• Healthcare Headlines: October 2018

    By Kindred Healthcare

    Healthcare Headlines Banner

    Virtual Doctor Visits Are Getting More Popular, But Questions Remain About Who Pays

    Provisions within the federal budget law Congress passed this year expands the use of telemedicine, which could go mainstream within 5 to 10 years. Read more

    Study: More Practices Employing Nurse Practitioners, Physician Assistants 

    According to a study reported in JAMA Internal Medicine, more practices are employing nurse practitioners or physician assistants. Read more

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  • Healthcare Headlines - July 2016 in Review

    By Kindred Healthcare

    HCH Monthly

    The Night Doctor is in: Why 'Nocturnalists' Are Replacing Some On-Call Physicians

    More hospitals are hiring experienced "nocturnalists" to improve patient safety and prevent calls to tired on-call physicians, according to an article in the Boston Globe. Read More  

    Healthcare Hiring Momentum Leads to another 38,500 Jobs in June

    Healthcare added 38,500 jobs in June and a total of 234,600 jobs in the first six months of 2016, according to initial seasonally adjusted figures from the Bureau of Labor Statistics. Read More  

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  • American Diabetes Association Alert Day®

    By Tuyen Dudinskie, RD, LD

    Did you know that every fourth Tuesday of every March is The American Diabetes Association Alert Day? Diabetes is an epidemic and is the seventh leading cause of death in the United States. Over 25 million children and adults in the United States or 8.3% of the population have diabetes. Approximately 7 million people are unaware that they have diabetes and go undiagnosed. As a result, on Tuesday, March 25, 2014, The American Diabetes Association is “Alerting” the public to this chronic disease and is asking everyone to take the Diabetes Risk Test to find out if you are at risk for developing type 2 diabetes.

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  • Kindred: Services for Every Post-Acute Need

    By Kindred Healthcare

    Just as there are different kinds of patients, there are different kinds of hospitals. Kindred Transitional Care Hospitals provide a wide range of services to help patients with complex medical issues who need additional recovery time after a stay at a traditional hospital. While every patient receives individualized care from a team of healthcare professionals, our goal is for each person to reach the highest level of recovery before discharge.

    With our Direct Admit Program, physicians can admit medically complex patients from short-term acute care hospitals, skilled nursing facilities, home health and other service providers directly to a Kindred Hospital. We work directly with physicians to make sure their patients have a smooth transition into our hospitals and the highest level of care continuity to prevent future readmissions.

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  •  Stacey Seggelke, MS, RN, CNS, CDE, BC-ADM Stacey Seggelke, MS, RN, CNS, CDE, BC-ADM

    Stacey Seggelke, sees patients with diabetes both in and out of the hospital, and shared her experiences at the Kindred Clinical Impact Symposium. She is a member of the inpatient Glucose Management team at the University of Colorado Hospital and has an outpatient diabetes clinic one day per week.

    There has been a steady and significant increase in diabetes over the last 30 years. It affects 8 percent of the population, and it is estimated that there are 79 million people who are pre-diabetic. Even when it is not the primary diagnosis, diabetes impacts the care provided to the person, and Seggelke works with her patients from admission to discharge to make sure that the treatments for other medical issues don’t harm the patient or cause problems related to their diabetes.

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  • Pathophysiology of Diabetes Mellitus

    By Kindred Healthcare

    As we learn more about the pathophysiology of diabetes mellitus, we find that there is more yet to be discovered. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Type 1 diabetes is due to pancreatic islet B cell destruction predominantly by an autoimmune process, and these persons are prone to ketoacidosis. While type 2 diabetes is the more prevalent form and results from insulin resistance with a defect in compensatory insulin secretion. Diabetes can lead to serious complications, resulting in multiple diseases or disorders that affect multiple systems that may result in premature death.

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  • The 2011 Clinical Impact Symposium Cardio-Pulmonary Rehabilitation Across the Continuum, held December 6-8 in Louisville, Ky., offered some great information on providing patients the highest level of care.

    Cardio-Pulmonary Clinical Impact Symposium “The clinical guidelines for long-term care and rehabilitation have evolved gradually and changed considerably over the last several years,” he says. “Skilled nursing facilities have sometimes lagged behind. Dr. Pandya provided some easy-to-follow instructions and tools that will help those facilities to better manage their patients with diabetes.”

    Sean Muldoon, M.D., Chief Medical Officer and Senior Vice President, Hospital Division, Kindred Healthcare, says that the “hazards of immobility that lead to polymyoneuropathy” theme was a common one during several of the sessions. “This validates the Kindred model of integrated restorative services, which will lead staff to update these findings with renewed determination into hospital care models,” he says.

     

    Daniel Forman, MD, FACC, FAHADaniel Forman, MD, FACC, FAHA

     

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  • Diabetes: Risk for Cardio-Pulmonary Disease

    By Ryan Squire
    Naushira Pandya, MD, CMDNaushira Pandya, MD, CMD

    Dr. Pandya outlined identified the objectives of her talk to review the goals of glycemic control: One size does not fit all, review the current guidelines from several national organizations for cardiovascular risk, and review best practices for diabetes management.

    Diabetes is a head to toe disease: Retinal disease, stroke, nephropathy, neuropathy, large and small vessel disease of the extremities and  this emphasizes the range of diabetes impact.

    There are many potential barriers to improved management of diabetes: Institutional challenges, staff/practitioner resistance, and complexity of medication regimens and all may negatively impact diabetic control. Yet, there are several basic principles that apply to diabetes management, and must involve an inter professional clinical team:

    Maintaining functional status is the over arching goal of all interventions applicable to diabetes management.

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