International Transferability of Research Evidence in Residential Long-term Care: A Comparative Analysis of Aged Care Systems in 7 Nations
To compare publicly available information on aged care systems in 7 countries to determine the degree of transferability for research on aged care between these countries. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 20, 2019 Category: Health Management Authors: Briony Jain, Edward Cheong, Lyndal Bugeja, Joseph Ibrahim Tags: Review Article Source Type: research

Nursing Home Social Services and Post-Acute Care: Does More Qualified Staff Improve Behavioral Symptoms and Reduce Antipsychotic Drug Use?
This study examines whether increasing the qualifications of social service staff through using a greater proportion of qualified social workers (QSWs) instead of paraprofessionals improves patients' behavioral symptoms and reduces the use of antipsychotic medications. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 20, 2019 Category: Health Management Authors: Amy Restorick Roberts, Austin C. Smith, John R. Bowblis Tags: Original Study Source Type: research

The U.S.-FORTA (Fit fOR The Aged) List: Consensus Validation of a Clinical Tool to Improve Drug Therapy in Older Adults
Polypharmacy and multimorbidity is a threat to older people; hence, listing approaches should support physicians to optimize medication. The FORTA (Fit fOR The Aged) classification of drug appropriateness for older people provides positive or negative labels: A (A-bsolutely), B (B-eneficial), C (C-areful), and D (D-on't). Based on these categories, FORTA-labeled drug lists were developed in 7 European countries or regions; the same approach was used to develop a U.S.-FORTA List reflecting the country-specific availability and usage of drugs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 19, 2019 Category: Health Management Authors: Farhad Pazan, Yana Gercke, Christel Weiss, Martin Wehling, FORTA Raters Tags: Original Study Source Type: research

Acute Clostridioides difficile Infection in Hospitalized Persons Aged 75 and Older: 30-Day Prognosis and Risk Factors for Mortality
To assess the 30-day mortality predictive markers in the oldest patients with Clostridioides difficile infection (CDI) and to analyze the accuracy of the European severity risk markers in this population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 17, 2019 Category: Health Management Authors: Arnaud Caupenne, Pierre Ingrand, Isabelle Ingrand, Emmanuel Forestier, Claire Roubaud-Baudron, Ga ëtan Gavazzi, Marc Paccalin Tags: Original Study Source Type: research

Antibiograms Cannot Be Used Interchangeably Between Acute Care Medical Centers and Affiliated Nursing Homes
To determine whether antibiograms for Veterans Affairs (VA) nursing homes (NHs), termed Community Living Centers, are similar to those from their affiliated acute care medical centers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 16, 2019 Category: Health Management Authors: Maria-Stephanie A. Hughes, David M. Dosa, Aisling R. Caffrey, Haley J. Appaneal, Robin L.P. Jump, Vrishali Lopes, Kerry L. LaPlante Tags: Original Study Source Type: research

Health Care Providers' Advice on Lifestyle Modification for Older Adults
To describe the pattern of health care providers' advice on lifestyle modification to older adults, and identify correlates of receiving such advice. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 16, 2019 Category: Health Management Authors: Sandra Haider, Igor Grabovac, Lee Smith, Sinisa Stefanac, Sarah E. Jackson, Ying Li, Chao Cao, Thomas Waldhoer, Yin Zhang, Thomas E. Dorner, Lin Yang Tags: Original Study Source Type: research

What Is the Role of Nursing Homes in the Surviving Sepsis Campaign?
This article provides a brief history of the SSC and the evolution of the definition of sepsis and of the timing of interventions that make up a “sepsis bundle.” Screening tools for sepsis that may be used in the NH setting are discussed. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 16, 2019 Category: Health Management Authors: Joseph M. Mylotte Tags: Special Article Source Type: research

