http://www.mcknights.com Latest articles from McKnight's Long Term Care News McKnight's Home Long-term care magazine for owners and operators of nursing homes, continuing care retirement communities (CCRC's), extended care, institutional care, and senior/eldercare facilities Home custserv@mcknights.com no The Obama administration has announced an "accommodation" to its controversial law requiring all employer insurance plans to offer free contraceptive services in their health plans. <p><a href="http://feedads.g.doubleclick.net/~a/RtE5ANu4Fm21vdSs_VA5w8k7JEw/0/da"><img src="http://feedads.g.doubleclick.net/~a/RtE5ANu4Fm21vdSs_VA5w8k7JEw/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/RtE5ANu4Fm21vdSs_VA5w8k7JEw/1/da"><img src="http://feedads.g.doubleclick.net/~a/RtE5ANu4Fm21vdSs_VA5w8k7JEw/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/X7ihDPuv_QQ" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/X7ihDPuv_QQ/ Fri, 10 Feb 2012 17:38:40 GMT The Obama administration has announced an "accommodation" to its controversial law requiring all employer insurance plans to offer free contraceptive services in their health plans. McKnight's http://www.mcknights.com/obama-administration-announces-modification-on-employer-paid-birth-control-requirement/article/227349/ Criminal background checks have not been found to significantly limit the quantity or quality of candidates for nursing home jobs, a top nursing home advocate says. A recent government survey of nursing home administrators paints an accurate picture of what once was forecast as a contentious issues, LeadingAge Director of Advocacy Information Barbara Gay told McKnight's Wednesday. <p><a href="http://feedads.g.doubleclick.net/~a/gpxRVOv4KsZ0dP-A9_daPPyDj94/0/da"><img src="http://feedads.g.doubleclick.net/~a/gpxRVOv4KsZ0dP-A9_daPPyDj94/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/gpxRVOv4KsZ0dP-A9_daPPyDj94/1/da"><img src="http://feedads.g.doubleclick.net/~a/gpxRVOv4KsZ0dP-A9_daPPyDj94/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/n5h_Av-H3YU" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/n5h_Av-H3YU/ Fri, 10 Feb 2012 11:30:00 GMT Criminal background checks have not been found to significantly limit the quantity or quality of candidates for nursing home jobs, a top nursing home advocate says. A recent government survey of nursing home administrators paints an accurate picture of what once was forecast as a contentious issues, LeadingAge Director of Advocacy Information Barbara Gay told McKnight's Wednesday. McKnight's http://www.mcknights.com/survey-most-nursing-home-administrators-say-background-checks-are-helpful-efficient/article/227183/ Undiagnosed neurological conditions such as cervical myelopathy could be the reason for many falls and hip fractures in the elderly, new research shows. <p><a href="http://feedads.g.doubleclick.net/~a/Ssw8VC7k4V7yNPwYjAx5VNS7ZzA/0/da"><img src="http://feedads.g.doubleclick.net/~a/Ssw8VC7k4V7yNPwYjAx5VNS7ZzA/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/Ssw8VC7k4V7yNPwYjAx5VNS7ZzA/1/da"><img src="http://feedads.g.doubleclick.net/~a/Ssw8VC7k4V7yNPwYjAx5VNS7ZzA/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/cu8z4kZWUGE" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/cu8z4kZWUGE/ Fri, 10 Feb 2012 11:30:00 GMT Undiagnosed neurological conditions such as cervical myelopathy could be the reason for many falls and hip fractures in the elderly, new research shows. McKnight's http://www.mcknights.com/undiagnosed-neurological-condition-could-contribute-to-falls-fractures-in-the-elderly-research-finds/article/227184/ So I'm listening to the radio the other day when a friendly but serious voice starts in about about how putting a loved one in a nursing home is a gut-wrenching choice. It's all just a prelude to the kill shot: If you are dissatisfied or concerned about the care your loved one might be receiving, why