What is new in 2009

Mental Health Documentation in the Nursing Home
Practical Psychiatry in the Long Term Care Home: A Handbook for Staff
Psychiatry in Long Term Care
Dementia in the Long-Term Care Setting - Revised
Tool Kit for Implementation of the Clinical Practice Guidelines for Diabetes
Pain Management in the Long Term Care Setting
Osteoporosis and Fracture Prevention in the Long Term Care Setting Guideline - Revised

Mental Health Documentation in the Nursing Home

A web-based, downloadable monograph created to assist primary care physicians (medical directors and attending physicians) in documenting mental health issues as required by law. Content is organized to walk physicians through five specific stages of mental health documentation: preadmission; admission; at times of cognitive/behavioral/mood changes; monitoring processes once an intervention has been implemented; and, clinical and regulatory documentation necessary when residents are placed on psychoactive medications. It provides sample data-gathering collection tools and templates, and sample forms to record decisions on and monitoring use of psychoactive medications.

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Product Code: MHD1
Member Price: $20.00
Non - Member Price: $35.00
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Practical Psychiatry in the Long Term Care Home: A Handbook for Staff

3rd completely revised and expanded edition 2007; David K. Conn, Nathan Herrmann, Alanna Kaye, Dmytro Rewilak, Barbara Schogt (Editors).  Hogrefe & Huber Publishers.  328 pages, hardcover

Ordering Information:
Product Code: PSY-STAFF
Member Price: $50.00
Non - Member Price: $56.00
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Psychiatry in Long Term Care

Second edition 2009; William E. Reichman, Paul R. Katz (Editors).  Oxford University Press.  527 pages, hardcover
This edition of Psychiatry in Long Term Care is an important resource for care providers from all disciplines devoted to improving the well-being of people with mental health disorders living in long term care facilities.  Content presents a comprehensive review of the major psychiatric disorders affecting long term care residents and incorporates methods for physician identification and treatment of these disorders.  Clinical guidelines on specific disorders include reviews of contemporary strategies for successful psychopharmacological and psychotherapeutic interventions and are complemented by chapters on medicolegal considerations, ethics, and education of care staff.

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Product Code: PSY-LTC
Member Price: $60.00
Non - Member Price: $70.00
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Dementia in the Long-Term Care Setting - Revised

Dementia—a disorder characterized by progressive decline in multiple areas of cognitive function—causes a range of cognitive, mood, behavioral, and functional impairments. Optimal management of dementia in the LTC setting involves the entire interdisciplinary team, with practitioners playing an important leadership role. This guideline offers a systematic approach to the recognition, assessment, treatment, and monitoring of patients with dementia in the LTC setting. Implementing this guideline should help LTC facilities to improve their ability to:

• Identify patients who are at risk for new or progressive dementia
• Manage dementia symptoms, consequences, and complications effectively and appropriately
• Identify the nature and causes of dementia in different patients
• Identify and manage potential sources of excess disability
• Minimize preventable complications and functional decline
• Respond appropriately to the changing needs of patients with dementia
• Make appropriate environmental and staffing modifications to maximize patient dignity, comfort, and safety
• Improve the understanding of staff, family members, and caregivers about dementia and respond appropriately to their concerns

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Product Code: CPG8R
Member Price: $15
Non-member Price: $35
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Tool Kit for Implementation of the Clinical Practice Guidelines for Diabetes

Most health care practitioners and organizations are aware of AMDA's Clinical Practice Guidelines (CPGs) and acknowledge their potential value. However, many are unsure of how to implement them or don’t want to “reinvent the wheel”.  The Diabetes Implementation Tool Kit provides you with the tools needed to implement the Diabetes Clinical Practice Guideline (CPG) in your facility.  The toolkit contains template letters for the care team and family members informing them of your initiative; another a letter to the attending physician  and advance practitioners along with a summary of  examples of roles and responsibilities for practitioners; a Task Assignment Grid to select care team members for performance of specific tasks within the CPG, a policies and procedures (P&P) document that list examples of  P&Ps you may need to have in place in order to implement that specific guideline; a one-page check list for training staff on those P&Ps; a list of Quality Indicators for the specific CPG to use in your facility’s QI process; and a laminated Process and Clinical Indicator Measurement Tool.