The Association Between Psychological Resilience and Physical Function Among Older Adults With Hip Fracture Surgery
To examine the associations of prefracture psychological resilience and prefracture general mental health with physical function among older adults with hip fracture surgery. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 12, 2019 Category: Health Management Authors: Ka Keat Lim, David B. Matchar, Chuen Seng Tan, William Yeo, Truls Østbye, Tet Sen Howe, Joyce S.B. Koh Tags: Original Study Source Type: research

Development of a Fried Frailty Phenotype Questionnaire for Use in Screening Community-Dwelling Older Adults
The aim of this study was to develop a Fried Frailty Phenotype Questionnaire (FFPQ) and a Japanese FRAIL (fatigue, resistance, ambulation, illnesses, and loss of weight) scale (FRAIL-J) and to evaluate the reliability and validity of both questionnaires in Japanese community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 12, 2019 Category: Health Management Authors: Si Chen, Tao Chen, Hiro Kishimoto, Yasuo Susaki, Shuzo Kumagai Tags: Original Study - Brief Report Source Type: research

Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study
To examine factors associated with perceived quality of communication with physicians by relatives of dying residents of long-term care facilities (LTCFs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 11, 2019 Category: Health Management Authors: Ilona Bara ńska, Violetta Kijowska, Yvonne Engels, Harriet Finne-Soveri, Katherine Froggatt, Giovanni Gambassi, Teija Hammar, Mariska Oosterveld-Vlug, Sheila Payne, Nele Van Den Noortgate, Tinne Smets, Luc Deliens, Lieve Van den Block, Katarzyna Szczerbi Tags: Original Study Source Type: research

The Impact of Cut-Off Values and Adjustments for Muscle Mass and Strength on Diagnosis of Sarcopenia
We congratulate Wilson et  al1 for their article on a new diagnostic tool for sarcopenia. They have drawn attention to the importance of ultrasound measurements as it relates to thigh muscle thickness for sarcopenia diagnosis. Anterior thigh and abdominal muscles are known to be affected with aging, earlier than other muscl es.2,3 Therefore, we strongly believe in the importance of evaluating thigh muscles. However, we disagree with some of the interpretations of their study. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 9, 2019 Category: Health Management Authors: Murat Kara, Ay şe Merve Ata, Banu Çakır, Bayram Kaymak, Levent Özçakar Tags: Letter to the Editor Source Type: research

Polypharmacy and Kidney Function in Community-Dwelling Adults Age 60  Years and Older: A Prospective Observational Study
Information on the impact of polypharmacy on kidney function in older adults is limited. We prospectively investigated the association between intake of total number of drugs or nonsteroidal anti-inflammatory drugs (NSAIDs) and kidney function. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 6, 2019 Category: Health Management Authors: Rahel Ernst, Karina Fischer, Caroline de Godoi Rezende Costa Molino, Endel J. Orav, Robert Theiler, Ursina Meyer, Manuel Fischler, Michael Gagesch, Patrice M. Amb ühl, Gregor Freystätter, Andreas Egli, Heike A. Bischoff-Ferrari Tags: Original Study Source Type: research

Effectiveness of Hip Protectors to Reduce Risk for Hip Fracture from Falls in Long-Term Care
To generate evidence of the effectiveness of hip protectors to minimize risk of hip fracture at the time of falling among residents of long-term care (LTC) by contrasting rates of hip fractures between falls with and without hip protectors. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2019 Category: Health Management Authors: Alexandra M.B. Korall, Fabio Feldman, Yijian Yang, Ian D. Cameron, Pet-Ming Leung, Joanie Sims-Gould, Stephen N. Robinovitch Tags: Original Study Source Type: research

The Temporal Trend in the Transfer of Older Adults to the Emergency Department for Traumatic Injuries: A Retrospective Analysis According to Their Place of Residence
The objective of this study was to evaluate the temporal changes in the use of EDs by older individuals for traumatic injuries, characterize their trauma, and specify the mode of transport to the ED according to their place of residence (community-dwelling or nursing home resident). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2019 Category: Health Management Authors: Xavier Dubucs, Philipe de Souto Barreto, Clarisse Laffon de Mazieres, Dominique Lauque, Olivier Azema, Sandrine Charpentier, Yves Rolland Tags: Original Study Source Type: research