don't you give his law firm a call? Lovely. <p><a href="http://feedads.g.doubleclick.net/~a/X5mDGQdAM424xlOD4DDA6D5DiWY/0/da"><img src="http://feedads.g.doubleclick.net/~a/X5mDGQdAM424xlOD4DDA6D5DiWY/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/X5mDGQdAM424xlOD4DDA6D5DiWY/1/da"><img src="http://feedads.g.doubleclick.net/~a/X5mDGQdAM424xlOD4DDA6D5DiWY/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/wgrYMTlKHmA" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/wgrYMTlKHmA/ Fri, 10 Feb 2012 11:30:00 GMT So I'm listening to the radio the other day when a friendly but serious voice starts in about about how putting a loved one in a nursing home is a gut-wrenching choice. It's all just a prelude to the kill shot: If you are dissatisfied or concerned about the care your loved one might be receiving, why don't you give his law firm a call? Lovely. McKnight's http://www.mcknights.com/vultures-and-the-smell-test/article/227152/ It's not much of a surprise that many therapists are excellent at everything in their job — except screening. <p><a href="http://feedads.g.doubleclick.net/~a/cVwXqnHAQZYYqyLrCFI_2Iv5KPQ/0/da"><img src="http://feedads.g.doubleclick.net/~a/cVwXqnHAQZYYqyLrCFI_2Iv5KPQ/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/cVwXqnHAQZYYqyLrCFI_2Iv5KPQ/1/da"><img src="http://feedads.g.doubleclick.net/~a/cVwXqnHAQZYYqyLrCFI_2Iv5KPQ/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/37kpo1-TIwU" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/37kpo1-TIwU/ Thu, 09 Feb 2012 20:48:27 GMT It's not much of a surprise that many therapists are excellent at everything in their job — except screening. McKnight's http://www.mcknights.com/effectively-screen-those-residents/article/227165/ Relief could be on the horizon for providers, regulators and other stakeholders who have struggled to find common evaluation and payment models for individuals who move between post-acute care settings, researchers say. <p><a href="http://feedads.g.doubleclick.net/~a/LJPFp_SaaqGHMXSut1ZcC2ZC3Es/0/da"><img src="http://feedads.g.doubleclick.net/~a/LJPFp_SaaqGHMXSut1ZcC2ZC3Es/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/LJPFp_SaaqGHMXSut1ZcC2ZC3Es/1/da"><img src="http://feedads.g.doubleclick.net/~a/LJPFp_SaaqGHMXSut1ZcC2ZC3Es/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/3XZ33VXQzwo" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/3XZ33VXQzwo/ Thu, 09 Feb 2012 18:52:31 GMT Relief could be on the horizon for providers, regulators and other stakeholders who have struggled to find common evaluation and payment models for individuals who move between post-acute care settings, researchers say. McKnight's http://www.mcknights.com/common-pay-system-for-three-post-acute-care-settings-appears-doable-new-report-says/article/227148/ Dementia advocates in Massachusetts are hoping to fix a loophole that allows nursing homes to advertise dementia units without requiring special training for workers. <p><a href="http://feedads.g.doubleclick.net/~a/D6b2fFE58sNU9UP7ifc1iPFKY6Q/0/da"><img src="http://feedads.g.doubleclick.net/~a/D6b2fFE58sNU9UP7ifc1iPFKY6Q/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/D6b2fFE58sNU9UP7ifc1iPFKY6Q/1/da"><img src="http://feedads.g.doubleclick.net/~a/D6b2fFE58sNU9UP7ifc1iPFKY6Q/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/muz9tIv0nz4" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/muz9tIv0nz4/ Thu, 09 Feb 2012 11:30:00 GMT Dementia advocates in Massachusetts are hoping to fix a loophole that allows nursing homes to advertise dementia units without requiring special training for workers. McKnight's http://www.mcknights.com/legislation-would-mandate-special-training-for-dementia-care-workers/article/226979/ Senior citizens who receive Social Security benefits cannot opt out of Medicare and rely solely on private insurance, a federal appeals court ruled Tuesday. <p><a