Randomized Controlled Trial of the Caregiver Orientation for Mobilizing Personal Assets and Strengths for Self-Care (COMPASS) for Caregiving Journey: A National Family Caregiver Support Program in a Long-Term Care Insurance System
To investigate the effects of a national support program on family caregivers for long-term care (LTC) recipients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 30, 2020 Category: Health Management Authors: Eun-Jeong Han, Myonghwa Park, Seyoung Park, Thi-Thanh-Tinh Giap, Duhee Han Tags: Original Study Source Type: research

Prevalence of Spasticity in Nursing Home Residents: Knowing Spasticity Better and Filling in the Gaps
The recent publication by Gill et  al1 on the prevalence of spasticity in nursing home residents has caught our attention. We concur with the authors that spasticity is common in the nursing home setting, and its negative association with activities of daily living (ADL) does impede function, adding to increased burden of care for health care workers. A discussion on the clinical specifics and models of spasticity care for residents in nursing homes deserves our attention. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 29, 2020 Category: Health Management Authors: Yeow Leng Tan, Minghe Moses Koh Tags: Letter to the Editor Source Type: research

Handgrip Strength Asymmetry and Weakness May Accelerate Time to Mortality in Aging Americans
This study sought to determine the associations of HGS asymmetry and weakness on time to mortality in aging Americans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 28, 2020 Category: Health Management Authors: Ryan McGrath, Grant R. Tomkinson, Dain P. LaRoche, Brenda M. Vincent, Colin W. Bond, Kyle J. Hackney Tags: Original Study - Brief Report Source Type: research

Rates of PRN Medication Administration in Australian Residential Aged Care
To investigate administration of pro re nata (PRN) medications and nurse-initiated medications (NIMs) in Australian aged care services over a 12-month period. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 28, 2020 Category: Health Management Authors: Leonie Picton, Jenni Ilom äki, Claire S. Keen, Samanta Lalic, Beverly Adams, Lisa M. Clinnick, Carl M. Kirkpatrick, Taliesin Ryan-Atwood, Justin P. Turner, J. Simon Bell Tags: Original Study Source Type: research

Residential Greenness Alters Serum 25(OH)D Concentrations: A Longitudinal Cohort of Chinese Older Adults
Vitamin D deficiency is prevalent among older adults. We aimed to study whether residential greenness could alter serum 25(OH)D concentrations as a possible mechanism of residential greenness's positive health effects. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 27, 2020 Category: Health Management Authors: Anna Zhu, Yi Zeng, John S. Ji Tags: Original Study Source Type: research

Time Trends in Opioid Use by Dementia Severity in Long-Term Care Nursing Home Residents
We examined the temporal trends in opioid use by dementia severity and the association of dementia severity with opioid use in long-term care nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 27, 2020 Category: Health Management Authors: Hemalkumar B. Mehta, Yong-Fang Kuo, Mukaila Raji, Shuang Li, Jordan Westra, James S. Goodwin Tags: Original Study Source Type: research

What Should We be Studying Regarding COVID-19?
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 26, 2020 Category: Health Management Authors: David A. Smith, Arif Nazir, Paul R. Katz Source Type: research

Do Patients Retain their Family Physicians after Long-Term Care Entry? A Retrospective Cohort Study
Older adults value and benefit from the long-standing relationship they have with their family physicians. This dynamic has not been researched in a long-term care (LTC, ie, nursing home) setting. We sought to determine the proportion of LTC residents who retain their community family physician within the first 180  days of LTC, and the resident, physician, and LTC home factors that may influence retention. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 22, 2020 Category: Health Management Authors: Emiliyan Staykov, Danial Qureshi, Mary Scott, Robert Talarico, Amy T. Hsu, Michelle Howard, Andrew P. Costa, Celeste Fung, Michael Ip, Clare Liddy, Peter Tanuseputro Tags: Original Study Source Type: research

The Nuts and Bolts of Utilizing Telemedicine in Nursing Homes – The GeriCare@North Experience
We examined the demographics and the clinical profile of teleconsultations conducted between an acute geriatric medicine department and 8 nursing homes over a period of 6.5  years. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 20, 2020 Category: Health Management Authors: James Alvin Low, Hui Jin Toh, Laurence Lean Chin Tan, Joanne Wee Koon Chia, Angeline Tian Seah Soek Tags: Original Study Source Type: research

