Policy Recommendations – COVID-19 – JAMDA – New York Experiences

Angie Szumlinski Studies

In a document posted online on June 1, 2020, a group of physicians provided policy recommendations for managing COVID-19. These recommendations include screening, protection of staff, screening of residents, management of COVID-19 positive and presumed positive cases, communication during an outbreak, management of admissions and readmissions and providing emotional support for staff. These consensus guidelines have been endorsed by the …

Nurse Placing armband on patient

Post-COVID-19 Recovery

Angie Szumlinski Studies

As many parts of the country are experiencing increased numbers of COVID cases, there are many people who are recovering from the virus. Our attention has been on identifying symptoms of active disease, as it should be; however the story doesn’t end there! As patients begin the recovery phase, many are experiencing ongoing symptoms from the virus. These symptoms include …

Tramadol and Hip Fractures

Angie Szumlinski Studies

For a long time, we didn’t do a great job managing our residents with pain and many of us were cited at harm levels for it. Today we do a much better job at managing resident pain which allows them to enjoy a more engaged lifestyle in our centers. One of the more common pain medications used today is “Tramadol” …

Vitamin D – COVID-19?

Angie Szumlinski Health, Studies

Low plasma levels of Vitamin D has emerged as an independent risk factor for COVID-19 infection and hospitalization in a large, population-based study. Participants positive for COVID-19 were 50% more likely to have low versus normal levels in a multivariate analysis. The study published online on July 23, 2020, in the FEBSPRESS science publishing by scientists, “makes a compelling case …

Parkinson’s Disease – Progression

Angie Szumlinski Health, Studies

Sadly, most of us have residents with a diagnosis of Parkinson’s Disease and we have little to assist us in evaluating the progression of this disease except when the resident begins to decline physically and/or mentally. As sad as this is, we can’t cure Parkinson’s Disease, and watching a resident decline is heartbreaking. But a recent article published in the …

COVID Symptom Study – Six Distinct “Types”?

Angie Szumlinski Announcements, News, Studies

Analysis of data reveals that there are six distinct ‘types’ of COVID-19, each distinguished by a particular cluster of symptoms. The types also differed in the severity of the disease and the need for respiratory support. Launched in the UK and extended to the US and Sweden, the COVID Symptom Study app asks participants to log their health and any …

Numbers Don’t Lie

Angie Szumlinski News, Studies

In a recent study published in JAMA, estimates of the proportion of persons with detectable SARS-CoV-2 antibodies ranged from 1.0% in the San Francisco Bay area (collected April 23-27) to 6.9% of persons in New York City (collected March 23-April1). For most sites, it is likely that greater than 10 times more SARS-CoV-2 infections occurred than the number of reported …

Combatting Multi-Drug Resistance in Nursing Homes – Per the CDC

Angie Szumlinski Health, Studies

“Multi-drug resistant organisms (MDROs) do not discriminate, they spread in all health care settings. From our unique vantage point at the Centers for Disease Control and Prevention (CDC), we are witnessing the emergence of novel MDROs across the country, which are causing life-threatening infections with limited to no available treatments. Public health efforts to detect and contain these pathogens have …

Frailty (Again, Sorry)!

Angie Szumlinski Studies

Although we have posted many blog articles on the issue of Frailty, this study caught my eye because frailty is becoming more and more a concern for our residents! How many of your residents in the past year required emergency general surgery? What exactly is emergency general surgery? According to a study published in the Journal of the American Geriatrics …