University of the Sciences in Philadelphia
Editorial Archives
September/Octobert 2008  •  Volume 4, Number 5
From the Editor
The Living is "Easy" or at Least Should Be Easier (PDF, 3 pages)
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD  •  p. 9
Feature Articles
"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
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
Clinical Practice Guidelines  •   p. 12
Activities for Living Well  •  p. 37
Experts Roundtable  •  p. 41
Legal Corner  •  p. 43
Test Your Knowledge  •  p. 45
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