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Content

Long Term Care


Long Term Care



PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN LONG TERM CARE PART 1: PREVENTION REVIEW

Healthcare-associated infections in long term care are infections that develop after a resident's admission to a long term care facility. Elderly residents in both acute and long term care settings are particularly vulnerable to infections, partly due to the age-related decline in immunologic function, but also due to the fact that antibody production declines with age.

This program, provides nurses and others with an understanding of the importance of preventing healthcare-associated infections in long-term care, starting with a review of infection control guidelines and procedures recommended by government agencies and professional organizations.

After viewing this program, the learner should be able to:
  • List the six links in the Chain of Infection
  • Identify the most effective means of preventing the transmission of pathogens
  • Describe the key components of both Standard Precautions and Transmission-based Precautions
  • Explain Safe Injection Practices


  • DVD (Closed Captioned) / 2018 / 33 minutes

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    PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN LONG TERM CARE PART 2: FACILITY CONCERNS

    Healthcare-associated infections in long term care are infections that develop after a resident's admission to a long term care facility. Elderly residents in both acute and long term care settings are particularly vulnerable to infections, partly due to the age-related decline in immunologic function, but also due to the fact that antibody production declines with age. The Centers for Medicare and Medicaid Services (CMS) has specific requirements aimed at reducing healthcare-associated infections in long term care settings. Other organizations, such as the Joint Commission and the Agency for Healthcare Research and Quality (AHRQ) have also developed recommendations and guidelines for reducing healthcare-associated infections.

    This program, describes the requirements and guidelines aimed at preventing healthcare-associated infections in long-term care. In addition, strategies for preventing the transmission of infections of concern often found in long term care settings—such as pneumonia, CAUTI, C. diff., and Candida auris—are demonstrated and described.

    After viewing this program, the learner should be able to:

    Describe components of a facility's Infection Control Program and Quality Assurance Program as required by CMS.
    Describe risk factors and control measures for the following:
  • Influenza
  • Pneumonia
  • UTIs/CAUTI
  • Pressure wounds
  • MRSA
  • C. diff
  • Candida auris


  • DVD (Closed Captioned) / 2018 / 26 minutes

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    "BOB, I'M REALLY BUSY": THE IMPACT OF IMPERSONAL CARE ON THE WELL-BEING OF PERSONS LIVING WITH DEMENTIA

    Through five short trigger scenarios involving assistance for a person living with dementia, this DVD presents care situations that will open up discussion on how best to provide resident-specific support and assistance. Each brief scenario is designed to demonstrate the impact of a caregiver's tone, actions, and level of sensitivity to the resident's needs. This up-close-and-personal look at caregiving will give caregivers a chance to dissect and analyze how they provide care, and foster a deeper understanding of how to interact positively with persons living with dementia.

    DVD / 2015 / 12 minutes

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    FALL PREVENTION IN LONG TERM CARE PART 1: RISK ASSESSMENT

    Falls among older residents and other at-risk residents are very common. This program will cover the importance of making a risk assessment for each person in your care, and a risk assessment of the environment at the facility.

    This program updated with a new look and feel - that can help you and your institution meet the Joint Commission's National Patient Safety Goals for Long Term Care.

    After completing this course, the learner should be able to:
  • Identify the seven crucial screening factors that must be assessed to determine a resident's level of fall risk.
  • Conduct a thorough risk assessment of the environment throughout the facility.
  • Accurately identify which patients are at risk for trips and falls in a facility.
  • Educate at risk residents and their family members about the specific risk factors associated with their condition, and review strategies to minimize them.
  • Utilize a variety of tools and techniques to minimize fall risk in the resident environment.


  • DVD / 2015 / 19 minutes

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    FALL PREVENTION IN LONG TERM CARE PART 2: PREVENTIVE STRATEGIES AND PRODUCTS

    Falls are associated with increased morbidity and mortality, especially for those over 65. This program provides nurses and other healthcare providers with information about the wide variety of preventative strategies and products that can be used to reduce the risk of injury from falls.

    This program updated with a new look and feel - that can help you and your institution meet the Joint Commission's National Patient Safety Goals for Long Term Care.

