scholarly journals Skilled Nursing Facility Admissions of Nursing Home Residents with Advanced Dementia

2013 ◽  
Vol 61 (10) ◽  
pp. 1645-1650 ◽  
Author(s):  
Jane L. Givens ◽  
Susan L. Mitchell ◽  
Sylvia Kuo ◽  
Pedro Gozalo ◽  
Vince Mor ◽  
...  
Keyword(s):  
Nursing Home ◽  
Skilled Nursing Facility ◽  
Nursing Home Residents ◽  
Advanced Dementia ◽  
Nursing Facility ◽  
Skilled Nursing

Fluvoxamine for Stereotypic Behavior in Patients with Dementia

1997 ◽  
Vol 31 (5) ◽  
pp. 578-581 ◽  
Author(s):  
Brian Trappler ◽  
Luis M Vinuela
Keyword(s):  
Primary Care Physicians ◽  
Involuntary Movement ◽  
Skilled Nursing Facility ◽  
Advanced Dementia ◽  
Psychiatric Consultation ◽  
Alzheimer Type ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Noticeable Improvement ◽  
Primary Physicians

OBJECTIVE: To describe the effects of treatment with the selective serotonin reuptake inhibitor fluvoxamine on three patients with advanced dementia who developed a stereotypic movement disorder. CASE SUMMARY: Three patients in a skilled nursing facility were referred by their primary physicians for psychiatric consultation to assist with the management of stereotypic behaviors. The patients received a standard medical, neurologic, and psychiatric workup for dementia. Two of the patients were diagnosed with dementia of the Alzheimer type and the other patient was diagnosed with vascular dementia. All three patients were started on fluvoxamine 25 mg/d; behaviors were monitored daily by the nursing staff and their primary care physicians and weekly by their psychiatrist using the Abnormal Involuntary Movement Scales. The dosage was titrated upward weekly to a maximum dosage of 150 mg/d. RESULTS: Two patients showed complete resolution of their stereotypic behaviors by week 6. The third patient showed noticeable improvement with some residual movements after 8 weeks of treatment. CONCLUSIONS: Fluvoxamine appeared effective in the control of stereotypic behaviors in three patients with advanced dementia.

scholarly journals Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission

2014 ◽  
Vol 39 (4) ◽  
pp. 340-351 ◽  
Author(s):  
Sandi J. Lane ◽  
Jennifer L. Troyer ◽  
Jacqueline A. Dienemann ◽  
Sarah B. Laditka ◽  
Christopher M. Blanchette
Keyword(s):  
Nursing Home ◽  
Medication Errors ◽  
Skilled Nursing Facility ◽  
Nursing Home Admission ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Process Factors

Movers and Shapers

2017 ◽  
Author(s):  
Muriel R. Gillick
Keyword(s):  
Nursing Home ◽  
Skilled Nursing Facility ◽  
Early Discharge ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Nursing Home Administrators ◽  
Drug Companies ◽  
Patient’S Experience ◽  
Regional Medical ◽  
Physician Prescribing

Nursing home administrators, physicians, hospitals, drug companies, and Medicare are among the major influences on the patient’s experience of skilled nursing facility (SNF) care. Administrators are concerned with selecting patients with high levels of Medicare reimbursement; physicians tend to regard SNF care as low status and unrewarding; hospitals use the SNF as a safety valve allowing for early discharge; drug companies work with regional medical distributors to influence physician prescribing; and Medicare tries to promote quality by using an elaborate system of quality indicators, mandating state inspections or surveys, and reimbursing care so as to encourage maximal use of physical therapy.

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