Home Health Services in the Time of Coronavirus Disease 2019: Recommendations for Safe Transitions
As the coronavirus disease 2019 (COVID-19) pandemic has led health systems to focus on hospital capacity, hospitals are emphasizing early discharges to prepare for and mitigate patient surges. This has resulted in greater numbers of older adults with COVID-19 who require home health (HH) services. HH care of older adults with COVID-19 leads to several unique risk categories: (1) risks to HH providers; (2) risks to patients/families; and (3) risks to subsequent patients/families the HH provider will visit. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 18, 2020 Category: Health Management Authors: Sara C. Keller, Ayse P. Gurses, Mary G. Myers, Alicia I. Arbaje Tags: Letter to the Editor Source Type: research

Quality of Nursing Homes and Admission of Residents With Alzheimer's Disease and Related Dementias: The Potential Influence of Market Factors and State Policies
This study aimed to examine the associations between nursing home (NH) quality and prevalence of newly admitted NH residents with Alzheimer's disease and related dementias (ADRD), and to assess the extent to which market-level wages for certified nursing assistants (CNAs) and state Medicaid behavioral and mental health add-on policy may influence such associations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 18, 2020 Category: Health Management Authors: Di Yan, Sijiu Wang, Helena Temkin-Greener, Shubing Cai Tags: Original Study Source Type: research

Predictive Performance of the FIF Screening Tool in 2 Cohorts of Community-Living Older Adults
The First-time Injurious Fall (FIF) screening tool was created to identify fall risk in community-living older adults who may benefit from primary preventive interventions. The aim of this study was to evaluate the predictive performance of the FIF tool in 2 cohorts of older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 18, 2020 Category: Health Management Authors: Nathalie Frisendahl, Stina Ek, Erik Rosendahl, Anne-Marie Bostr öm, Cecilia Fagerström, Sölve Elmståhl, Anna-Karin Welmer Tags: Original Study Source Type: research

Home Health Services in the Time of COVID-19: Recommendations for Safe Transitions
We describe challenges in providing HH services in the time of COVID-19 and present recommendations to improve transitional care and the safety of older adults, families, and HH providers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 18, 2020 Category: Health Management Authors: Sara C. Keller, Ayse P. Gurses, Mary G. Myers, Alicia I. Arbaje Tags: Letter to the Editor Source Type: research

Contributions of Modifiable Risk Factors to Dementia Incidence: A  Bayesian Network Analysis
To determine and compare the contributions of modifiable risk factors (RFs) with the prevention of dementia in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 17, 2020 Category: Health Management Authors: Jing-hong Liang, Lin Lu, Jia-yu Li, Xin-yuan Qu, Jing Li, Sheng Qian, Ying-quan Wang, Rui-xia Jia, Chun-sheng Wang, Yong Xu Tags: Review Article Source Type: research

High Prevalence of Multidrug-Resistant Organism Colonization in 28 Nursing Homes: An “Iceberg Effect”
Determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus spp. (VRE), extended-spectrum beta-lactamase producing organisms (ESBLs), and carbapenem-resistant Enterobacteriaceae (CRE) among residents and in the environment of nursing homes (NHs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2020 Category: Health Management Authors: James A. McKinnell, Loren G. Miller, Raveena D. Singh, Gabrielle Gussin, Ken Kleinman, Job Mendez, Bryn Laurner, Tabitha D. Catuna, Lauren Heim, Raheeb Saavedra, James Felix, Crystal Torres, Justin Chang, Marlene Estevez, Joanna Mendez, Gregory Tchakalian Tags: Original Study Source Type: research

Autonomy Support of Nursing Home Residents With Dementia in Staff-Resident Interactions: Observations of Care
This study aimed to explore to which extent autonomy is supported within staff –resident interactions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2020 Category: Health Management Authors: Linda J.M. Hoek, Hilde Verbeek, Erica de Vries, Jolanda C.M. van Haastregt, Ramona Backhaus, Jan P.H. Hamers Tags: Original Study Source Type: research