    After completing this course, the learner should be able to:
  • Identify the risk or level of risk for residents
  • Implement preventative strategies and nursing procedures to reduce the risk of falls for residents
  • Utilize a wide range of tools and products designed to prevent falls and protect residents from fall-related injuries.


  • DVD / 2015 / 17 minutes

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    FALL PREVENTION IN LONG TERM CARE PART 3: A COMPREHENSIVE FALL PREVENTION PROGRAM

    Falls are associated with increased morbidity and mortality, especially for those over 65. This program will describe creating a comprehensive fall reduction program. In addition, the steps to make to a post-fall report will be provided.

    This program updated with a new look and feel - that can help you and your institution meet the Joint Commission's National Patient Safety Goals for Long Term Care.

    After completing this course, the learner should be able to:
  • Identify the purpose and duties of a fall prevention committee
  • Explain the importance of defining risk assessment policies and procedures within the facility
  • Describe the importance of defining fall prevention protocols, educating fellow staff members and monitoring the effectiveness of protocols once they have been put in place
  • Outline important points to cover in a post-fall assessment and root cause analysis


  • DVD / 2015 / 21 minutes

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    INFECTION CONTROL IN LONG TERM CARE: AN INTRODUCTION

    Faced with dangerous bloodborne pathogens like HIV and hepatitis B and C, and a rise in the number of multidrug-resistant organisms, preventing the spread of infections has never been more important for healthcare professionals working in long term care.

    This program - the first in a five-part series on infection control - provides healthcare professionals working in long term care with background information on the development of infection control techniques, and reviews the fundamentals of pathogen transmission, which serves as the basis for strategies to interrupt that transmission.

    After completing this course, the learner should be able to:
  • Describe events the led to the development of improved infection control practices
  • Name two measures developed by OSHA and the Joint Commission to improve infection control practices
  • Identify the CDC network used for reporting healthcare-acquired infections
  • Identify and describe each link in the Chain of Infection


  • DVD / 2014 / 14 minutes

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    INFECTION CONTROL IN LONG TERM CARE: MULTIDRUG-RESISTANT ORGANISMS

    Multidrug-resistant organisms (MDROs) are primarily the result of unnecessary and excessive antibiotic use, and are associated with increased patient and resident morbidity and mortality, increased length of stays, and rising costs of care. Therefore, it is prudent that the spread of these microorganisms be prevented. This course, the last in the five part Infection Control in Long Term Care series, is designed to provide healthcare professionals working in long term care with essential information about the causes of MDROs, the main types of MDROs, and their characteristics.

    After completing this course, the learner should be able to:
  • Describe the main reasons for the upsurge in multidrug-resistant organisms
  • Identify and understand the key characteristics of different MDROs
  • Implement strategies to prevent the spread of MDROs


  • DVD / 2014 / 16 minutes

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    INFECTION CONTROL IN LONG TERM CARE: PRECAUTIONS

    Precautions have been developed by OSHA and the CDC to help prevent and control the spread of infectious diseases. It is essential that all healthcare professionals working in long term care be aware of and abide by these precautions. This third course in the five part series on Infection Control in Long Term Care is designed to introduce and discuss these infection control policies.

    After completing this course, the learner should be able to:
  • Describe OSHA's Bloodborne Pathogens Standard.
  • Describe the CDC's Standard Precautions.
  • Explain the elements of the CDC's Transmission-based Precautions.
  • Describe the Needlestick Safety and Prevention Act.
  • Implement infection prevention practice strategies, including handling sharps, linen and trash, contaminated spills, and addressing lab issues.


  • DVD / 2014 / 21 minutes

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    INFECTION CONTROL IN LONG TERM CARE: REGULATORY AND ADMINISTRATIVE MEASURES

    Reducing the number of healthcare-associated infections (HAIs) is a complex issue and a number of government agencies and healthcare organizations have developed guidelines and standards to prevent the transmission of dangerous pathogens.

    This program - the second in a five-part series on infection control - provides healthcare professionals working in long term care with an understanding of administrative and regulatory measures from the CDC, OSHA, and the Joint Commission that are designed to protect healthcare workers - and the residents they care for - from dangerous pathogens in the long term care environment.