Trends in Collection of Microbiological Cultures Across Veterans Affairs Community Living Centers in the United States Over 8  Years
To describe and evaluate changes in the collection of microbiological cultures across Veterans Affairs (VA) Community Living Centers (CLCs) nationally. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 26, 2019 Category: Health Management Authors: Haley J. Appaneal, Aisling R. Caffrey, Maria-Stephanie A. Hughes, Vrishali V. Lopes, Robin L.P. Jump, Kerry L. LaPlante, David M. Dosa Tags: Original Study Source Type: research

The Global Leadership Initiative on Malnutrition –Defined Malnutrition Predicts Prognosis in Persons With Stroke-Related Dysphagia
This study aimed to clarify the association between malnutrition and improvement of swallowing ability during rehabilitation of stroke patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 26, 2019 Category: Health Management Authors: Akio Shimizu, Keisuke Maeda, Yuichi Koyanagi, Jun Kayashita, Ichiro Fujishima, Naoharu Mori Tags: Original Study Source Type: research

Accumulation of Hospital Days Among Antipsychotic Initiators With Alzheimer's Disease
To compare the accumulation of hospital days, a proposed proxy for overall drug safety, between antipsychotic initiators and noninitiators with Alzheimer's disease (AD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 26, 2019 Category: Health Management Authors: Marjaana Koponen, Piia Lavikainen, Heidi Taipale, Antti Tanskanen, Jari Tiihonen, Sirpa Hartikainen, Anna-Maija Tolppanen Tags: Original Study Source Type: research

Implementing Project Extension for Community Healthcare Outcomes for Geriatric Mental Healthcare in Long-Term Care Facilities
Long-term care (LTC) facilities are being incentivized to shift toward value-based reimbursement, with a focus on achieving the Triple Aim —enhanced patient experience, improved population health, and reduced costs.1,2 High staff turnover is also common in LTC settings, and occupational stress is a major challenge. Thus, achieving the Triple Aim within the LTC context may require addressing a fourth aim of improving the work life of LTC clinicians and staff.3 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 26, 2019 Category: Health Management Authors: Michael J. Hasselberg, Elisa Fisher, Yeates Conwell, David Jacobowitz, Jos é A. Pagán Tags: Research Letter Source Type: research

Sarcopenia: Performance of the SARC-F Questionnaire According to the European Consensus Criteria, EWGSOP1 and EWGSOP2
Sarcopenia is a major public health problem, and recognized as a disease with its own International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code assigned in 2016.1 The total number of people affected by sarcopenia is expected to grow spectacularly in the next decades, with a projected rise from 10.9 million people in 2016 to 18.7 million people in 2045 for the 28 countries of the European Union.2 If we want to address this situation, it is essential that we will able to detect sarcopenia in clinical practice with a fast, easy-to-use and low-cost instrument. (Source: Journal of the Amer...
Source: Journal of the American Medical Directors Association - August 25, 2019 Category: Health Management Authors: Manon Hajaoui, M édéa Locquet, Charlotte Beaudart, Jean-Yves Reginster, Jean Petermans, Olivier Bruyère Tags: Letter to the Editor Source Type: research

Encouraging the Use of Research to Guide Practice and Policy
We're living in an era in which the credibility of scientific evidence is sometimes challenged —think climate change1—and important research findings don't always impact practice and policy. Regarding the latter point, it remains common to hear nurses who work in long-term care presume the presence of a urinary tract infection when a resident's urine has an offensive odor (despite guideli nes to the contrary)2, and to use antipsychotics for residents with dementia (despite Food and Drug Administration black-box warnings to the contrary). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 25, 2019 Category: Health Management Authors: Sheryl Zimmerman, Philip D. Sloane, Barbara Resnick Tags: Editorial Source Type: research

