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Worst Career Mistakes and How to Fix Them Physicians Are Not Providers: The Ethical Significance of Names in Health Care: A Policy Paper From the American College of Physicians | Annals of Internal Medicine Gabapentin for Pain: Things We Do for No Reason™: Prescribing gabapentinoids for pain – Patel – Journal of Hospital Medicine – Wiley Online Library Things We Do for No Reason™: Prescribing gabapentinoids for pain
Pain

Gabapentin for Pain:

March 5, 2026 dashephe

Things We Do for No Reason: Prescribing gabapentinoids for pain Journal of Hospital Medicine: Things We Do for No Reason- Full Article What are gabapentinoids? The evidence against routine use:…

Med Director Report

February Medical Director Report

January 16, 2026 dashephe

Pikes Peak Ethics Committee Meeting Falls: Special Focus for Surveyors Regulatory Updates Vaccination Documentation COVID/Influenza/RSV Tapering Antidepressants: What Strategy Works Best? For adults with remitted depression, gradual tapering of antidepressant…

Med Director Report

January 2026 Medical Director Report

January 5, 2026 dashephe

Pikes Peak Ethics Committee Meeting Physician Visits Regulations Facility Assessment COVID & Influenza Pharmacy Long-Term Care Pharmacy Crisis Could Affect 80% of Nursing Home Residents – Skilled Nursing News An…

COPD Internal Med

2025 GOLD Report – Global Initiative for Chronic Obstructive Lung Disease – GOLD

July 19, 2025 dashephe

2025 GOLD Guidelines can be foud here — > https://goldcopd.org/2025-gold-report/ Oral Steroids is no longer recommended from long term chronic treatment of COPD. GOLD-2025-Report-v1.0-15Nov2024_WMV.pdf Evidence suggesting that oral corticosteroids increase…

heart failure Internal Med

AHA/ACC 2022 HF Guidelines

March 7, 2025 dashephe

2022 AHA/ACC/HFSA Heart Failure Guideline: Key Perspectives – American College of Cardiology HFpEF LVEF > 50% HFrEF LVEF <40% Drugs: #458 Heart Failure with Reduced Ejection Fraction – The Curbsiders…

Education Internal Med

Restless Legs Syndrome: New guideline provides treatment recommendations for RLS

December 6, 2024 dashephe

Evaluate for and treat underlying conditions that can exacerbate RLS • Iron Deficiency • OSA, PLMS • CKD, ESRD • Alcohol, caffeine, antihistaminergic, serotonergic, antidopaminergic medications • Diabetes, COPD •…

Dementia Psychiatry

Multiple adverse outcomes associated with antipsychotic use in people with dementia: population based matched cohort study | The BMJ

September 20, 2024 dashephe

https://www.bmj.com/content/385/bmj-2023-076268

Abx Stewardship UTI

Don’t Lose Your Head: Altered Mental Status (AMS) and UTI

September 19, 2024 dashephe

Clinical-Pearl-Altered-Mental-Status-and-UTIDownload

Education

Fifteen Things Physicians and Patients Should Question in Post-Acute and Long-Term Care: 

April 11, 2024 dashephe

Choosing Wisely | AMDA (paltc.org)

CDPHE Infxn Control RSV

RSV Outbreak Plan

December 21, 2023 dashephe

RSV-outbreak-planDownload

Dementia Education Uncategorized

Alzheimer’s Hope – Making Life Better TODAY

October 31, 2023 dashephe

Meet all dementia patients where THEY are. You cannot reason with an illogical person who has dementia. https://www.alzheimershope.com/10absolutes/six.php

Abx Stewardship UTI

Lecture: UTI or ASB?

August 30, 2023 dashephe

Washington State Dept of Health Antimicrobial Stewardship of UTI in the LTC Setting. UTI lecture #1 Slides Washington State Dept of Health Debunking the Myths Associated with UTI Lecture Video…

Uncategorized

Worst Career Mistakes and How to Fix Them

March 6, 2026 dashephe
Uncategorized

Physicians Are Not Providers: The Ethical Significance of Names in Health Care: A Policy Paper From the American College of Physicians | Annals of Internal Medicine

March 6, 2026 dashephe

https://www.acpjournals.org/doi/10.7326/ANNALS-25-03852

Uncategorized

Things We Do for No Reason™: Prescribing gabapentinoids for pain – Patel – Journal of Hospital Medicine – Wiley Online Library

March 3, 2026 dashephe

https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.70286?prg140729=f1335091-5cc4-4924-ae9e-e059f7bc10a7

Uncategorized

Things We Do for No Reason™: Prescribing gabapentinoids for pain

March 2, 2026 dashephe

https://www.doximity.com/newsfeed/6712804e-7ec1-4790-b2c3-f04d98d40d5c/public

Uncategorized

What Do the New VCID Guidelines Mean for Clinical Practice?