Gold Standards Framework Can Identify Primary Care Patients Who Would Benefit from a Palliative Approach
Brunei is a rapidly “graying” population, where the number of people aged 65 years and older increased from 17,800 to 22,600 from 2015 to 2017, respectively. In 2017, the crude death rate was 4%, equating to 1696 deaths per year. Of these, 52.5% of the total deaths were comprised of noncommunicable diseases, namel y cancer, heart disease, diabetes mellitus, and cerebrovascular disease.1 Development of palliative care services is necessary to improve the quality of life of patients and their families facing life-threatening illnesses. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2020 Category: Health Management Authors: Jia Xin Chong, Shyh Poh Teo, Asmah Husaini, Munikumar R. Venkatasalu Tags: Research Letter Source Type: research

Solving the COVID-19 Crisis in Post-Acute and Long-Term Care
Our nation ’s nursing home industry has been in need of overhaul for decades – a situation made all the more evident by COVID-19. AMDA – The Society of Post-Acute and Long-Term Care Medicine is dedicated to quality in post-acute and long-term care (PALTC) process and outcomes. This special article presen ts five keys to solving the COVID-19 crisis in PALTC, related to policy, collaboration, individualization, leadership, and reorganization. Taking action during this crisis may prevent sinking back into the complacency and habits of our pre-COVID-19 lives. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2020 Category: Health Management Authors: Christopher E. Laxton, David A. Nace, Arif Nazir, AMDA – The Society for Post-acute and Long-term Care Medicine Tags: Special Article Source Type: research

Plasma therapies and parabiosis in the COVID-19 era
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2020 Category: Health Management Authors: Riccardo Calvani, Anna Picca, Francesco Landi, Emanuele Marzetti Tags: Letter to the Editor Source Type: research

Is there a Link between Nursing Home Reported Quality and COVID-19 Cases? Evidence from California Skilled Nursing Facilities
During the COVID-19 outbreak in the U.S., nursing homes became the hotbed for the spread of COVID-19. States developed different policies to mitigate the COVID-19 risks at nursing homes, including limiting nursing home visitation and mandating staff screening. The purpose of this study is to examine whether COVID-19 cases and deaths are related to the nursing home reported quality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 15, 2020 Category: Health Management Authors: Mengying He, Yumeng Li, Fang Fang Tags: Original Studies Source Type: research

The effects of ARBs, ACEIs and statins on clinical outcomes of COVID-19 infection among nursing home residents
Statin intake is associated with beneficial effects on COVID-19 clinical symptoms in elderly nursing home residents. Statin intake, mostly if combined with an ACEi or ARB, is possibly associated with less severe clinical outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 15, 2020 Category: Health Management Authors: Anton De Spiegeleer, Antoon Bronselaer, James T. Teo, Geert Byttebier, Guy De Tr é, Luc Belmans, Richard Dobson, Evelien Wynendaele, Christophe Van De Wiele, Filip Vandaele, Diemer Van Dijck, Dan Bean, David Fedson, Bart De Spiegeleer Tags: Original Studies Source Type: research

Nursing Home Characteristics Associated with COVID-19 Deaths in Connecticut, New Jersey, and New York
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 15, 2020 Category: Health Management Authors: Mark Aaron Unruh, Hyunkyung Yun, Yongkang Zhang, Robert T. Braun, Hye-Young Jung Tags: Research Letters Source Type: research

Allowing visitors back in the nursing home during the COVID-19 crisis – A Dutch national study into first experiences and impact on well-being
Positive results from a study of the safety and impact of following national guidelines for nursing home visitors during COVID-19 led the Dutch national government to permit all nursing homes to cautiously allow visitors. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 15, 2020 Category: Health Management Authors: Hilde Verbeek, Debby L. Gerritsen, Ramona Backhaus, Bram S. de Boer, Raymond TCM. Koopmans, Jan PH. Hamers Tags: Original Studies Source Type: research

