What NOT to Expect From Skilled Nursing Homes

If you are placing a family member in a skilled nursing home, don’t expect your loved one to get personalized one-on-one care.  It just doesn’t work that way. Buzzers ring and residents wait, sometimes for long periods  of time. The administrators and staff will tell you all your loved one’s needs will be taken care…

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It’s Time to Change the Medicare Hospice Dementia Criteria

It is time for Medicare to change its hospice criteria for people with dementia.  The current criteria isn’t reflective of the progression of many dementia patients with other chronic illnesses.  It can be difficult to get  dementia patients accepted to hospice because either they haven’t lost 10% of their weight or still speak more than…

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At Walden Pond

Much of last week was spent at Mass General Hospital either waiting with families for surgical results to client’s doctor appointments to getting medical records.  It seemed to be all things MGH.  It was a very stressful week having to deal with residents who gave misinformation and fighting too early discharges. I was tired and…

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Doctor To Patient: It’s Not My Area

I get calls to review records for people.  They want a neutral set of eyes to evaluate the information.  Usually, the person asking, has seen multiple specialists and doesn’t have a diagnosis.  They are asking me for direction.  Recently, I had a case that stunned me because the client had seen multiple specialists over a…

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Why Am I A New Patient When I am Already In The System?

My client was inpatient for an infection.  The service that was following her decided to get a consult from Infectious Disease to assess what may be causing the infection. A biopsy was taken and we waited for results. For one of the potential microbe, penicillin was the drug of choice and it had to be taken…

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Being Safe In the Hospital

Last week on my radio show, I had Karen Curtiss as my guest.  She is the founder of CampaignZero, a not- for-profit committed to helping families keep loved one’s safe in the hospital.  She has also written a book called,  Safe and Sound in the Hospital: Must have Checklists and Tools for Your Loved One’s…

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