2012 Highlights
Antithrombotic Therapy in Long-Term Care Setting
Dementia CPG (Revised)
Full Set of CPGs - Electronic Format
Health Maintenance CPG (Revised)
Know-it-All When You're Called Diagnosing System: Essential Clinical Data Exchange, A Guide for Attending Practioners on Change of Condition
Know-it-All Set (includes both Data Cards and Diagnosing System)
Multidisciplinary Medication Management Manual
Pain Management CPG (Revised)
Urinary Incontinence CPG (Revised)
Antithrombotic Therapy in Long-Term Care Setting (Revised 2012)
Antithrombotic therapy represents the mainstay of treatment and preventive measures in patients with atherothrombotic diseases. Both the incidence and prevalence of these diseases increase with age. Patients residing in the long-term care (LTC) setting are highly susceptible to atheroembolic events by reason of their age and general vulnerability. Clinical decisions are challenging in this setting because of the paucity of data specific to treatment of the frail elderly and the predisposition of this patient population to adverse drug reactions.
Antithrombotic Therapy in the Long-Term Care Setting is a succinct and practical reference manual designed to fill an important void in thrombi and thromboemboli reference materials. Drawn from evidence-based and best practices this tool kit helps practitioners quickly find answers to questions they face every day such as:
- What is the best antiplatelet regimen to prevent myocardial infarction or ischemic stroke?
- What is the safest way to begin, titrate and monitor warfarin therapy for a frail elderly patient?
- Which patients are at greatest risk for deep vein thrombosis (DVT), and what are the best regimens to prevent and treat DVT?
- What adjustments to antiplatelet or antithrombotic therapy are needed when a patient has an invasive procedure or major surgery?
Filled with easy to read tables, this is a one-of-a-kind manual includes:
- Introduction to antithrombotic therapy in the long term care setting
- Prevention of venous thromboembolism
- Treatment and secondary prophylaxis of venous thromboembolism
- Antithrombotic therapy for stroke or stroke prevention and in atrial fibrillation
- Antithrombotic therapy in cardiovascular disease
- Managing the risks of major bleeding events associated with antithrombotic therapy
- Antiplatelet agents in antithrombotic therapy
- Warfarin in antithrombotic therapy
- Other oral anticoagulants in antithrombotic therapy
- Parenteral anticoagulants in antithrombotic therapy
- Heparin-induced thrombocytopenia
- Perioperative management of antithrombotic therapy
- Ten helpful Appendices
The 2012 revision of the Antithrombotic Therapy in the Long Term Care Setting Information Tool Kit is intended to help practitioners optimally manage the use of antithrombotic therapies in elderly patients in the LTC setting. The manual incorporates evidence-based guidelines and expert opinion from several specialty organizations, including the American College of Chest Physicians American College of Cardiology, American Heart Association, and the American Stroke Association. To assure the accuracy and applicability of the information contained in the toolkit the authors collaborated with experts in geriatric cardiology, warfarin risk assessment, prevention of deep vein thrombosis, peri-procedural anticoagulation, heparin-induced thrombocytopenia, pharmacology and the practice of long term care medicine. To the extent possible, this document draws on evidence from large, well-designed, randomized clinical trials; when such evidence does not exist, it presents suggested best practices based on the available literature and expert consensus. This Information Tool Kit focuses on issues related to atherothrombotic diseases that are addressed within the LTC facility.
Product Code: LTCANT1R
Member Price: $55.00
Non-Member Price: $95
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Clinical Practice Guideline: Dementia (Revised 2012)
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 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. Implementing this guideline should help LTC facilities:
Antithrombotic Therapy in the Long-Term Care Setting is a succinct and practical reference manual designed to fill an important void in thrombi and thromboemboli reference materials. Drawn from evidence-based and best practices this tool kit helps practitioners quickly find answers to questions they face every day such as:
- Identify patients at risk for new or progressive dementia;
- Manage dementia symptoms, consequences, and complications effectively and appropriately;
- Identify the nature and causes of dementia in 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; and
- Improve the understanding of staff, family members, and caregivers about dementia and respond appropriately to their concerns.
Order Information:
Product Code: CPG8RE
Member Price: $15.00
Non-Member Price: $35
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Tool Kits for Implementation of the Clinical Practice Guideline for Dementia Order Information:
Product Code: DEMTK
Member Price: $45.00
Non-Member Price: $70
Follow this link to order
For additional information, visit the Clinical Corner on Dementia.
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Full Set of CPGs - Electronic Format ¥ New!
- Evidence based, up to date information at your fingertips
- Available when you need it – 24 hours a day, 7 days a week
- Quicklinks to charts, tables and figures within CPGs
- References linked to official websites giving you additional details without having to search
- Instant updates to the CPGs with the latest advisories and changes in medical protocols
- Research and find your answers in a flash
- Offering the same in-depth information as our hard copy versions, e-CPGs are available for both PC and Mac, and can output digital editions for iPad, and coming soon, iPhone. Digital editions can have embedded web links, allowing you to jump to pages, tables, and references that enrich your experience, bringing the product to life. Readers can use the search facility to explore the e-CPG, finding relevant key words and phrases, and have the ability to delve further into any page. When readers see something that they want to highlight or bookmark for future reference they can do so by using the notes or bookmark options, they can even choose to send their typed notes to their email address so their thoughts are never lost.
