those in diabetes management, can benefit AL residents by helping to delay progression of diabetes complications and allowing them to remain in their homes for longer periods. The AL community benefits because it remains stable. The facility benefits from increased occupancy through lower turnover. And physicians benefit through pay-for performance incentives.
Richard G. Stefanacci,DO,MGH,MBA,AGSF, CMD  •  p. 14
Using the "Timed Up and Go/TUG" Test to Predict Risk of Falls (PDF, 2 pages)
The TUG test provides an objective assessment of a resident’s functional status for use with other assessments of fall history, medications, underlying conditions, functional status, neurologic status, psychological factors, and environmental factors.
Mimi Jacobs, PT,OCS, CSCS and Tim Fox, PT,MS  •  p. 16
Electronic Medication Management Systems in Long-term Care and Beyond (PDF, 2 pages)
In long-term care (LTC), special issues pertaining to accessing medications through Medicare Part D and additional requirements of the State Operations Manual (SOM) make efficient and effective management of medications essential. Much of what is being measured and paid for can be accomplished more easily through electronic medication management systems. A real-life application
is described in this article.
Richard G. Stefanacci,DO,MGH,MBA,AGSF, CMD  •  p. 19
Katz Index of Independence in Activities of Daily Living (PDF, 2 pages)
This index, commonly referred to as the Katz ADL, is an appropriate instrument for assessing functional status as a measurement of a resident’s ability to perform ADLs independently. This article provides the steps and the index you can use in your facility.
MeredithWallace, PhD, APRN, BC, and Mary Shelkey, PhD,ARNP  •  p. 21
Alzheimer's Disease Facts and Figures 2008 (PDF, 4 pages)
In Part I of an ongoing series of articles in ALC, we present data on prevalence, family caregiving, use and costs of care, mortality, and lifetime risks of Alzheimer’s disease—data provided by the Alzheimer’s Association in its 2008 facts and figures report.
The Alzheimer’s Association  •  p. 24
Travel Assistance and Medical Tourism (PDF, 3 pages)
The meshing of travel and medicine is leading to the burgeoning of two new industries: travel assistance, in which seniors or those with disabilities receive medical assistance while on vacation; and medical tourism, in which citizens of one country travel to another country to receive medical care. Both industries open opportunities for healthcare professionals.
Emil Buccilli,MBA; Richard G. Stefanacci,DO,MGH, MBA,AGSF, CMD  •  p. 28
Losing the Battle for Normalcy
(PDF, 2 pages)
RICHARD TAYLOR, PhD, is a retired psychologist who lives with and writes about Alzheimer’s disease (AD). Richard has agreed to maintain frequent E-mail contact with ALC to provide us with a diary of his impressions, struggles, and conquests. Richard Taylor’s reflections on AD follow.
Richard Taylor, PhD   •  p. 46
Case Study: Providing a Safe Hospital Admission and Discharge for an Older Adult-Transitional Care  •   p. 12
Clinical Guidelines  •   p. 13
Experts Roundtable  •  p. 36
The Interdisciplinary Team  •  p. 32
Activities for Living Well  •  p. 38
Legal Corner  •  p. 35
Suggested Resources  •  p. 41
Test Your Knowledge  •  p. 44
Facts and Quick Stats  •  p. 48
Requests for reprints of Assisted Living Consult articles or permissions to
use article content may be sent to Jennifer Kenny at
The North American Menopause Society