Thursday, January 26, 2023
Monday, January 23, 2023
Friday, January 20, 2023
CMS - Nursing Home Visitation Guidelines 9-23-2022
Visitation
Visitors no longer need to be actively screened for COVID -19 symptoms (for example, undergo temperature checks or screening questions) for entry into long term care facilities.
However, nursing homes should clearly emphasize (for example through signage) that people with symptoms consistent with COVID-19 or have confirmed COVID- 19 should not enter the facility.
Please see the updated CMS guidance QSO 20-39-NH Revised.
https://www.cms.gov/files/document/qso-20-39-nh-revised.pdf
Osimertinib (Tagrisso)
Osimertinib is a tyrosine kinase inhibitor, which acts by blocking the activity of the epidermal growth factor receptor (EGFR). The EGFR in the lungs causes growth and uncontrolled division of cancer cells.
Osimertinib inhibits the growth of the cancer cells with T790 M mutation in the EGFR gene and acts against the metastatic EGFR T790 M mutation.
Thursday, January 19, 2023
Gastroparesis
Gastroparesis which means partial paralysis of the stomach is a disease in which your stomach cannot empty itself of food in a normal way. If you have this condition, damaged nerves and muscles don't function with their normal strength and coordination - slowing the movement of contents through your digestive system.
This is a common condition in people who've had diabetes for a long time, but it may also occur in other situations. Gastroparesis can be misdiagnosed and is sometimes mistaken for an ulcer, heartburn or an allergic reaction, In people without diabetes, the condition may relate to acid reflux.
Wednesday, January 18, 2023
Liraglutide (Victoza)
Anti-diabetic medication treats type 2 diabetes, obesity, and chronic weight management.
In diabetes, it is a less preferred agent compared to metformin.
Proventil HFA Inhaler
Salbutamol, also known as albuterol, is sold under the brand name Ventolin or Proventil.
B2 adrenergic receptor agonist works by causing relaxation of the airway smooth muscle.
Friday, January 13, 2023
Calcinosis Cutis and Calciphylaxis
Calcinosis cutis (CC) is defined as the deposition of calcium salts in the skin. The condition is divided into 5 types: calciphylaxis and dystrophic, metastatic, idiopathic, and iatrogenic CC. Dystrophic CC is the most common form and usually occurs in association with autoimmune diseases. CC can be treated surgically or with the use of drugs such as diltiazem, bisphosphonates, warfarin, ceftriaxone, probenecid, minocycline, or aluminum hydroxide. Calciphylaxis is defined as calcification of the media of small- and medium-sized blood vessels in the dermis and subcutaneous tissue. Clinically, calciphylaxis causes livedo racemosa, which progresses to retiform purpura and skin necrosis. First-line treatment is with sodium thiosulfate. We present a review of the calcifying disorders of the skin, focusing on their diagnosis and treatment.
Calciphylaxis (kal-sih-fuh-LAK-sis) is a serious, uncommon disease in which calcium accumulates in small blood vessels of the fat and skin tissues.
Calciphylaxis causes blood clots, painful skin ulcers and may cause serious infections that can lead to death. People who have calciphylaxis usually have kidney failure and are on dialysis or have had a kidney transplant. The condition can also occur in people without kidney disease.
Wednesday, January 11, 2023
Gastric Emptying Study
This exam demonstrates the time it takes for solid food to empty from the stomach.
Methocarbamol (Robaxin)
Class: Muscle relaxants, Centrally Acting
Description: Oral and parenteral centrally acting muscle relaxant
Used as adjunct therapy for acute, painful musculoskeletal conditions and in the management of tetanus
Studies indicate the drug is not effective for spasticity.
Enzalutamide ( Xtandi)
Class: Cytostatic Androgen Receptor Antagonists
Description: Androgen receptor inhibitor
Used for the treatment of castration-resistant prostate cancerSeizures have been reported
Purewick Female External Catheter
The PureWick™ Female External Catheter allows for simple, non-invasive urine output management in female patients. Using low-pressure wall suction, the PureWick™ Female External Catheter wicks urine away from the patient and into a designated collection canister. With the PureWick™ Female External Catheter, you now have a new option for managing female urinary incontinence.
Saturday, January 7, 2023
MDS Review Process Webinar - Connecticut Department of Social Services January 10, 2023
The State of Connecticut will be implementing an MDS Review process during the first quarter of 2023.
To assist in this endeavor, the State of Connecticut has contracted with Myers and Stauffer to conduct provider training for this review process. The training will be held via webinar format on January 10, 2023.
Please click on the link to register.
Please plan to join us during the scheduled session.
If unable to attend, the presentation will be posted to the Myers and Stauffer website following the event.
Registration is required.
Who Should Attend
This training’s targeted audience are those facility staff members involved with or impacted by the MDS process, including but not limited to:
� Administrators � MDS Coordinators
� Directors of Nursing � Consultants
Date & Time
January 10, 2023 2:00 pm - 3:00 pm
To register, Click here!
Webinar Code: 2429 624 7110
Webinar Password: CTTraining
Dial–in Number: 1-844-740-1264
Dial–in Password: 28872464
Friday, January 6, 2023
Ankle Brachial Index
The ankle-brachial index test is a quick, simple way to check for peripheral artery disease (PAD).
The disease occurs when narrowed arteries reduce the blood flow to the arms and legs.
PAD can cause leg pain when walking. PAD also increases the risk of heart attack and stroke.
Thursday, January 5, 2023
F - 695
KEY ELEMENTS OF NONCOMPLIANCE §483.25(i)
To cite deficient practice at F695, the surveyor's investigation will generally show that the facility failed to do one or more of the following:
- Provide necessary respiratory care and services, such as oxygen therapy, treatments, mechanical ventilation, tracheostomy care, and/or suctioning; or
- Provide necessary respiratory care consistent with professional standards of practice, the resident’s care plan, goals and preferences.
Hemptosis
https://www.gponline.com/haemoptysis-red-flag-symptoms/respiratory-system/article/1336656?bulletin=bulletins%2Fdailynews&utm_medium=EMAIL&utm_campaign=eNews%20Bulletin&utm_source=20221216&utm_content=GP%20Daily%20(38)::www_gponline_com_article__9&email_hash=#r3z-addoor
Amyloidosis
Amyloid fibrils are protein polymers comprising identical monomer units (homopolymers).
Functional amyloids play a beneficial role in a variety of physiologic processes (eg, long-term memory formation, gradual release of stored peptide hormones).
Amyloidosis results from the accumulation of pathogenic amyloids—most of which are aggregates of misfolded proteins—in a variety of tissues. [1]
https://emedicine.medscape.com/article/335414-overview
https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/amyloidosis/amyloidosis
Monoclonal Gammopathy
A benign condition in which there is a higher-than-normal level of a protein called M protein in the blood. Patients with monoclonal gammopathy of undetermined significance are at an increased risk of developing cancer. Also called MGUS.
https://emedicine.medscape.com/article/204297-overview
https://www.cancer.gov/publications/dictionaries/cancer-terms/def/monoclonal-gammopathy-of-undetermined-significance
Wernicke's Encephalopathy
Wernicke's encephalopathy is a degenerative brain disorder caused by the lack of thiamine (vitamin B1). It may result from alcohol abuse, dietary deficiencies, prolonged vomiting, eating disorders, or the effects of chemotherapy. B1 deficiency causes damage to the brain's thalamus and hypothalamus.
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