Skilled Nursing Facility/Plastic Surgery Interdisciplinary Team Approach: Utilizing Inter-Professional Collaboration and Innovative Telemedicine Technologies to Provide Comprehensive Wound Care Across the Healthcare Continuum

2015 ◽  
Vol 16 (3) ◽  
pp. B22 ◽  
Author(s):  
Kevin Broder ◽  
Kevin Broder ◽  
Diane Chau ◽  
Richard Bodor ◽  
Lindsey Yourman
Keyword(s):  
Plastic Surgery ◽  
Wound Care ◽  
Skilled Nursing Facility ◽  
Interdisciplinary Team ◽  
Team Approach ◽  
Professional Collaboration ◽  
Nursing Facility ◽  
Skilled Nursing

scholarly journals The Role of Wound Care in 2 Group A Streptococcal Outbreaks in a Chicago Skilled Nursing Facility, 2015‒2016

2018 ◽  
Vol 5 (7) ◽  
Author(s):  
Sana S Ahmed ◽  
Kasey E Diebold ◽  
Jacob M Brandvold ◽  
Saadeh S Ewaidah ◽  
Stephanie Black ◽  
...  
Keyword(s):  
Group A Streptococcus ◽  
Wound Care ◽  
Skilled Nursing Facility ◽  
Prevention Measures ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Group A ◽  
Care Practices ◽  
Transmission Factors

Abstract Two consecutive outbreaks of group A Streptococcus (GAS) infections occurred from 2015–2016 among residents of a Chicago skilled nursing facility. Evaluation of wound care practices proved crucial for identifying transmission factors and implementing prevention measures. We demonstrated shedding of GAS on settle plates during care of a colonized wound.

Implementation of Interdisciplinary Wound Care Rounds in a Skilled Nursing Facility

2019 ◽  
Vol 20 (3) ◽  
pp. B20
Author(s):  
Monica Stout ◽  
M. Stout ◽  
A. Ogunwale ◽  
N. Ramlal ◽  
K. Thompson ◽  
...  
Keyword(s):  
Wound Care ◽  
Skilled Nursing Facility ◽  
Nursing Facility ◽  
Skilled Nursing

Levamisole-Induced Vasculitis in the Lower Extremities: A Case Report

2019 ◽  
Vol 109 (2) ◽  
pp. 150-154 ◽  
Author(s):  
Vi Nguyen ◽  
Deepal Dalal ◽  
Mark Razzante
Keyword(s):  
Social History ◽  
Wound Care ◽  
Skilled Nursing Facility ◽  
Lower Extremities ◽  
The United States ◽  
Punch Biopsy ◽  
Cancer Treatments ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Number Of Patients

Background: Since 2006 there have been increased reports of severe agranulocytosis and vasculitis associated with levamisole use. Historically, levamisole was an immunomodulatory agent used in various cancer treatments in the United States. Currently the drug is used as an antihelminthic veterinary medication, but it is also used as an additive in freebase cocaine. There are multiple reports of levamisole-induced vasculitis in the head and neck but limited reported cases in the lower extremities. This article describes a 60-year-old woman who presented to the emergency department with multiple painful lower-extremity ulcerations. Results: Radiographs, laboratory studies, and punch biopsy were performed. Physical examination findings and laboratory results were negative for signs of infection. Treatment included local wound care and education on cocaine cessation, and the patient was transferred to a skilled nursing facility. Her continued use of cocaine, however, prevented her ulcers from healing. Conclusions: Local wound care and cocaine cessation is the optimal treatment for levamisole-induced lesions. With the increase in the number of patients with levamisole-induced vasculitis, podiatric physicians and surgeons would benefit from the immediate identification of these ulcerations, as their appearance alone can be distinct and pathognomonic. Early identification of levamisole-induced ulcers is important for favorable treatment outcomes. A complete medical and social history is necessary for physicians to treat these lesions with local wound care and provide therapy for patients with addictions.

scholarly journals Case Study - Candida auris in Skilled Nursing Facility

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 614-614
Author(s):  
Nancy Vo ◽  
John Chen ◽  
Sayaka Tokumitsu ◽  
Armen Melik-Abramians
Keyword(s):  
Los Angeles ◽  
Los Angeles County ◽  
Skilled Nursing Facility ◽  
Resistant Organism ◽  
Team Approach ◽  
Contact Precaution ◽  
Candida Auris ◽  
Nursing Facility ◽  
Positive Skin ◽  
Skilled Nursing

Abstract Candida Auris (C. auris), is a multidrug-resistant organism, first described in Japan 2009, and now a serious, emerging global health threat1. C. auris pathogen can potentiate morbidity and mortality, i.e. lifelong contact precaution isolation, intravenous antifungal treatment, hospitalization and mortality rate of 30-60%1. Los Angeles County (LAC) developed 15 new cases in May 2020, and 73 cases in July 2020, amidst COVID-19 pandemic2. A 88 year old Black female had a positive skin test for C. auris by LAC Department of Public Health (DPH) during skilled nursing facility (SNF) admission for hip fracture in September 2020. Patient’s risk factors for C. auris included: age, kidney transplantation (1998) immunosuppression on tacrolimus, fungal infection on fluconazole, drug-drug interaction between tacrolimus-fluconazole including nephrotoxicity and neurotoxicity, malnutrition, bedbound, Stage 4 sacrococcyx pressure ulcer, osteomyelitis on broad-spectrum antibiotics, chronic indwelling catheter, and healthcare setting. Our multimorbid and frail patient remained asymptomatic with C. auris under an interdisciplinary team approach, including geriatricians, infectious disease, pharmacists, SNF team and local DPH. Our patient’s psychosocial isolation and family distress with local DPH guidelines for COVID-19 SNF visitation restrictions were compounded by multifaceted coordination of patient-centered care between SNF team and specialists via telehealth. Further research in the prevention, detection, and management of C. auris is warranted to protect our vulnerable SNF residents. 1. Centers for Disease Control and Prevention. (2020). Tracking Candida auris. https://www.cdc.gov/fungal/candida-auris/tracking-c-auris.html 2. Los Angeles County Health Alert Network. (2020). CDPH Health Advisory: Resurgence of Candida auris in Healthcare Facilities in the Setting of COVID-19. http://publichealth.lacounty.gov/eprp/lahan/alerts/CAHANCauris082020.pdf

Improving Wound Care in a Skilled Nursing Facility

2014 ◽  
Vol 15 (3) ◽  
pp. B20-B21
Author(s):  
Kim Petrone ◽  
Kim Petrone ◽  
Cheryl Nolan ◽  
Leanne Mathis
Keyword(s):  
Wound Care ◽  
Skilled Nursing Facility ◽  
Nursing Facility ◽  
Skilled Nursing

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

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