Print by page view only, therefore AMDA offers all e-subscribers hard copy CPGs at a discounted rate of $8 per CPG (email ca@amda.com for special product code). e-subscription is good for one year from date of purchase. Renewals (must be done within 30 days of subscription ending) are at Member Price of $79 and
Non Member Price of $99.
AMDA’s CPGs have become a standard in care processes in Long Term Care. With the implementation of MDS 3.0 and the new Care Area Assessment (CAA), facilities will need to show they are using evidence based and expert endorsed resources. Appendix C in the new MDS Manual references the AMDA CPGs. CMS State Operations Manual references AMDA CPGs.
Did you know that AMDA’s CPGs can reduce: costs, avoidable transfers and risk of survey penalty and litigation?
Most importantly, AMDA’s CPGs can improve: patient outcomes and safety of staff, facility & patients.
CPG implementation follows the medical care process of recognition, assessment (root cause
analysis), treatment (based on assessment) and monitoring. Be able to make the case for unavoidable
situations and conditions. Know that you can better manage a condition. Know that you can
provide quality care for your residents!
Your online subscription will give you unlimited access to AMDA’s 23 guidelines focused on the
Long Term Care (LTC) patients and environment. AMDA Guidelines emphasize key care processes
and are organized for ready incorporation into facility-specific policies and procedures to guide staff
and practitioner practices and performance. They are developed specifically to address population
and practice of LTC facility.
Order Information:
Product Code: CPGPACK
Member Price: $319
Non-Member Price: $585
Corporate Member Price: (Please call the Clinical Affairs Department at 410-740-9743 to receive your corporate member rate/code.)
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Clinical Practice Guideline: Health Maintenance (Revised 2012)
Health maintenance in long term care settings incorporates systemic, proactive approaches that promote patients’ physical, emotional, psychological, cognitive, and functional integrity. Early detection and prevention of illness may reduce morbidity and mortality in the elderly.
Standard published guidelines for preventive care may be insufficient when applied to populations such as the frail, institutionalized elderly. Implementation of individualized preventive care measures may represent an opportunity to improve longevity or quality of life for frail elders. This clinical practice guideline focuses on primary prevention, to the extent that it is feasible and beneficial in the frail elderly long term care population.
Outcomes that may be expected from the implementation of this clinical practice guideline include the following:
- Improved health and well-being of patients,
- More appropriate resource utilization,
- A reduction in the number of patients who receive inappropriate interventions or care,
- An increase in the number of patients who receive appropriate interventions and care,
- Facilitation of patient-centered care goals (i.e., goals that are appropriate to patients’ needs and wishes),
- Improved awareness among health care providers and facility staff of appropriate preventive health interventions for patients in the LTC setting,
- Better-informed patients and patients’ families or advocates, with more appropriate expectations about patients’ care goals, and
- Improved quality outcomes and reporting to government and other agencies.
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Product Code: CPG23RE
Member Price: $15
Non-Member Price: $35
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Know-It-All Series – Tools to Reduce Unnecessary Transitions to Hospitals
AMDA’s Know-It-All system is designed to maximize quality care and avoid unnecessary emergency room visits and hospitalizations. Users of the system also state that it enhances teamwork and mutual respect, and the resident ultimately benefits. In short everyone on the team has to be educated, involved, and working together to reduce avoidable transitions. These tools help achieve these goals and enable practitioners and nursing staff to communicate in a way that ensures a seamless continuum of care. After all, the best transition is the one that never happens.
To enhance the system’s ease of use, with purchase, the Know-It-All™ When You’re Called Diagnosing System comes with a free mobile version to use on an iPhone/smart phone/iPad, or PC. The Know-it-All™ Before you Call Data Collection System comes with a link to the forms to capture all the data you collect for the medical record and or to fax to the practitioner.
The series includes:
-
 Know-it-All™ Before you Call Data Collection System – A series of data collection cards intended to help nursing staff physically evaluate patients and collect relevant medical history and related medical record data before notifying a practitioner about a resident’s change in condition. This allows the practitioner to receive more complete, clinically important information about the resident’s condition in a way that facilitates accurate and effective clinical decision making.
Ordering Information:
Product Code: KNOW
Member Price: $45
Non-Member Price: $65
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- Know-It-All™ When You’re Called Diagnosing System – A one-of-a-kind, 200-plus page guide on change of conditions for attending practitioners. Content is organized alphabetically by condition and includes the specific data they should be receiving from the nurse, suggested geriatric diagnoses related to the information given, what the follow-up should be for various time points, how to make the “stay or go” decision and much more in an easy-to-use pocket format.