What Have We Learned about Nursing from the Coronovirus Pandemic
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 13, 2020 Category: Health Management Authors: Barbara Resnick Tags: Letter to the Editor Source Type: research

Uncovering the Devaluation of Nursing Home Staff During COVID-19: Are We Fuelling the Next Health Care Crisis?
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 11, 2020 Category: Health Management Authors: Katherine McGilton, Astrid Escrig-Pinol, Adam Gordon, Charlene H. Chu, Franziska Z úñiga, Montserrat Gea Sanchez, Veronique Boscart, Julienne Meyer, Kirsten N. Corazzini, Alessandro Ferrari Jacinto, Karen Spilsbury, Annica Backman, Kezia Scales, Anette Source Type: research

Efficacy of a Test-Retest Strategy in Residents and Health Care Personnel of a Nursing Home facing a COVID-19 Outbreak
A wide testing strategy is effective in detecting asymptomatic COVID-19 residents and HCP in a NH facing COVID-19 outbreak. Symptomatic residents and HCP as well as asymptomatic HCP with negative testing may also play a role in the virus spread within the NH. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 11, 2020 Category: Health Management Authors: Hubert Blain, Yves Rolland, Edouard Tuaillon, Nadia Giacosa, Myl ène Albrand, Audrey Jaussent, Athanase Benetos, Stéphanie Miot, Jean Bousquet Tags: Original Study - Brief Report Source Type: research

Home-Based Primary Care Led-Outbreak Mitigation in Assisted Living Facilities in the First One Hundred Days of COVID-19
In this report, we describe the methods our home-based primary care (HBPC) practice has developed to mitigate the spread of COVID-19 in assisted living facilities (ALFs) and we present an initial evaluation of this innovation. Shortly after the first COVID-19 case was reported in the U.S., our organization assembled an outbreak committee, designed to support the 1,794 ALF residents and the 101 communities in which they reside. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 11, 2020 Category: Health Management Authors: William R. Mills, Janet M. Buccola, Susan Sender, Joseph Lichtefeld, Nicholas Romano, Karen Reynolds, Melissa Price, Jennifer Phipps, Leigh White, Shauen Howard, DHA Tags: Pragmatic Innovations Source Type: research

How a Barcelona post-acute facility became a referral center for comprehensive management of subacute patients with COVID-19
The paper describes how a large post-acute care facility in Barcelona, was adapted at the outbreak of the COVID 19 pandemic to become a polyvalent reference center for older COVID-19 patients assessed as not requiring intensive care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 11, 2020 Category: Health Management Authors: Marco Inzitari, Cristina Udina, Oscar Len, Joan Ars, Cristina Arnal, Hugo Badani, Vanessa Davey, Ester Risco, Pere Ayats, Ana M. de Andr és, Cristina Mayordomo, Francisco J. Ros, Alessandro Morandi, Matteo Cesari Tags: Pragmatic Innovations Source Type: research

Hydroxychloroquine Sulfate Prescribing Trends and Pharmacist-Led Outbreak Preparedness in Long Term Care Pharmacy During COVID-19
To address the threat posed by COVID-19 in long term care facilities, our pharmacy implemented an outbreak suppression strategy, and tracked prescriptions of anti-infectives and hydroxychloroquine sulfate in over 2,000 LTC facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 10, 2020 Category: Health Management Authors: William R. Mills, Stephen M. Creasy, Susan Sender, Joseph Lichtefeld, Nicholas Romano, Karen Reynolds, Melissa Price, Jennifer Phipps, Leigh White, Shauen Howard, DHA Tags: Letter to the Editor Source Type: research

Policy to Reduce Antipsychotic Use and Hospitalization of Nursing Home Residents With Dementia
The objective of this study is to examine changes in hospitalizations for NH long-stay residents with ADRD after the launch of the National Partnership. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 9, 2020 Category: Health Management Authors: Sijiu Wang, Helena Temkin-Greener, Yeates Conwell, Shubing Cai Tags: Original Study Source Type: research