Three sets of inservices are on CD-ROM, one for practitioners, one for licensed nurses and, one for nursing assistants that cover the Diabetes CPG and that discipline’s role with carrying out the steps in the guideline. The inservices come with their own book of slide notes and an instructor’s manual. The implementation toolkit contains practical tools that will guide you through the implementation process of the Diabetes CPG which may help to improve your care processes and outcomes. 

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Product Code: DiabTK
Member Price: $85
Non-member Price: $110
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Pain Management in the Long Term Care Setting

The revised Pain Guideline should serve as a foundation for a systematic approach to recognition, assessment, treatment, and monitoring of pain in long-term care patients. In the LTC setting, the comfort and well-being of the individual patient should always be paramount. This principle is the foundation for effective pain management. The pain guideline provides members of the IDT with guidance on overcoming both system barriers and myths and misconceptions of pain in frail elders as well as providing general principles for prescribing analgesics in the long term care setting, guiding principles for prescribing and titrating opioids and important steps in treating neuropathic pain. There is also a table of recommendations for selective and nonselective NSAID use according to patients’ underlying risks and comorbid conditions and alerts for the practitioner to the serotonin syndrome. While methadone is an opioid that has gained attention, the guideline addresses cautions and caveats that must be considered before using this therapy in the elderly patient. Opioid induced constipation is addressed in the guideline using several options for treatment. There are several pain assessment tools in the appendices for the members of the interdisciplinary team for patients with and without cognitive impairment. Recently CMS revised the guidance for state surveyors on Tag 309 to include guidance for pain management. CMS references the AMDA pain guideline. This guideline is a must for quality improvement in the long term care setting.

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Product Code: CPG11R
Member Price: $15
Non-member Price: $35
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Osteoporosis and Fracture Prevention in the Long Term Care Setting Guideline - Revised

Osteoporosis is a major public health threat for an estimated 44 million Americans and is associated with significant disability, mortality, and cost. One in two women and one in five men older than 65 years will sustain bone fractures caused by osteoporosis. Despite the high risk, however, osteoporosis is accurately diagnosed in less than one third of patients, and only one in seven get appropriate treatment. Osteoporosis reduces bone strength, the most serious consequence of which is fracture. Each year in the United States, an estimated 2 million osteoporosis-related fractures occur in men and women aged over 50 years. Osteoporosis combined with dependency, impaired mobility, impaired or loss of usual protective body reactions, and a high fall rate renders the LTC population particularly vulnerable to fractures. About one out of every five hip fractures in the United States occurs in an LTC facility.

This revision contains evidenced based guidance in recognizing, assessing, treating and monitoring osteoporosis. There is discussion on new technologies for frail elders who have difficulty with positioning, discussion on Vitamin D and calcium, discussion on when and when not to treat osteoporosis and much more. There are also several new tools such as how to predict osteoporosis during a physical exam by using the Wall-Occiput Test and the Rib-Pelvic Distance Test and an algorithm for testing and treatment for institutionalized patients with a prior fracture. The FRAX Index Questions and Scoring tool is included as well. There are updated tables on medications for the treatment of osteoporosis. Osteoporosis is a major public health threat for an estimated 44 million Americans and is associated with significant disability, mortality, and cost. One in two women and one in five men older than 65 years will sustain bone fractures caused by osteoporosis. Despite the high risk, however, osteoporosis is accurately diagnosed in less than one third of patients, and only one in seven get appropriate treatment. Falls with fractures is one of the highest litigated incidents within the LTC setting. The Osteoporosis and Fracture Prevention in the Long Term Care Setting CPG is a “must-have” risk management tool.

Order Information:
Product Code: CPG10R
Member Price: $15
Non-member Price: $35
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