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Senior Care Digest Interdisciplinary Report

Kikaku America International

Kikaku America International has released the 2010-2011 Senior Care Digest Interdisciplinary Report: A Survey of Long-Term Care Health Professionals, an annual report of long-term care leaders, including medical directors, consultant pharmacists, directors of nursing (DONs), and nurse practitioners (NPs). The report, which is part of the sanofi-aventis Managed Care Digest Series®, focuses on current issues such as the prescribing of controlled substances, gradual dose reduction, the use of social networking, and research conducted in nursing facilities. Some key highlights from the report include: . The vast majority of respondents from all disciplines agreed that innovative solutions must be developed to meet the needs of both the Drug Enforcement Administration (DEA) and nursing facility residents with respect to the prescribing and administration of controlled substances. More than three-fourths of physicians, pharmacists, DONs, and NPs also agreed that the DEA's failure to recognize the nurse as an agent of the prescriber has resulted in residents experiencing pain unnecessarily. . Fewer than half of practitioners from all disciplines reported using social networking sites such as Facebook or Twitter. The most common reason cited for not using these networking venues was concerns about confidentiality and patient privacy. . A majority of respondents from all disciplines agreed that gradual dose reduction is effective in reducing the use of psychopharmacological medications. . Only a small number of respondents from each discipline reported that some type of research is being conducted in their facilities. The most common role reported by those who are involved in nursing facility research was collecting resident-specific data. Quality improvement studies were the most common type of research reported. . Similar percentages of physicians (81%) and nurse practitioners (84%) agreed that a shortage of health care professionals will increase NP presence in nursing facilities in the coming years. . A large percentage of physicians (95%) and NPs (84%) said they prescribe oral bisphosphonates to manage osteoporosis in nursing facility residents, compared to just 21% of physicians and 13% of NPs who said they commonly prescribe parenteral bisphosphonates. At the same time, DONs and pharmacists most frequently agreed that nursing staff members are able to comply with bisphosphonate administration requirements between 75% and 99% of the time. . Many practitioners have long histories of nursing facility practice and plan to continue working in this field. For example, 41% of medical directors indicated that they have served in that capacity for between 10 and 20 years. One-fourth of DONs (24%) said they plan to work in that role for less than five years. . The majority of DONs reported a nursing staff turnover rate of 10% or less, with an average of 9.6%. The majority said that their RN turnover rate was lower in 2009 than in 2008. . A majority of DONs (76%) said that the Five-Star Quality Rating System for nursing facilities should be revised. They also agreed that the system causes confusion for consumers selecting a facility. "The survey results showed that practitioners are committed to quality care. Their efforts are focused on maximizing outcomes and improving the quality of life for their older patients. We also saw that teamwork is alive and well in long-term care and that team leaders work together to address challenges and overcome obstacles," says Senior Care Digest Interdisciplinary Report Executive Editor William Simonson, PharmD, CGP, FASCP. "It is clear from the responses to various questions that even when practitioners have different opinions, they are committed to working together and they put the needs, comfort, and well-being of their patients first." Questions may be directed to Dr. Simonson at (757) 238-7707 or Publisher Peter Sonnenreich may be reached at (202) 246-2525. A copy of the 2010-2011 Senior Care Digest Interdisciplinary Report: A Survey of Long-Term Care Health Professionals can be obtained at:

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Published:  Dec 03, 2010
Length:  84
Type:  White Paper
Tags : 
long-term care trends, senior care trends, sanofi-aventis, primary care, mental health, workforce/hr, pharmaceuticals