Addressing rehabilitation needs during a pandemic: solutions to reduce burden on acute and post-acute care
During a pandemic, Physical Therapy (PT) is key to address isolation-related functional declines to reduce unnecessary hospitalizations. Public health awareness, telehealth, and safe models of in-person care can enhance PT access. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 8, 2020 Category: Health Management Authors: Allison M. Gustavson, Margaret K. Danilovich, Rachel Lessem, Jason R. Falvey Tags: Letter to the Editor Source Type: research

Temperature in Nursing Home Residents Systematically Tested for SARS-CoV-2
Older nursing home residents with SARS-CoV-2 increase temperature beginning 1 week prior to testing. The increase in temperature does not meet fever threshold of 38.0 °C. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 8, 2020 Category: Health Management Authors: James L. Rudolph, Christopher W. Halladay, Malisa Barber, Kevin McCongehy, Vince Mor, Aman Nanda, Stefan Gravenstein Tags: Original Studies Source Type: research

Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study
Outcomes of frail older adults hospitalized for COVID-19, particularly long-term care residents, remain unclear. In this retrospective cohort, frailty predicted mortality independently of age or established biomarkers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 8, 2020 Category: Health Management Authors: Robert De Smet, Bea Mellaerts, Hannelore Vandewinckele, Peter Lybeert, Eric Frans, Sara Ombelet, Wim Lemahieu, Rolf Symons, Erwin Ho, Johan Frans, Annick Smismans, Micha ël R. Laurent Tags: Original Study - Brief Report Source Type: research

Number of Pregnancies and Trajectory of Frailty Index: English  Longitudinal Study of Ageing
The objective of this study was to examine trajectories of Frailty Index over time according to the number of pregnancies. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 7, 2020 Category: Health Management Authors: Gotaro Kojima, Kohei Ogawa, Steve Iliffe, Yu Taniguchi, Kate Walters Tags: Original Study Source Type: research

Skilled Nursing Facility Characteristics Associated With Financially Motivated Therapy and Relation to Quality
In October 2019, the Centers for Medicare& Medicaid Services (CMS) implemented a new payment model for skilled nursing facilities (SNFs) that eliminated financial incentives to provide high-intensity therapy. Yet high-intensity therapy in SNFs has been linked to better quality outcomes, potentially putting patients at risk if clinically indicated therapy is reduced under the new payment model. A metric to help differentiate between financially motivated vs clinically indicated therapy in SNFs is thresholding: the percentage of patients receiving therapy within 10  minutes of reimbursement thresholds. (Source: Jour...
Source: Journal of the American Medical Directors Association - June 6, 2020 Category: Health Management Authors: Rachel A. Prusynski, Bianca K. Frogner, Arati D. Dahal, Susan M. Skillman, Tracy M. Mroz Tags: Original Study Source Type: research

Reducing Social Isolation of Seniors during COVID-19 through Medical Student Telephone Contact
During COVID-19 quarantine, M1 students phoned seniors,in LTCFs, to conduct social histories and reduce social isolation with results showing bi-directional benefit to both students/seniors and a feasible pragmatic intervention. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 5, 2020 Category: Health Management Authors: Emma E. Office, Marissa S. Rodenstein, Tazim S. Merchant, Tricia Rae Pendergrast, Lee A. Lindquist Tags: Pragmatic Innovations Source Type: research

COVID-19 Impact in Community Care – A Perspective on Older Persons with Dementia in Singapore.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 5, 2020 Category: Health Management Authors: Nydia C. Rais, Lydia Au, Melanie Tan Tags: Letter to the Editor Source Type: research

A Structured Tool for Communication and Care Planning in the Era of the COVID-19 Pandemic
We present an advance care communication& planning tool for long-term care residents with COVID-19 infection that supports shared decision making between the clinician, resident and their family. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 3, 2020 Category: Health Management Authors: Swati Gaur, Naushira Pandya, Ghinwa Dumyati, David A. Nace, Kaylesh Pandya, Robin L.P. Jump Tags: Pragmatic Innovations Source Type: research

Physical activity and exercise for older people during and after the COVID-19 pandemic: A path to recovery
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 3, 2020 Category: Health Management Authors: Catherine M. Said, Frances Batchelor, Gustavo Duque Source Type: research