Ordering Information:
Product Code: KNOW2
Member Price: $45
Non-Member Price: $65
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- Know-it-All Set (includes both Data Cards and Diagnosing System)
The set includes:
- Know-it-All Before You Call - Data Collection Cards
- Know-it-All When You're Called Diagnosing System
- Know-it-All Before you Call Data Collection Forms*
*Know-it-All™ Before you Call Data Collection FORMS – The card set comes with an electronic link to data collection forms related to each of the 78 common change of condition subjects that can be printed out as needed. The nurse simply fills out as the data is being collected, and puts in the medical record. This form can be faxed to the practitioner as well. (An electronic link is emailed to the buyer automatically upon purchase.)
Purchasing the set includes a savings of $10.00.
Ordering Information:
Product Code: KNSET
Member Price: $80
Non-Member Price: $120
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Multidisciplinary Medication Management Manual
Medication management is an important part of quality care in the long-term care (LTC) setting. Despite the best efforts of dedicated practitioners and interdisciplinary team leaders, however, it is difficult to eliminate medication errors and adverse drug events. Medication errors endanger the health of the geriatric population, fill emergency rooms and hospital beds, and contribute to escalating health care costs. In keeping with the multidisciplinary nature of the LTC setting, this manual is designed to be used by practitioners, licensed nursing staff, administrators, licensed therapists, pharmacists, surveyors, and other caregivers in the LTC setting.
It is the responsibility of every team member in the LTC continuum to address the problem of medication errors and to take an active role in implementing solutions. Effective communication channels, interdisciplinary skills and knowledge, and streamlined management systems all contribute to more appropriate medication management and better patient outcomes.
The purpose of this manual is to provide practitioners in the LTC setting with information and tools to help them improve patient care, enhance medication management, and reduce medication errors. These improvements will occur through the active and informed involvement of interdisciplinary team leaders and members and the use of tools that are user-friendly and effective.
By using the guidance in this manual professionals should be able to
- Identify both actual and potential medication-related problems,
- Improve systems and processes of care,
- Reduce the clinical and financial impact of inappropriate medication use,
- Provide medication management education to members of the interdisciplinary team, and
- Improve the medical care of LTC patients through more appropriate medication use.
This manual consists of an introduction, 15 chapters and an appendix.
- Prescribing
- Transcribing
- Documentation
- Therapeutic Goals
- Appropriate Prescribing of Psychoactive Agents in the Long-Term Care Setting
- Drug Concentrations and Laboratory Monitoring Related to Drug Therapy
- Medication Administration
- A Multidisciplinary Approach to Preventing, Identifying, and Resolving Adverse Medication Events
- Optimizing Medication Dispensing, Delivery, and Verification
- Infusion Services in the Long-Term Care Setting
- Formulary Management and Drug Utilization
- Controlled Substances
- Role of the Interdisciplinary Team in Medication Management
- Role of the Medical Director in Medication Management
- Quality Assurance in Medication Management
This manual with over 200 pages is available for the introductory price of $110 for AMDA members and $150 for non-members.
Ordering Information:
Product Code: MED
Member Price: $110
Non-Member Price: $150
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Clinical Practice Guideline: Pain Management (Revised 2012)
Pain is common in the LTC setting. As many as 80% of LTC patients have at least one condition associated with pain. Although disorders that can cause pain become more common with increasing age, pain itself is not a normal part of aging.
This guideline outlines many of the myths and misperceptions about pain and discusses the barriers to effective pain management and offers steps for overcoming these barriers.
This CPG is not intended to be a comprehensive treatise on all possible types of pain or on all evaluations, interventions, or medications for pain. Rather, it should serve as a foundation for a systematic approach to the recognition; assessment; treatment; and monitoring of pain in LTC care patients. It is also hoped that, in some cases, it should be possible to anticipate and prevent pain from occurring.
Order Information:
Product Code: CPG11RE
Member Price: $15
Non-Member Price: $35
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Tool Kits for Implementation of the Clinical Practice Guideline for Pain Management
Order Information:
Product Code: ITKP
Member Price: $85.00ea
Non - Member Price: $110.00ea
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For additional information, visit the Clinical Corner on Pain Management.
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Clinical Practice Guideline: Urinary Incontinence (Revised 2012)
Urinary incontinence is one of the most common conditions among residents of LTC care facilities, affecting about 55% of all such residents. The prevalence of urinary incontinence increases with age. Women are affected more than men. Although urinary incontinence is increasingly prevalent with age, it is not a normal part of aging.
Urinary incontinence can adversely affect patients’ dignity and can contribute to depression, embarrassment, and social isolation. The annual cost of managing urinary incontinence in LTC care facilities is estimated at $5.5 billion.
Outcomes that may be expected from the implementation of this clinical practice guideline include the following:
- Better identification of individuals who have a reversible urinary incontinence problem.
- More individualized approaches to urinary incontinence management.
- More effective targeting of staff resources to urinary incontinence management.
- Minimization of inappropriate use of diapers and catheters.
- Reduction in significant complications of urinary incontinence and urinary catheters.
Order Information:
Product Code: CPG3RE
Member Price: $15
Non-Member Price: $35
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Tool Kits for Implementation of the Clinical Practice Guideline for Urinary Incontinence
Order Information:
Product Code: UTTK
Member Price: $85.00ea
Non - Member Price: $110.00ea
Follow this link to order
For additional information, visit the Clinical Corner on Urinary Incontinence.
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