Clinical Experience

Clinical Experience

Latent tuberculosis infection (LTBI) is a highly prevalent condition among older adults in long-term care facilities (LTCFs).

Kelly E Baxter, MS, APRN, ACHPN, and coauthors describe a pilot project aimed at improving transitions of care and reducing hospital readmissions for patients receiving an inpatient palliative care consult at one hospital.

older woman with nurse in hospital

 Amy E Haver, PharmD, BCPS, and colleagues discuss the physician feedback they gathered after incorporating a pharmacist into their facility’s geriatric care team.

antipsychotic medications

Behavioral and psychological symptoms of dementia (BPSD) remain the most common reasons for off-label use of antipsychotic medications in the nursing home.

Authors present a case series highlighting an approach to clinical management of the oldest residents with HF, utilizing resources in a continuing care retirement community.

man in hospital bed

The OPTIMISTIC transition visit approach, led by a nurse practitioner well-versed in geriatric and transitional care, can improve resident care processes. 

Jaclyn Guetzko, DNP, APRN, C-AGNP, and colleagues created a consensus-based standing order set, grounded in high-quality evidence, clinical practice guidelines, and expert opinion for approval and use by multiple practices/providers across multiple facilities.


Wide individual variation of clinical care is a contributor to poor-quality patient care and is driven by provider reliance on individual clinical autonomy.

This article identifies additional classes of patients with specific complex medical problems at high risk for re-hospitalization.

Most healthcare providers have used the term difficult patient and are convinced they know what it means, yet it is a term that defies exact definition.