Opportunities for Collaboration: Refining Postoperative Readmission Risk for Skilled Nursing Facility Patients
Post-acute and long-term care providers (both physicians and advanced practice providers) depend on well-executed hospital discharge plans. This is due to concerns about patient safety as well as ensuring our ability to deliver prompt, high-level medical care.1,2 The nursing facility also relies on well-communicated discharge plans to ensure necessary medications are available from the pharmacy in a timely manner, a patient's necessary medical equipment has been delivered, and to ensure that staff education, skills, and competency are vetted to meet the needs of this increasingly complex posthospital population. (Source: J...
Source: Journal of the American Medical Directors Association - August 25, 2019 Category: Health Management Authors: Jennifer L. Carnahan, Ellen W. Kaehr, Kamal C. Wagle Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 25, 2019 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 - August 25, 2019 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 25, 2019 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 25, 2019 Category: Health Management Source Type: research

Thirty-Year Trends in Nursing Home Composition and Quality Since the Passage of the Omnibus Reconciliation Act
This study examines trends in facility, resident, and quality characteristics since passage of that legislation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 23, 2019 Category: Health Management Authors: Shekinah A. Fashaw, Kali S. Thomas, Ellen McCreedy, Vincent Mor Tags: Original Study Source Type: research

Response to the Stuart RB, Thielke S. Conditional Permission to Not Resuscitate: A Middle Ground for Resuscitation. J Am Med Dir Assoc 2019;20:679 ‒682
As I was reading Stuart and Thielke's excellent introduction to the concept of a conditional do-not-attempt-resuscitation (DNR) order,1 I was taken back to a personal experience over 30  years ago involving exactly this situation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 23, 2019 Category: Health Management Authors: Robert A. Zorowitz Tags: Letter to the Editor Source Type: research

Lower Incidence of In-Hospital Falls in Patients Hospitalized in Window Beds Than Nonwindow Beds
Comparing the incidence rate of in-hospital falls between patients hospitalized in window beds and nonwindow beds. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 22, 2019 Category: Health Management Authors: Junko Iwamoto, Keigo Saeki, Miwa Kobayashi, Yuki Yamagami, Osamu Yoshida, Norio Kurumatani, Kenji Obayashi Tags: Original Study Source Type: research

Hospital Influenza Admissions as a Harbinger for Nursing Home Influenza Cases
To determine temporal associations of local measures of influenza morbidity and mortality by the Centers for Disease Control and Prevention (CDC) with influenza hospitalizations in nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 21, 2019 Category: Health Management Authors: Kevin W. McConeghy, Susan S. Huang, Loren G. Miller, James A. McKinnell, Theresa I. Shireman, Vincent Mor, Stefan Gravenstein Tags: Original Study Source Type: research

Higher Serum Levels of Resistin Are Associated With Knee Synovitis and Structural Abnormalities in Patients With Symptomatic Knee Osteoarthritis
Resistin acts as an endogenous ligand of Toll-like receptor (TLR)-4 that triggers major inflammatory pathways and mediates inflammatory processes. The role of resistin in osteoarthritis (OA) pathogenesis is unclear. The aim of this study is to describe the longitudinal associations of serum levels of resistin with knee synovitis measures and structural abnormalities in patients with knee OA. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 20, 2019 Category: Health Management Authors: Weiyu Han, Dawn Aitken, Shuang Zheng, Binghui Wang, Anita E. Wluka, Zhaohua Zhu, Leigh Blizzard, Xia Wang, Tania Winzenberg, Flavia Cicuttini, Graeme Jones, Changhai Ding Tags: Original Study Source Type: research