February 18, 2026 dashephe

https://www.medscape.com/viewarticle/what-do-new-vcid-guidelines-mean-clinical-practice-2026a10001ar?ecd=mkm_ret_260218_mscpmrk_neuro_dementia_etid8112303&uac=400669MN&impID=8112303

Uncategorized

QAPI guide

February 16, 2026 dashephe

https://drive.google.com/file/d/1joQGuXZQC0MI7opc0TJ-YZHnqcdsZMco/view

Nutrition

Diet Texture Modifications

February 11, 2026 dashephe

Liquids Risk Level IDDSI Level Description Typical Indication Lowest 0 – Thin Water, coffee Safe swallow on MBS/FEES Mild risk 1–2 – Slightly/Mildly Thick Nectar consistency Delayed swallow trigger Moderate…

Vaccine

Adult Vaccine Schedule 2025

February 10, 2026 dashephe

vaccine schedule 2025Download

Uncategorized

New Cellular Clues Reveal a Path to Preventing Sarcopenia

February 4, 2026 dashephe

https://www.medscape.com/viewarticle/new-cellular-clues-reveal-path-preventing-sarcopenia-2026a10002kn?ecd=wnl_sci_tech_260204_MSCPEDIT_etid8079912&uac=400669MN&impID=8079912

Posts pagination

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PALTmed-Colorado

  • Secondary Prevention After Ischemic Stroke / Peripheral Artery Disease in the Lower Extremities
  • HEART FAILURE: The Guidelines, The Latest, Considerations with Older Adults
  • Glaucoma medications, Microtransitions
  • Anti-seizure Medications, Moving Forward, CHCA and CDPHE
  • Improving patient treatment expectations; SNFist outcomes

Resources

  • CMS QAPI Guide
  • CO Regs
    • / LTC Regulations
    • / Standards for Licensure
    • / Occurrence Reporting Manual
  • Pharmacy
    • Drug Shortage Information ASHP
  • CDPHE
    • / Reportable Infectious Diseases | CDPHE
    • / CDPHE RPP webpage
    • / Resp Protection Program
    • / Long-term and residential care facilities | Colorado COVID-19 Updates
    • / Mitigation guidance
    • / State Op Manual - Appendix PP (cms.gov)
  • COVID-19 /Influenza / RSV
    • /COVID-19, influenza, and RSV resources for residential and long-term care facilities | Colorado Department of Public Health and Environment
    • / Managing HCP with covid infxn or exposure
    • / Liverpool COVID-19 Interactions
  • Antibiotic Stewardship and Infection Control
    • / Antimicrobial Stewardship in LTC -CDPHE
    • / Nursing Home Antibiotics Guidelines Summary Resource CDPHE
    • / Graphics and Videos | Be Antibiotics Aware Partner Toolkit | Antibiotic Use | CDC
  • Viral respiratory diseases report CDPHE
  • RESP-NET Interactive Dashboard | CDC
  • COVID-19, influenza, and RSV resources for residential and long-term care facilities | Colorado Department of Public Health and Environment

  • F-Tag Help -- Search
  • Survey - Scope and Severity Table
  • Institute for Safe Medication Practices

MedPageToday

  • 'This Isn't About Turning Doctors Into Dieticians': What We Heard This Week
  • Scrubs Were Never Meant to Be About You
  • Quiz Time: What Caused Trump's Neck Redness?
  • As Literacy Rates Lag, a Pediatric Hospital Is Screening for Reading Ability
  • COVID Vaccination and Preeclampsia; Menstrual Blood for HPV Testing

JAMDA

  • CHROME 2.0 Reduces Psychotropic Prescribing, Improving Neuropsychiatric Symptoms and Falls in People With Dementia
  • Fall History Is the Only Morse Fall Scale Item That Differentiates Nursing Home Residents Who Fall From Those Who Do Not
  • Family Caregiver Perspectives on Advance Care Planning Discussions for Residents With Dementia Led by Trained Nursing Home Staff: Insights From the APPROACHES Project
  • Response to Letter to the Editor: Comment on “Effectiveness of a Community-Based eHealth Program on Self-Care, Cognition, and Health Outcomes of Older Adults With Chronic Diseases”
  • The Microtransition Adverse Event Sign-In/Sign-Out (MASS) Form: A Potential Solution to Communication Barriers for Outpatient Medical Appointments and Nonmedical Outings in Post-Acute and Long-Term Care

ACP AD advanced care planning advanced directive alz alzheimers antipsychotics anxiety bells bowel CDPHE CME COVID covid vaccine covid vax CVA dementia depression docusate education Falls infection infection control iron mcgeer measles MedicalDirectorReport Mg milk of magnesia MOM MOST myocarditis Pain/opioid psych RespProtectProg RLS RPP rsv ssi stroke TB UTI vaccine Vision   HEALTH ADVISORY 

You missed

Uncategorized

Worst Career Mistakes and How to Fix Them

March 6, 2026 dashephe
Uncategorized

Physicians Are Not Providers: The Ethical Significance of Names in Health Care: A Policy Paper From the American College of Physicians | Annals of Internal Medicine

March 6, 2026 dashephe
Pain

Gabapentin for Pain:

March 5, 2026 dashephe
Uncategorized

Things We Do for No Reason™: Prescribing gabapentinoids for pain – Patel – Journal of Hospital Medicine – Wiley Online Library

March 3, 2026 dashephe

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