    After completing this course, the learner should be able to:
  • Identify four federal agencies that work to prevent transmission of HAI
  • Describe three approaches the Joint Commission uses to promote infection control in healthcare facilities
  • Define a "sentinel event"
  • Explain the benefit of reporting infection transmission data to the National Healthcare Safety Network (NHSN)


  • DVD / 2014 / 13 minutes

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    INFECTION CONTROL IN LONG TERM CARE: SAFE WORK PRACTICES

    Safe practices have been developed by OSHA, the CDC, and NIOSH to help prevent and control the spread of infectious diseases. It is essential that all healthcare professionals working in long term care be aware of and abide by these preventive practices. This is the fourth course in the five part series on Infection Control in Long Term Care and is designed to introduce and discuss these infection control policies.

    After completing this course, the learner should be able to:
  • Explain the importance of performing proper hand hygiene
  • Describe and properly perform the different hand hygiene methods
  • Perform appropriate fingernail care
  • Describe the appropriate use of personal protective equipment
  • Demonstrate how to remove personal protective equipment properly
  • Describe considerations related to infection control safe practices


  • DVD / 2014 / 13 minutes

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    ELDER MISTREATMENT ASSESSMENT

    Elder abuse or mistreatment can take on various forms that often go undetected. The Elder Assessment Instrument (EAI) is designed to help caregivers identify possible abuse, neglect, exploitative, and abandonment indicators. The DVD encourages a team approach in incorporating elder abuse screening in the general older adult health assessment, and takes a realistic look at the potential challenges associated with an accurate assessment, such as patient restriction on sharing of information, and limiting caregiver presence during assessment.

    DVD / 2009 / 39 minutes

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    PREDICTING PRESSURE ULCER RISK (BRADEN SCALE)

    This DVD shows how to administer and interpret the Braden Scale for predicting pressure sore risks in home, hospital, and long-term care environments. Encouraging a visual-and-touch skin assessment in conjunction with the Braden scale, it specifies what to look for, how to prevent pressure ulcers, and how to assist patients with maintaining skin integrity after discharge. Covers the 6 dimensions of the Braden Scale: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

    DVD / 2009 / 39 minutes

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    TRANSIENT URINARY INCONTINENCE IN OLDER ADULTS

    Failure to identify transient urinary incontinence may result in established urinary incontinence, a problem which affects over 17 million adults, and puts older adults at risk for further complications, such as, skin breakdown, falls, and placement in long-term care settings. Using an actual case study, this DVD demonstrates the best practices for assessing and treating transient urinary incontinence, a skill which all healthcare providers can develop and apply within their practice setting.

    DVD / 2009 / 40 minutes

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    MANAGING DEPRESSION: CONSIDERATIONS IN THE OLDER PATIENT

    Presenters: Robert L. Spitzer, MD; K. Ranga Krishnan, MD; Sheldon H. Preskorn, MD

    This program features leading medical experts presenting information on short and long term treatment of mood disorders. The faculty will address diagnosis, treatment options, clinical drug therapy, and management of mood disorders in the older patient. Additional topics wil be: polypharmacy, comorbid medical conditions, drug interactions, and the impact of depression on cognition, functions, and motor skills.


    DVD / 2008 / 90 minutes

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    COMPETENCE WITH COMPASSION: ETHICAL DECISION-MAKING IN THE CHANGING CULTURE OF LONG-TERM CARE

    This new 'Train-The-Trainer' package looks at the ethical issues that come into play while providing care in the LTC setting. It uses two 3-to 5-minute video excerpts (one involving a 'minor' struggle between a staff member and an elderly woman, and the other involving a well-intentioned Independent Living resident whose 'forceful' actions toward his wife, a resident in a nursing home, are perceived as abusive) to document many of the concerns and ethical responsibilities that are integral to providing quality care.

