scholarly journals Specialty Care Delivery: Bringing Infectious Disease Expertise to the Residents of a Veterans Affairs Long-Term Care Facility

2013 ◽  
Vol 61 (5) ◽  
pp. 782-787 ◽  
Author(s):  
Robin L. P. Jump ◽  
Danielle M. Olds ◽  
Lucy A. Jury ◽  
Brett Sitzlar ◽  
Elie Saade ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Long Term Care ◽  
Care Delivery ◽  
Care Facility ◽  
Veterans Affairs ◽  
Specialty Care ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Geriatric Teams in the Long-term Care Facility

1988 ◽  
Vol 1 (3) ◽  
pp. 195-201
Author(s):  
Ruthanne R. Ramsey
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Care Delivery ◽  
Care Facility ◽  
The Elderly ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Inpatient Settings

Geriatric teams have emerged as an accepted method of health care delivery to the elderly patient in ambulatory and acute inpatient settings. As one model of specialized health care teams, geriatric teams vary in structure, membership, and type. The purposes may be diverse, ranging from providing primary care to multidimensional functional and diagnostic assessment. Geriatric teams have convincingly demonstrated benefit to the care of the elderly. Overcoming significant barriers to their formation, geriatric teams are beginning to develop in long-term care facilities as a result of economic and educational pressures. However, the unique environment and needs of the long-term care facility have resulted in differences in leadership, membership, and structure of long-term care teams. Pharmacist involvement in the long-term care geriatric team could benefit the facility, patient care, and the profession. The key to future involvement by pharmacists in teams appears to depend on their interest, ability to acquire necessary skills, and demonstration of unique professional contributions.

Clostridium difficile Infection in a Department of Veterans Affairs Long-Term Care Facility

2011 ◽  
Vol 32 (5) ◽  
pp. 513-515 ◽  
Author(s):  
Dubert M. Guerrero ◽  
Michelle M. Nerandzic ◽  
Lucy A. Jury ◽  
Shelley Chang ◽  
Robin L. Jump ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Long Term Care ◽  
Medical Center ◽  
Care Facility ◽  
Healthcare Facility ◽  
Veterans Affairs ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

In a Veterans Affairs medical center, 39% of healthcare facility–onset, healthcare facility-associated Clostridium difficile infections had their onset in the affiliated long-term care facility (LTCF). Eighty-five percent of LTCF-onset patients had been transferred from the hospital within the past month. Delays in diagnosis and treatment were common for LTCF-onset patients.

Respiratory Syncytial Virus Outbreak in a Veterans Affairs Long-term Care Facility

2020 ◽  
Vol 28 (4) ◽  
pp. 200-203
Author(s):  
Nancy Barrett ◽  
Lisa Bailey ◽  
Florence Ford ◽  
Monique Thorne ◽  
Nancy Azab ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Long Term Care ◽  
Care Facility ◽  
Veterans Affairs ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Syncytial Virus

scholarly journals Risk Factors for Colonization with Yeast Species in a Veterans Affairs Long-term Care Facility

1998 ◽  
Vol 46 (7) ◽  
pp. 849-853 ◽  
Author(s):  
Sara A. Hedderwick ◽  
Jim Y. Wan ◽  
Suzanne F. Bradley ◽  
Jon A. Sangeorzan ◽  
Margaret S. Terpenning ◽  
...  
Keyword(s):  
Risk Factors ◽  
Long Term Care ◽  
Yeast Species ◽  
Care Facility ◽  
Veterans Affairs ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

scholarly journals Effective Antimicrobial Stewardship in a Long-Term Care Facility through an Infectious Disease Consultation Service: Keeping a LID on Antibiotic Use

2012 ◽  
Vol 33 (12) ◽  
pp. 1185-1192 ◽  
Author(s):  
Robin L. P. Jump ◽  
Danielle M. Olds ◽  
Nasim Seifi ◽  
Georgios Kypriotakis ◽  
Lucy A. Jury ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Care Facility ◽  
Antimicrobial Use ◽  
Consultation Service ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Design.We introduced a long-term care facility (LTCF) infectious disease (ID) consultation service (LID service) that provides on-site consultations to residents of a Veterans Affairs (VA) LTCF. We determined the impact of the LID service on antimicrobial use and Clostridium difficile infections at the LTCF.Setting.A 160-bed VA LTCF.Methods.Systemic antimicrobial use and positive C. difficile tests at the LTCF were compared for the 36 months before and the 18 months after the initiation of the ID consultation service through segmented regression analysis of an interrupted time series.Results.Relative to that in the preintervention period, total systemic antibiotic administration decreased by 30% (P<.001), with significant reductions in both oral (32%; P<.001) and intravenous (25%; P = .008) agents. The greatest reductions were seen for tetracyclines (64%; P<.001), clindamycin (61%; P<.001), sulfamethoxazole/trimethoprim (38%; P<.001), fluoroquinolones (38%; P<.001), and β lactam/β-lactamase inhibitor combinations (28%; P<.001). The rate of positive C. difficile tests at the LTCF declined in the postintervention period relative to preintervention rates (P = .04).Conclusions.Implementation of an LTCF ID service led to a significant reduction in total antimicrobial use. Bringing providers with ID expertise to the LTCF represents a new and effective means to achieve antimicrobial stewardship.

scholarly journals Another Setting for Stewardship: High Rate of Unnecessary Antimicrobial Use in a Veterans Affairs Long-Term Care Facility

2013 ◽  
Vol 61 (2) ◽  
pp. 289-290 ◽  
Author(s):  
Emily P. Peron ◽  
Amy A. Hirsch ◽  
Lucy A. Jury ◽  
Robin L. P. Jump ◽  
Curtis J. Donskey
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Veterans Affairs ◽  
High Rate ◽  
Antimicrobial Use ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility
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