Thyroid Function as a Predictor of Handgrip Strength Among Middle-Aged and Older Euthyroid Adults: The TCLSIH Cohort Study
Thyroid hormones (THs) play a critical role in skeletal muscle function, such as protein synthesis and energy metabolism, suggesting that thyroid function may be involved in the decline of muscle strength. Studies regarding the long-term effects of THs on muscle strength are limited. Therefore, this large-scale longitudinal study aimed to explore how TH levels were associated with handgrip strength (HGS) among middle-aged and older euthyroid adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 14, 2019 Category: Health Management Authors: Yeqing Gu, Ge Meng, Hongmei Wu, Qing Zhang, Li Liu, Xue Bao, Yawen Wang, Shunming Zhang, Shaomei Sun, Xing Wang, Ming Zhou, Qiyu Jia, Kun Song, Kaijun Niu Tags: Original Study Source Type: research

Introducing Goals of Patient Care in Residential Aged Care Facilities to Decrease Hospitalization: A Cluster Randomized Controlled Trial
The “Goals of Patient Care” (GOPC) process uses shared decision making to incorporate residents' prior advance care planning (ACP) or preferences into medical treatment orders, guiding health care decisions at a time of clinical deterioration should they be unable to voice their opinions. The object ive was to determine whether GOPC medical treatment orders were more effective than ACP alone in preventing emergency department (ED) visits (no hospitalization), ED visits (with hospitalization), and deaths outside the residential aged care facility (RACF). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 14, 2019 Category: Health Management Authors: Ruth S. Martin, Barbara J. Hayes, Anastasia Hutchinson, Mark Tacey, Paul Yates, Wen Kwang Lim Tags: Original Study Source Type: research

Oral Health, Disability and Physical Function: Results From Studies of Older People in the United Kingdom and United States of America
Studies examining the associations between oral health and disability have limited oral health measures. We investigated the association of a range of objectively and subjectively assessed oral health markers with disability and physical function in older age. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2019 Category: Health Management Authors: Eftychia Kotronia, S. Goya Wannamethee, A. Olia Papacosta, Peter H. Whincup, Lucy T. Lennon, Marjolein Visser, Robert J. Weyant, Tamara B. Harris, Sheena E. Ramsay Tags: Original Study Source Type: research

Validity of Nutritional Screening Tools for Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
The aim of this systematic review was to summarize the validity of nutritional screening tools to detect the risk of malnutrition in community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2019 Category: Health Management Authors: Jennifer M.J. Isautier, Marija Bosni ć, Suey S.Y. Yeung, Marijke C. Trappenburg, Carel G.M. Meskers, Anna C. Whittaker, Andrea B. Maier Tags: Review Article Source Type: research

Exergaming as a Physical Exercise Strategy Reduces Frailty in People With Dementia: A Randomized Controlled Trial
People with dementia are known to be physically frailer, more sedentary, and participate less in regular physical exercise compared to their healthy peers. Physical activity interventions have the potential to reduce the level of frailty in community-dwelling older adults. Exergaming combines physical exercise with cognitive stimulation in a virtual environment. It is an innovative and fun way of exercising, which may aid people with dementia to be more physically active. The primary aim of this study was to investigate the efficacy of a 12-week exergame training and equally long aerobic training, both compared to an activ...
Source: Journal of the American Medical Directors Association - August 10, 2019 Category: Health Management Authors: Esther G.A. Karssemeijer, Willem J.R. Bossers, Justine A. Aaronson, Lianne M.J. Sanders, Roy P.C. Kessels, Marcel G.M. Olde Rikkert Tags: Original Study Source Type: research

Cluster-Controlled Trial of an Intervention to Improve Prescribing in Nursing Homes Study
To investigate the impact of a complex multifaceted intervention on the appropriateness of prescribing for Belgian nursing home (NH) residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 8, 2019 Category: Health Management Authors: Goedele Strauven, Pauline Anrys, Eline Vandael, S éverine Henrard, Jan De Lepeleire, Anne Spinewine, Veerle Foulon Tags: Original Study Source Type: research