    DVD / 2007 / 8 minutes

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    ELDER LOVING CARE - ORAL HYGIENE CAREGIVER TRAINING

    This DVD will equip home, hospital, and long-term care staff with basic oral care skills to assess, assist with, and perform daily oral hygiene needs for older adults. The DVD demonstrates wet gauze cleansing, as well as, the proper techniques to clean teeth, dentures, the tongue, and inside cheeks. It identifies examples of good oral care, examples that need improved care, and specifies sign to watch for and report, such as, bleeding, ulcers, cracked lips or mouth, and redness. Caregivers will also learn how to assist those with special needs, such as, stroke survivors, persons with dementia, or unconscious/unresponsive patients.

    Applying these necessary oral care basics can greatly improve overall health, and sense of well being for older adults.


    DVD / 2007 / 15 minutes

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    PREVENTING MEDICATION ERRORS IN LONG-TERM CARE

    Medication errors cause major health complications and thousands of deaths in the long-term care setting each year. This new video identifies where, when, and why most medication errors occur, and offers guidelines to help facilities greatly reduce the likelihood of errors.

    Caregivers will learn how to:
  • ecognize potential risk areas
  • use proactive prevention techniques
  • properly administer various internal and external medications
  • reduce MedicationPass deficiencies during state survey

  • Medication Administration Techniques module includes step-by-step demonstrations on how to administer injections, as well as, oral, rectal, and inhalant medications.


    DVD / 2007 / 30 minutes

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    CREATING A HOME IN NURSING HOMES: PERSPECTIVES FROM THE INSIDE

    What would it truly take to design a 'home' in the long-term care setting? This program identifies the ideal 'home' environment for care facilities by pinpointing many of the characteristics central to a resident's sense of emotional and physical well being. Based on first-hand input from residents, family members, and caregiver staff, the program looks at everything from cultural and spiritual needs to the physical environment and activities, and uses that information to document how caregivers and facilities can enhance the overall quality of life for residents.

    Staff will learn practical tips they can use to help residents:
  • stay connected to the outside world,
  • participate in familiar, meaningful activities, and
  • maintain a sense of personal choice and control.


  • DVD / 21 minutes

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    ADVANCES IN THE TREATMENT OF DEPRESSION

    Presenters: Phebe Tucker, MD; Lawrence J. Cohen, PharmD, FASHP; Charles B. Nemeroff, MD, PhD; Charles F. Reynolds III, MD; Kevin Scott Ferentz, MD

    Explains short and long term treatment in the elderly, describes clinical drug therapy or treatment protocols, reviews disease management of depression in the managed care setting, discusses pharmacoeconomics of depression and explains the contemporary management of depression.


    DVD / 120 minutes

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    BON APPETIT! HOW TO CREATE MEANINGFUL MELATIMES IN LONG-TERM CARE

    This DVD training program presents a comprehensive mealtime program that focuses on principles of resident autonomy and person centered care. Special attention is devoted to identifying the needs of people with dementia.

    The program covers:
  • The effects of dementia of communications, behavior and eating.
  • Creating dining experiences with less distraction.
  • How to prepare and serve food in a way that enables the resident to eat as independently as possible.


  • DVD / 40 minutes

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    FIRE SAFETY FOR LONG TERM CARE



    DVD

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    FIRE SAFETY IN LONG TERM CARE

    This proactive training program will equip all levels of staff to recognize and correct potential fire hazards, and apply the proper emergency procedures in the event of a fire. The program is divided into 5 modules with breaks in between each module for staff interaction, and focuses not only on emergency response to a fire, but equally on fire prevention awareness. What sets this program apart from others on this topic is its use of vignettes that show a sample fire safety plan in action which will enable you to compare and evaluate the effectiveness of the fire emergency procedures at your facility.

    DVD / 43 minutes

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    I'M PRETTY OLD

    This program is made up exclusively of the reflections and comments of several older residents in a long term care facility talking about what it is like for them to give up a certain amount of independence as they experience increased physical frailty.

    This program is an excellent resource for professionals who work with residents in long term care facilities. It is also valuable for viewing by older adults themselves.