COVID-19 Preparedness in U.S. Home Healthcare Agencies
This survey of U.S. home health agencies identified specific challenges that agencies are having, as well as mitigating strategies they are using, while providing care to patients in their homes during the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 3, 2020 Category: Health Management Authors: Jingjing Shang, Ashley M. Chastain, Uduwanage Gayani E. Perera, Denise D. Quigley, Caroline J. Fu, Andrew W. Dick, Monika Pogorzelska-Maziarz, Patricia W. Stone Tags: Original Study - Brief Report Source Type: research

Development and Validation of a Nomogram for Predicting the 6-Year Risk of Cognitive Impairment Among Chinese Older Adults
Although some people with mild cognitive impairment may not suffer from dementia lifelong, about 5% of them will progress to dementia within 1  year in community settings. However, a general tool for predicting the risk of cognitive impairment was not adequately studied among older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 3, 2020 Category: Health Management Authors: Jinhui Zhou, Yuebin Lv, Chen Mao, Jun Duan, Xiang Gao, Jiaonan Wang, Zhaoxue Yin, Wanying Shi, Jiesi Luo, Qi Kang, Xiaochang Zhang, Yuan Wei, Virginia Byers Kraus, Xiaoming Shi Tags: Original Study Source Type: research

The Trend of Aggressive Treatments in End-of-Life Care for Older People With Dementia After a Policy Change in Taiwan
We evaluated the trend of end-of-life healthcare utilization and life-sustaining interventions for older adults with dementia 3 to 4  years after the change in hospice policy. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2020 Category: Health Management Authors: Ying Hsin Hsu, Ming Yueh Chou, Hsiu-Min Chen, Wei-Cheng Cheng, Che Sheng Chu, Yu-Chun Wang, Chiao-Lin Hsu, Chih-Kuang Liang, Ching-Chih Lee, Yu Te Lin Tags: Original Study Source Type: research

Health Outcomes of Immigrants in Nursing Homes: A Population-Based Retrospective Cohort Study in Ontario, Canada
Older adults account for a significant portion of Canadian immigrants, yet characteristics and health outcomes of older immigrants in nursing homes have not been studied. We aimed to describe the prevalence of immigrants living in nursing homes, their characteristics, and their hospitalization and mortality rates compared to long-term residents in the first year of entry to nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Authors: Ahwon Jeong, Julie Lapenskie, Robert Talarico, Amy T. Hsu, Peter Tanuseputro Tags: Original Study Source Type: research

Individualized Medication Management in Ontario Long-Term Care Clinical Impact on Management of Depression, Pain, and Dementia
Assess the potential benefits of identifying drug-gene interactions in nursing home (NH) residents on multiple medications. Reduce the use of high-risk medications for residents with reduced drug metabolism. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Authors: Ruslan Dorfman, Zana London, Mark Metias, Boyko Kabakchiev, Gouri Mukerjee, Andrea Moser Tags: Original Study Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Source Type: research

The Increasingly Global Nature of Research in Aging
As the world's population ages and services for older persons occupy an increasing share of governmental resources, it has become increasingly urgent to understand and address the needs of this growing demographic.1 Of particular interest are older persons who require post-acute and long-term care, because they epitomize the challenges of caring for an aging society —functional loss, social isolation, geriatric syndromes, multimorbidity, most intense use of health services, highest risk of morbidity and mortality, and maximum likelihood of both benefit and harm from health care. (Source: Journal of the American Medic...
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Authors: Philip D. Sloane, Sheryl Zimmerman Tags: Editorial Source Type: research

Policy Recommendations regarding Skilled Nursing Facility Management of COVID-19: Lessons From New York State
To provide policy recommendations for managing COVID-19 in Skilled Nursing Facilities (SNFs), a group of certified medical directors from several facilities in New York state with experience managing the disease used email, phone, and video conferencing to develop consensus recommendations. The resulting document provides recommendations on screening, and protection of staff, screening of residents, management of COVID-19 positive and presumed positive cases, communication during an outbreak, management of admissions and readmissions, and providing emotional support for staff. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Authors: Paula E. Lester, Timothy Holahan, David Siskind, Elaine Healy Tags: Special Article Source Type: research