The Effectiveness of Horticultural Therapy on Older Adults: A Systematic Review
Although the therapeutic effects of horticulture on older adults have been widely investigated, a recent and comprehensive synthesis of available evidence on outcomes is lacking. We systematically reviewed evidence for the therapeutic effects of horticulture on older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 8, 2019 Category: Health Management Authors: Sean O. Nicholas, Anh T. Giang, Philip L.K. Yap Tags: Review Article Source Type: research

Circulating Micronutrient Biomarkers Are Associated With 3 Measures of Frailty: Evidence From the Irish Longitudinal Study on  Ageing
To examine the associations between 3 frailty instruments and circulating micronutrients in a large representative sample of older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 7, 2019 Category: Health Management Authors: Aisling M. O'Halloran, Eamon J. Laird, Joanne Feeney, Martin Healy, Rachel Moran, Stephen Beatty, John M. Nolan, Anne M. Molloy, Rose Anne Kenny Tags: Original Study Source Type: research

A 4-Item Case-Finding Tool to Detect Dementia in Older Persons
This study investigated whether a small subset of MoCA would suffice to match the performance of the full MoCA in detecting dementia and, hence, be useful in nonspecialty clinics. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 7, 2019 Category: Health Management Authors: Tau Ming Liew Tags: Original Study Source Type: research

When Less is More, but Still Not Enough: Why Focusing on Limiting Antipsychotics in People With Dementia Is the Wrong Policy Imperative
Antipsychotic reductions have been the primary focus of efforts to improve dementia care in nursing homes by the Centers for Medicare& Medicaid Services National Partnership. Although significant antipsychotic reductions have been achieved, this policy focus is myopic in 2 ways; there is no evidence for any increases in use of nonpharmacologic interventions, and there are indications for compensatory increases in the use of other (unmeasured) sedating psychotropics. This increased use of other sedating psychotropics is more concerning than the antipsychotics that they replaced, as there is even less support of efficacy...
Source: Journal of the American Medical Directors Association - August 6, 2019 Category: Health Management Authors: Helen C. Kales, Laura N. Gitlin, Constantine G. Lyketsos Tags: Controversies in Care Source Type: research

The Geriatric Patient: The Ideal One for Chest Ultrasonography? A Review From the Chest Ultrasound in the Elderly Study Group (GRETA) of the Italian Society of Gerontology and Geriatrics (SIGG)
To investigate the current evidence on the use of point-of-care chest ultrasonography in older patients and geriatric settings and present the current state of the art of chest ultrasound applications. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 6, 2019 Category: Health Management Authors: Andrea Ticinesi, Simone Scarlata, Antonio Nouvenne, Fulvio Lauretani, Raffaele Antonelli Incalzi, Andrea Ungar, GRETA (Gruppo di Ricerca sull ’Ecografia Toracica nell’Anziano) Group of the Italian Society of Gerontology and Geriatrics (SIGG) Tags: Special Article Source Type: research

The Clinical Potential of Frailty Indicators on Identifying Recurrent Fallers in the Community: The Mr. Os and Ms. OS Cohort Study in Hong Kong
To compare the clinical value of 3 frailty indicators in a screening pathway for identifying older men and women who are at risk of falls. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 6, 2019 Category: Health Management Authors: Freddy M.H. Lam, Jason C.S. Leung, Timothy C.Y. Kwok Tags: Original Study Source Type: research

Factors Associated With Nurses' Job Satisfaction In Residential Long-term Care: The Importance of Organizational Context
We examined demographic, individual, and organizational context factors associated with nurses' job satisfaction in residential long-term care (LTC) settings. Job satisfaction has implications for staff turnover, staff health, and quality of care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 6, 2019 Category: Health Management Authors: Laura D. Aloisio, Wendy A. Gifford, Katherine S. McGilton, Michelle Lalonde, Carole A. Estabrooks, Janet E. Squires Tags: Original Study Source Type: research