href="http://feedads.g.doubleclick.net/~a/-raSQjpcaNqcgFJ7DFcI8c-gEFY/0/da"><img src="http://feedads.g.doubleclick.net/~a/-raSQjpcaNqcgFJ7DFcI8c-gEFY/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/-raSQjpcaNqcgFJ7DFcI8c-gEFY/1/da"><img src="http://feedads.g.doubleclick.net/~a/-raSQjpcaNqcgFJ7DFcI8c-gEFY/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/0oxLubBBb0Q" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/0oxLubBBb0Q/ Thu, 09 Feb 2012 11:30:00 GMT Senior citizens who receive Social Security benefits cannot opt out of Medicare and rely solely on private insurance, a federal appeals court ruled Tuesday. McKnight's http://www.mcknights.com/social-security-recipients-cannot-opt-out-of-medicare-appeals-court-rules/article/226980/ Provider groups are urging President Obama to consider nursing home funding when he releases his fiscal 2013 budget next week. The budget proposal is expected to include Medicare cuts worth $248 billion and Medicaid cuts of up to $72 billion. <p><a href="http://feedads.g.doubleclick.net/~a/qoD8rHsQeMVoU0l9nd_E8GYMYQk/0/da"><img src="http://feedads.g.doubleclick.net/~a/qoD8rHsQeMVoU0l9nd_E8GYMYQk/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/qoD8rHsQeMVoU0l9nd_E8GYMYQk/1/da"><img src="http://feedads.g.doubleclick.net/~a/qoD8rHsQeMVoU0l9nd_E8GYMYQk/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/sYkmYfIQ77k" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/sYkmYfIQ77k/ Wed, 08 Feb 2012 18:00:38 GMT Provider groups are urging President Obama to consider nursing home funding when he releases his fiscal 2013 budget next week. The budget proposal is expected to include Medicare cuts worth $248 billion and Medicaid cuts of up to $72 billion. McKnight's http://www.mcknights.com/nursing-home-groups-respond-to-obamas-proposed-medicare-and-medicaid-cuts/article/226942/ The Obama administration has said it will devote $50 million to fund Alzheimer's research this year, and an additional $80 million in 2013. <p><a href="http://feedads.g.doubleclick.net/~a/SYbuqJFbkcJ9XwGKcMllkH7m40E/0/da"><img src="http://feedads.g.doubleclick.net/~a/SYbuqJFbkcJ9XwGKcMllkH7m40E/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/SYbuqJFbkcJ9XwGKcMllkH7m40E/1/da"><img src="http://feedads.g.doubleclick.net/~a/SYbuqJFbkcJ9XwGKcMllkH7m40E/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/xmOalPbxsu8" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/xmOalPbxsu8/ Wed, 08 Feb 2012 11:30:00 GMT The Obama administration has said it will devote $50 million to fund Alzheimer's research this year, and an additional $80 million in 2013. McKnight's http://www.mcknights.com/obama-administration-boosts-alzheimers-research-with-50-million-in-funding/article/226797/ Authorities in Tennessee are on the lookout for a prison inmate who escaped while working at a nursing home laundry facility Sunday, officials said. <p><a href="http://feedads.g.doubleclick.net/~a/JsO-JGg-WHr25vju1-1k-E1XTLY/0/da"><img src="http://feedads.g.doubleclick.net/~a/JsO-JGg-WHr25vju1-1k-E1XTLY/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/JsO-JGg-WHr25vju1-1k-E1XTLY/1/da"><img src="http://feedads.g.doubleclick.net/~a/JsO-JGg-WHr25vju1-1k-E1XTLY/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/jbH5rgU8jXc" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/jbH5rgU8jXc/ Wed, 08 Feb 2012 11:30:00 GMT Authorities in Tennessee are on the lookout for a prison inmate who escaped while working at a nursing home laundry facility Sunday, officials said. McKnight's http://www.mcknights.com/tn-inmate-escapes-from-custody-while-in-nursing-home-laundry-facility/article/226796/ President Obama's 2013 budget proposal calls for spending cuts to Medicare and Medicaid, including a reduction in Medicare payments to nursing homes. <p><a href="http://feedads.g.doubleclick.net/~a/MNW9lFmZ9Dp_hhbuAIgSHa4IksQ/0/da"><img