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| "Slow Medicine"...? Why Not Palliative Care? (PDF, 6 pages) |
| Slow medicine is a partnership between physician
and patient to plan ahead—establishing goals for
care, embracing the patient’s values and preferences
for treatment, and resisting the imperative
to treat when comfort and support are both
appropriate and desired. |
| JoAnne Reifsnyder, PhD, APRN, BC-PCM • p. 14 |
| First Principle of Universal Desing: Equitable Use
(PDF, 3 pages) |
| The first of the 7 principles of universal design is
equitable use—that is, “the design is useful and
marketable to people with diverse abilities.” This
fictitious postoccupancy evaluation of “Any-Home
Manor” presents a new resident’s account of the
benefits of equitable use. |
| N.Yaprak Savut, PhD, CKE, and Hunt McKinnon,
AIA,NCARB,NCIDQ • p. 19 |
| Alzheimer's Disease Facts and Figures 2008: A Report from the Alzheimer's Association (Part 4) (PDF, 6 pages) |
The second in a 3-part series of articles on
depression in AL residents discusses the relationship
of depression and comorbid medical conditions,
such as chronic obstructive pulmonary disease
(COPD), and addresses treatment options for
depression, focusing on those available through
the Medicare Part D program.
|
| The Alzheimer's Foundation • p. 22 |
| Comorbid Medical Conditions: Compounding the Problem of Depression in Assisted Living (PDF, 5 pages) |
| In the third of a series on Alzheimer’s disease,
Assisted Living Consult reprints the third part of
the Alzheimer’s Association report. This section
discusses family caregiving. |
| Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD • p. 28 |
| Five Steps to Improved Event Reporting (PDF, 4 pages) |
The absence of national industry standards, welldefined
risk management strategies, and proactive
event-reporting processes, combined with the
increasing acuity of the AL resident population,
are elements of the perfect storm, as evidenced
by mounting litigation. The authors present the 5
steps of event reporting—evaluation, notification,
investigation, intervention, and resolution—that
comprise an effective event reporting process. |
| Nancy J.Augustine,MSN, RN,NHA, RAC-CT, and
Paola M.DiNatale,MSN, RN,NHA, RAC-CT • p. 33 |
| Bed Safety (PDF, 1 pages) |
| Resident safety while getting into and out of bed
is an issue in AL communities for those who have
problems with mobility, memory, sleep disturbance,
or incontinence. Incidences of entrapment,
entanglement, and falls have led the Food & Drug
Administration (FDA) to issue guidance designed
to reduce the occurrence of bedrail entrapments. |
| • p. 40 |
PERSONAL REFLECTIONS ON ALZHEIMERS
Like a Snowflake in Texas (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 |
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Requests for reprints of Assisted Living Consult
articles or permissions to
use article content may be sent to Jennifer Kenny at jkenny@healthcommedia.com. |
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