Carotid Atherosclerosis Is Associated With Poorer Hearing in Older Adults
Cardiovascular disease may be linked to hearing loss through narrowing of the nutrient arteries of the cochlea, but large-scale population-based evidence for this association remains scarce. We investigated the association of carotid atherosclerosis as a marker of generalized cardiovascular disease with hearing loss in a population-based cohort. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 6, 2019 Category: Health Management Authors: Pauline H. Croll, Daniel Bos, Meike W. Vernooij, Banafsheh Arshi, Frank R. Lin, Robert J. Baatenburg de Jong, M. Arfan Ikram, Andr é Goedegebure, Maryam Kavousi Tags: Original Study Source Type: research

Home-Based Gait Speed Assessment: Normative Data and Racial/Ethnic Correlates Among Older Adults
To determine home-based gait speed performance and its associations with sociodemographic and health-related factors among older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: David A. Boulifard, Emmeline Ayers, Joe Verghese Tags: Original Study Source Type: research

Physician Availability in Long-term Care and Resident Hospital Transfer: A Retrospective Cohort Study
To investigate whether same-day physician access in long-term care homes reduces resident emergency department (ED) visits and hospitalizations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: Daniel M. Kobewka, Elizabeth Kunkel, Amy Hsu, Robert Talarico, Peter Tanuseputro Tags: Original Study Source Type: research

Effects of Statins on Relative Risk of Fractures for Older Adults: An Updated Systematic Review With Meta-Analysis
Basic and translational studies have found statin treatment may have beneficial effects on bone metabolism; however, whether statins reduce the risk of fractures in older adults is still in debate. Therefore, we aimed to summarize the up-to-date evidence on risk of fracture among older individuals with statin use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: Rui Shi, Zubing Mei, Zhijun Zhang, Zhenjun Zhu Tags: Original Study Source Type: research

The Rising Frequency of Continuous Deep Sedation in the Netherlands, a Repeated Cross-Sectional Survey in 2005, 2010, and 2015
We describe its clinical characteristics in 2015 and compare it with 2010 and  2005. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 1, 2019 Category: Health Management Authors: Judith A.C. Rietjens, Madelon T. Heijltjes, Johannes J.M. van Delden, Bregje D. Onwuteaka-Philipsen, Agnes van der Heide Tags: Original Study Source Type: research

Physical Therapists' Ethical Dilemmas in Treatment, Coding, and Billing for Rehabilitation Services in Skilled Nursing Facilities: A Mixed-Method Pilot Study
Reimbursement in skilled nursing facilities (SNFs) is driven by the number of minutes a patient receives rehabilitation. Physical therapists' (PTs) clinical decisions in evaluation and appropriate treatment of patients drive the dosing of rehabilitation services. Many times these 2 dynamics clash. The purpose of this study was to determine how PTs in SNFs viewed their ethical work environment, what primary issues drove their views, and what potential solutions were identified for the issues. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 1, 2019 Category: Health Management Authors: Roberto Cantu Tags: Original Study Source Type: research

Effect of Clinical Pharmacy Services in an Older Adult Emergency Medicine Unit on Unplanned Rehospitalization of Older Adults Admitted for Falls: MUPA-PHARM Study
A significant percentage of the older adult population (25% to 50% of patients older than 85  years) is frail.1 One of the most important symptoms of frailty is falling, which is a risk factor for hospitalization and/or death. Inappropriate prescriptions and polypharmacy are important contributors to the risk for falls.2 The older adult emergency medicine (OAEM) unit in our teaching hospit al treats people older than 75 years with comorbid and complex conditions. The ability of geriatricians and emergency medicine physicians to access clinical pharmacy services is associated with better medication use. (Source: J...
Source: Journal of the American Medical Directors Association - July 26, 2019 Category: Health Management Authors: Alice Clementz, Jeremy Jost, Aurore Lacour, Charlotte Bimou, Caroline Gayot, Voahirana Ratsimbazafy, Achille Tchalla Tags: Emergency Department Source Type: research