Welcome to COMS Interactive and Daylight IQ®

Daylight IQ is the first healthcare delivery system based upon disease management, clinical outcomes measurement and performance improvement for long term care residents.

Daylight IQ® is the first healthcare delivery system based upon disease management, clinical outcomes measurement and performance improvement for long term care residents.

Nursing facilities find it difficult to manage residents who have multiple acute and chronic diseases. Unfortunately, this translates into declining health for elderly residents and an increased rate of hospital re-admissions.

Daylight IQ® helps address the national trend of escalating hospital re-admissions from nursing homes, from which nearly 30% of skilled residents are re-admitted.

 

  • Address more than 85% of chronic diseases that lead to re-hospitalization
  • Increase skilled bed occupancy by up to 87%
  • Reduce resident re-hospitalization by 50%

 

Clinical Care Reminder - Stroke Management

10 Keys to Successful Staff Management of Residents with Stroke:

  1. Assure Resident/ Family Understanding of Diagnosis/Prognosis and Plan of Care
  2. Know and Understand Goals of Care
  3. Assess and Manage Dysphagia and Risks of Aspiration
  4. Assess Risk of, and Manage Deep Vein Thrombosis
  5. Assess Risk of, and Manage Urinary Tract Infection
  6. Identify and Manage Depression
  7. Identify and Manage Peripheral Nerve/ Immobile Limb (Ex- trauma / contracture)
  8. Maintain Skin Integrity; Identify and Manage Skin Ulcers
  9. Assess Fall Risk; Implement Prevention Steps; Assure Safety
  10. Implement Secondary Stroke Prevention:

• Anticoagulation
• Hypertension
• Atrial Fibrillation
• Diabetes
• Hyperlipidemia

Signs & Symptoms

  • Sudden numbness, weakness, paralysis on face, arm, leg- usually one side of body
  • Sudden difficulty speaking or understanding speech
  • Sudden blurred, double or decreased vision
  • Sudden severe headache
  • Confusion, memory problems

Treatment:

Ischemic

  • Remove obstruction & restore blood flow
    • Clot busting drugs (3 hours), Carotid endarterectomy, Angioplasty
  • Prevention
    • Anti-platelet drugs (Plavix), ASA, Anticoagulants

Hemorrhagic

  • Possible surgery
    • Aneurysm clipping- clamp at base of aneurysm
  • Coiling- Catheter place in aneurysm to cause clotting and seal off aneurysm
    • Surgery to remove aneurysm
    • Focused radiation or embolization

Management:

  • Monitor for Progression/ Recurrence
  • Manage Risk of Dysphagia/ Aspiration/ Pneumonia
  • Prevent/ Manage Deep Vein Thrombosis
  • Prevent/ Manage UTI
  • Manage Depression
  • Maintain Skin Integrity
  • Institute Falls/ Safety Measures
  • Institute Prevention Measures
  • Therapy to Manage/Restore Functional Abilities