    DVD / 20 minutes

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    LONG TERM CARE SURVEY PROCESS, THE: A FRONTLINE GUIDE

    What are your staff's responsibilities during a state survey? How should staff communicate with surveyors? This video will answer these questions as it explains the goal of the state survey, and what happens before, during, and after a survey. The video lists the top deficiencies found in most facilities to staff can pay special attention to those specific areas. The video also documents how to address concerns during the Deficiency Review Process, how to develop a Plan of Correction, and how to prepare for the next survey.

    DVD / 14 minutes

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    PROMOTING HEALTHY AGING: MANAGED CARE AND THE OLDER PATIENT

    Presenters: Robert N. Butler, MD; Frederick T. Sherman, MD,MSc; Emily Rhinehart, RN, MPH, CPHQ; Skip Klein, CFA; John C. Rother, JD

    Roundtable discussion of managed care and the older patient


    DVD / 90 minutes

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    RESIDENTS' RIGHTS TODAY: RESPECTFUL CARE IN CHANGING TIMES

    This program presents a contemporary overview of residents' rights in the long term care context. It covers how residents' rights can be affected by other characteristics of today's long term care environment, including:

  • Increased cultural, ethnic, language and age diversity
  • More time and work-flow pressure on staff
  • The impact of outside stresses on staff, especially for single parents and employees working two jobs
  • What residents' rights are and why they are so important in the life and culture of a long term care facility
  • The specific rights everyone in a nursing home must understand and uphold
  • What staff, residents and family members should know about dealing with concerns and complaints early and effectively


  • DVD / 20 minutes

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    SUPERVISORY TECHNIQUES FOR CHARGE NURSES IN LONG TERM CARE FACILITIES

    This program takes a 'work smarter' approach to leadership as it empowers anyone in a supervisory role to communicate effectively with others, lead by example and set the tone for improved staff performance and accountability across the board. The video gives practical solutions to resolving conflict, gaining and giving respect, organizing time and creating well-organized strategies that benefit the residents as well as the entire staff. The hands on techniques shared in this video will help supervisors take a realistic look at themselves as role models and enable them to identify areas where they excel or may need an alternate approach.

    DVD / 20 minutes

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    SURFING FOR LIFE

    By David L. Brown and Roy Earnest

    Surfing For Life is a documentary about healthy aging and life-well-lived from the unique perspective of 7 male and 3 female surfers who have been surfing since the 30's, 40's and 50's and now range in age from 60 to 93. Through interviews centered on key aspects of healthy aging, along with archival and present day footage of the film's subjects surfing and living their lives, an entertaining image of successful aging emerges. For surfers and non-surfers alike, this program celebrates life and encourages the viewer to pursue whatever hopes and dreams inspire passion.

    From a gerontological point of view, Surfing For Life is an intriguing exercise in applied gerontology and can serve as a springboard for discussion about holistic aspects of healthy and successful aging. The interviews touch on many of the hallmarks of successful aging such as exercise, diet, reminiscence, intergenerational involvement and mentoring, healthy acceptance and management of the physical changes that come with growing older, stress reduction, family relationships, long-term friendships, a sense of community, being of service to others, spirituality, an elemental connection with nature, and joyful peak experiences. The program leaves viewers with a renewed sense of the human potential of later life and provides a powerful alternative to the largely negative view of the capacities of older people held by many in our youth dominated society.


    DVD / 55 minutes

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    SUSTAINING COMPASSION WHILE EXPERIENCING GRIEF DEALING WITH REPEATED LOSS IN LONG TERM CARE

    Grief...Loss...and Caregivers....

    Sustaining Compassion While Experiencing Grief provides a much-needed outlet to help caregiving staff address and learn how to manage grief in an environment of repeated loss. Giving life to the very real concepts of 'compassion fatigue' and 'repetitive grief', the program looks at the emotional dynamics of caregiving, and will help staff to talk about and work through their grief individually and within a group setting, allowing for better self-care and ultimately, better resident care.

    In addition to outlining the 4 steps to 'Healthy Grieving', the program notes the benefits of staff-only memorial services that enable staff to acknowledge their grief through positive and practical avenues.

    An ideal resource for staff motivation and morale, as well as, improved resident care!


    DVD / 25 minutes

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