src="http://feedads.g.doubleclick.net/~a/MNW9lFmZ9Dp_hhbuAIgSHa4IksQ/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/MNW9lFmZ9Dp_hhbuAIgSHa4IksQ/1/da"><img src="http://feedads.g.doubleclick.net/~a/MNW9lFmZ9Dp_hhbuAIgSHa4IksQ/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/WMroNxizGKA" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/WMroNxizGKA/ Tue, 07 Feb 2012 17:52:35 GMT President Obama's 2013 budget proposal calls for spending cuts to Medicare and Medicaid, including a reduction in Medicare payments to nursing homes. McKnight's http://www.mcknights.com/obamas-budget-proposal-would-reduce-medicare-payments/article/226712/ This program focuses on the growing number of aging patients primary care providers are seeing and the unique challenges they present. <p><a href="http://feedads.g.doubleclick.net/~a/ucJAqGzvV_uGO2NObKFGBxU5i_M/0/da"><img src="http://feedads.g.doubleclick.net/~a/ucJAqGzvV_uGO2NObKFGBxU5i_M/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/ucJAqGzvV_uGO2NObKFGBxU5i_M/1/da"><img src="http://feedads.g.doubleclick.net/~a/ucJAqGzvV_uGO2NObKFGBxU5i_M/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/VeOZ6JKzbFc" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/VeOZ6JKzbFc/ Tue, 07 Feb 2012 17:00:00 GMT This program focuses on the growing number of aging patients primary care providers are seeing and the unique challenges they present. McKnight's http://www.mcknights.com/screening-for-functional-deficits-in-older-adults/article/226244/ A group of researchers has developed a more accurate way of calculating mortality rates of the oldest Americans, which might lead to more realistic cost projections for Social Security and Medicare. <p><a href="http://feedads.g.doubleclick.net/~a/90dckbKQ6pw4rpW_UgnhNPuldIc/0/da"><img src="http://feedads.g.doubleclick.net/~a/90dckbKQ6pw4rpW_UgnhNPuldIc/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/90dckbKQ6pw4rpW_UgnhNPuldIc/1/da"><img src="http://feedads.g.doubleclick.net/~a/90dckbKQ6pw4rpW_UgnhNPuldIc/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/KADcpec2iZ0" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/KADcpec2iZ0/ Tue, 07 Feb 2012 11:30:00 GMT A group of researchers has developed a more accurate way of calculating mortality rates of the oldest Americans, which might lead to more realistic cost projections for Social Security and Medicare. McKnight's http://www.mcknights.com/americans-lifespan-shorter-than-previously-thought-study-finds/article/226497/ As required by the Affordable Care Act, the National Quality Forum convened the Measure Applications Partnership (MAP) to develop a coordinated performance measurement approach across PAC and LTC settings. <p><a href="http://feedads.g.doubleclick.net/~a/G-wERozZIOapQA9lB8F4_PEJKZo/0/da"><img src="http://feedads.g.doubleclick.net/~a/G-wERozZIOapQA9lB8F4_PEJKZo/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/G-wERozZIOapQA9lB8F4_PEJKZo/1/da"><img src="http://feedads.g.doubleclick.net/~a/G-wERozZIOapQA9lB8F4_PEJKZo/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/h4Xhs3tqktc" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/h4Xhs3tqktc/ Tue, 07 Feb 2012 11:30:00 GMT As required by the Affordable Care Act, the National Quality Forum convened the Measure Applications Partnership (MAP) to develop a coordinated performance measurement approach across PAC and LTC settings. McKnight's http://www.mcknights.com/long-term-care-stakeholders-submit-quality-measures-performance-report-to-hhs/article/226499/ About 30 states can expect a drop in federal matching rates for Medicaid in fiscal year 2014, with only a handful seeing an increase, according to a new report. <p><a href="http://feedads.g.doubleclick.net/~a/TelB_XVxUjT3PO3pJkQqhKLiZCY/0/da"><img src="http://feedads.g.doubleclick.net/~a/TelB_XVxUjT3PO3pJkQqhKLiZCY/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/TelB_XVxUjT3PO3pJkQqhKLiZCY/1/da"><img