Guardianship Bill of Rights (HB 26-1100)
DOWNLOAD-Guardianship Bill of Rights – Update effective August 12, 2026 Effective August 12, 2026 — relevant to residents with a court-appointed guardian Governor Polis signed House Bill 26-1100 on May…
Cloudy Urine, Pyuria, and UTI: A Long-Term Care Reference
Suspected urinary tract infection is the most common trigger for antibiotic use in long-term care, yet the majority of these episodes do not represent a true, treatable infection. This report…
Assessment of older adults with diminished capacity; handout for psychologist
published by theAmerican bar Associationand the American psychiatric Association
Emperic Antibiotic Prescribing in LTC
Presentation by Nori Rickaby PharmD and Jennifer Connelly PharmD. 5-5-26 - PALTmed-Colorado (CMDA) - Matching the Drug to the Bug: Empiric Antibiotic Prescribing in Long-Term Care LTC Antibiotic Presentation V3-5-5-26Download
Valproic Acid for Behavioral and Psychiatric Symptoms in Dementia (BPSD) – Not Really
I really could not find any evidence base that supports utilizing valproic acid for dementia related behaviors. Most resources also believe that the risk outweighs the benefits and the consensus…
Telligen Midwest QIN-QIO
QIO Partner Letter (1) (1)Download Midwest QIO Nursing Home Support and ServicesDownload Midwest CMS QIN-QIO Cybersecurity Flyer Jan. 2026Download
March 2026 – Medical Director Report
.. PALTmed Colorado (CMDA) 31st Annual Conference April 24, 2026 More information available here. Registration Page Pikes Peak Ethics Committee Meeting Survey updates COVID / Influenza / RSV update Pneumonia…
Gabapentin for Pain:
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:…
February Medical Director Report
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…
January 2026 Medical Director Report
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…
2025 GOLD Report – Global Initiative for Chronic Obstructive Lung Disease – GOLD
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…
AHA/ACC 2022 HF Guidelines
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…
Restless Legs Syndrome: New guideline provides treatment recommendations for RLS
Evaluate for and treat underlying conditions that can exacerbate RLS • Iron Deficiency • OSA, PLMS • CKD, ESRD • Alcohol, caffeine, antihistaminergic, serotonergic, antidopaminergic medications • Diabetes, COPD •…
Multiple adverse outcomes associated with antipsychotic use in people with dementia: population based matched cohort study | The BMJ
https://www.bmj.com/content/385/bmj-2023-076268
Don’t Lose Your Head: Altered Mental Status (AMS) and UTI
Clinical-Pearl-Altered-Mental-Status-and-UTIDownload
Fifteen Things Physicians and Patients Should Question in Post-Acute and Long-Term Care:
Choosing Wisely | AMDA (paltc.org)
Alzheimer’s Hope – Making Life Better TODAY
Meet all dementia patients where THEY are. https://www.alzheimershope.com/10absolutes/six.php
Lecture: UTI or ASB?
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…
Cloudy Urine, Pyuria, and UTI: A LTC Reference:
Suspected urinary tract infection is the most common trigger for antibiotic use in long-term care, yet the majority of these episodes do not represent a true, treatable infection. This report…
August 2026 Medical Director Report
Pikes Peak Ethics Committee Meeting Cloudy Urine, Pyuria, and UTI: A LTC Reference: Suspected urinary tract infection is the most common trigger for antibiotic use in long-term care, yet the…
Overprescribing antibiotics for asymptomatic bacteriuria in older adults: a case series review of admissions in two UK hospitals – PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC6498584/ Urine dipsticks may lead to overprescribing of antibiotics.
July 2026 Medical Director Report
Pikes Peak Ethics Committee Meeting Antibiotic Stewardship There has been increased scrutiny from survey teams about antibiotic stewardship. I think that at last one tag has been issued related to…
The face of illusory truth: Repetition of information elicits affective facial reactions predicting judgments of truth – PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC12130120/ Abstract People tend to judge repeated information as more likely true compared with new information. A key explanation for this phenomenon, called the illusory truth effect, is that repeated…