src="http://feedads.g.doubleclick.net/~a/TelB_XVxUjT3PO3pJkQqhKLiZCY/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/Xxh2q2qUI9w" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/Xxh2q2qUI9w/ Mon, 06 Feb 2012 17:32:23 GMT About 30 states can expect a drop in federal matching rates for Medicaid in fiscal year 2014, with only a handful seeing an increase, according to a new report. McKnight's http://www.mcknights.com/federal-medicaid-matching-rate-to-decline-in-2014/article/226437/ So often as administrators, we focus on the bigger picture items of our typical day: meetings, staffing, financials, marketing, building/maintenance, QI, etc. These are important and essential components. But sometimes it's the little things, the simple things, that can be so powerful. <p><a href="http://feedads.g.doubleclick.net/~a/xcNfCksV5ZdRMrkHXUs8iLNy7hQ/0/da"><img src="http://feedads.g.doubleclick.net/~a/xcNfCksV5ZdRMrkHXUs8iLNy7hQ/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/xcNfCksV5ZdRMrkHXUs8iLNy7hQ/1/da"><img src="http://feedads.g.doubleclick.net/~a/xcNfCksV5ZdRMrkHXUs8iLNy7hQ/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/HDx-LiGMejE" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/HDx-LiGMejE/ Mon, 06 Feb 2012 16:29:41 GMT So often as administrators, we focus on the bigger picture items of our typical day: meetings, staffing, financials, marketing, building/maintenance, QI, etc. These are important and essential components. But sometimes it's the little things, the simple things, that can be so powerful. McKnight's http://www.mcknights.com/make-a-difference-today/article/226361/ Nearly all residents at a German geriatric rehabilitation hospital had insufficient levels of vitamin D, while more than two-thirds had severely deficient levels, a new study has found. <p><a href="http://feedads.g.doubleclick.net/~a/yyUYXmhlu4-OskBMUGwkc9cGBTQ/0/da"><img src="http://feedads.g.doubleclick.net/~a/yyUYXmhlu4-OskBMUGwkc9cGBTQ/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/yyUYXmhlu4-OskBMUGwkc9cGBTQ/1/da"><img src="http://feedads.g.doubleclick.net/~a/yyUYXmhlu4-OskBMUGwkc9cGBTQ/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/62evGe4rQqA" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/62evGe4rQqA/ Mon, 06 Feb 2012 11:30:00 GMT Nearly all residents at a German geriatric rehabilitation hospital had insufficient levels of vitamin D, while more than two-thirds had severely deficient levels, a new study has found. McKnight's http://www.mcknights.com/elderly-nursing-home-residents-are-deficient-in-vitamin-d-study-says/article/226264/ Risk factors that may contribute to development of venous stasis ulcers include history of leg swelling, varicose veins, history of blood clots, deep vein thrombosis, obesity, sedentary lifestyle, prolonged sitting or standing, increasing age and associated immobility, multiple pregnancies, congestive heart failure and smoking. <p><a href="http://feedads.g.doubleclick.net/~a/DccaL_7WktYPag-RuMXY7DH27Vs/0/da"><img src="http://feedads.g.doubleclick.net/~a/DccaL_7WktYPag-RuMXY7DH27Vs/0/di" border="0" ismap="true"></img></a><br/> <a href="http://feedads.g.doubleclick.net/~a/DccaL_7WktYPag-RuMXY7DH27Vs/1/da"><img src="http://feedads.g.doubleclick.net/~a/DccaL_7WktYPag-RuMXY7DH27Vs/1/di" border="0" ismap="true"></img></a></p><img src="http://feeds.feedburner.com/~r/McKnights/~4/_sPC70lae8c" height="1" width="1"/> http://feedproxy.google.com/~r/McKnights/~3/_sPC70lae8c/ Wed, 01 Feb 2012 11:30:00 GMT Risk factors that may contribute to development of venous stasis ulcers include history of leg swelling, varicose veins, history of blood clots, deep vein thrombosis, obesity, sedentary lifestyle, prolonged sitting or standing, increasing age and associated immobility, multiple pregnancies, congestive heart failure and smoking. McKnight's http://www.mcknights.com/ask-the-treatment-expert-what-are-the-key-points-of-caring-for-venous-stasis-wounds/article/225328/