High-Intensity Interval and Resistance Training Improve Health Outcomes in Older Adults With Coronary Disease
Both high-intensity interval training (HIIT) and resistance exercises (R) are used in cardiac rehabilitation in patients with coronary artery disease (CAD). However, the combined effect of an HIIT  + R exercise program in older adults with CAD is not well investigated. The study's purpose was to assess the changes in anthropometric parameters, physical activity, functional capacity, physiological parameters, and quality of life (QoL) in this population following a combined HIIT + R program. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 22, 2021 Category: Health Management Authors: Pallav Deka, Dola Pathak, Leonie Klompstra, Nuria Sempere-Rubio, Felipe Querol-Giner, Elena Marques-Sule Tags: Original Study Source Type: research

Assessing Additional Characteristics of Muscle Function With Digital Handgrip Dynamometry and Accelerometry: Framework for a Novel Handgrip Strength Protocol
Maximal handgrip strength (HGS) is a convenient and reliable, but incomplete, assessment of muscle function. Although low HGS is a powerful predictor of poor health, several limitations to maximal HGS exist. The predictive value of HGS is restricted because low HGS is associated with a wide range of unspecified health conditions, and other characteristics of muscle function aside from strength capacity are not evaluated. Current HGS protocol guidelines emphasize the ascertainment of maximal force, which is only a single muscle function characteristic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 21, 2021 Category: Health Management Authors: Ryan McGrath, Grant R. Tomkinson, Brian C. Clark, Peggy M. Cawthon, Matteo Cesari, Soham Al Snih, Donald A. Jurivich, Kyle J. Hackney Tags: Special Article Source Type: research

Poor Odor Identification Predicts Mortality Risk in Older Adults Without Neurodegenerative Diseases: The Shanghai Aging Study
Previous evidence has shown that olfactory impairment could be regarded as an early marker of impending neurodegenerative diseases.1 According to some cohort studies,2 –4 the decline of olfactory function might reflect a wider range of pathologic conditions irrespective of neurodegeneration, which could contribute to mortality. We intended to verify the hypothesis that poor olfactory identification could predict long-term mortality risk in older adults without n eurodegenerative diseases by analyzing the longitudinal data of the Shanghai Aging Study. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 19, 2021 Category: Health Management Authors: Zhenxu Xiao, Qianhua Zhao, Xiaoniu Liang, Wanqing Wu, Yang Cao, Ding Ding Tags: Research Letters Source Type: research

Palliative Rehabilitation Improves Health Care Utilization and Function in Frail Older Adults With Chronic Lung Diseases
The Integrated Care for Advanced REspiratory Disorders (ICARE) service is a stay-in, post-acute care program for hospitalized patients with chronic, nonmalignant lung diseases. It provides palliative rehabilitation —a novel model integrating functional rehabilitation with early palliative care. We compare reduction of health care utilization among ICARE participants vs matched controls receiving usual care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 18, 2021 Category: Health Management Authors: Han-Yee Neo, Chun-Wei Yap, Liang-Ming Teo, Liang-Tee Lee, Hong-Weng Tan, Hui-Ying Xu, Allyn Hum, John A. Abisheganaden Tags: Original Study Source Type: research

Effectiveness of Brain Gaming in Older Adults With Cognitive Impairments: A Systematic Review and Meta-Analysis
This systematic review and meta-analysis evaluates the evidence from randomized clinical trials (RCTs) that designed brain gaming interventions to improve cognitive functions of older adults with cognitive impairments, including mild cognitive impairments and dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2021 Category: Health Management Authors: Sandra L. Kletzel, Pallavi Sood, Ahmed Negm, Patricia C. Heyn, Shilpa Krishnan, Joseph Machtinger, Xiaolei Hu, Hannes Devos Tags: Review Article Source Type: research

A Randomized Controlled Trial of Heart Failure Disease Management vs Usual Care in Skilled Nursing Facilities
The objective of this study is to determine if an HF-DMP in SNF improves outcomes for patients with HF. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2021 Category: Health Management Authors: Rebecca S. Boxer, Mary A. Dolansky, Erin L. Chaussee, Jonathan D. Campbell, Andrea E. Daddato, Robert L. Page, Diane L. Fairclough, Stefan Gravenstein Tags: Original Studies Source Type: research

Oral Health and Frailty Among Older Long-Term Care Residents in Finland
Hakeem and colleagues1 investigated the association between tooth loss, periodontal disease, and frailty among community-dwelling older American adults. In their cross-sectional nationally representative surveys, they found that oral health was associated with frailty according to frailty index, and nutritional intake appeared to have a modest effect on the association. As part of a larger study exploring nutritional and functional status,2 we investigated the oral health of older residents in nursing homes and assisted living facilities in Helsinki (FINORAL study). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2021 Category: Health Management Authors: Riitta K.T. Saarela, Kaija Hiltunen, Hannu Kautiainen, Hanna-Maria Roitto, P äivi Mäntylä, Kaisu H. Pitkälä Tags: Research Letters Source Type: research

Geographic Regions Enriched With Frail Older Adults
Individuals with frailty are at particular risk in emergencies. By definition, these individuals are not resilient, meaning that they do not recover quickly from stressors.1 Individuals with frailty, even in usual times, are at greater risk than nonfrail, similarly aged adults of requiring hospital care or long-term care and of dying.2 Emergency preparedness involves planning for the optimal direction of resources, such as populations with the greatest needs or with the most difficulty accessing resources in an emergency. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2021 Category: Health Management Authors: Jodi B. Segal, Jin Huang, Jiafeng Zhu, Ravi Varadhan Tags: Letter to the Editor Source Type: research

Association of Living in Evacuation Areas With Long-Term Care Need After the Fukushima Accident
This study examined the hypothesis that people who were forced to evacuate their homes were more likely to need long-term care (LTC). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2021 Category: Health Management Authors: Nobuaki Moriyama, Tomohiro Morita, Yoshitaka Nishikawa, Yurie Kobashi, Michio Murakami, Akihiko Ozaki, Saori Nonaka, Toyoaki Sawano, Tomoyoshi Oikawa, Masaharu Tsubokura Tags: Original Study Source Type: research

Reliability and Concurrent Validity of the SARC-F and Its Modified Versions: A Systematic Review and Meta-Analysis
Sarcopenia, being prevalent in up to 40% of older adults, is associated with adverse health outcomes. The international sarcopenia guidelines recommend screening for sarcopenia using the SARC-F. A previous meta-analysis (2017) reported poor validity of the SARC-F among community-dwelling older adults. Since then, modified SARC-F versions were developed and new sarcopenia definitions were published, including the SARC-F for case-finding. This systematic review and meta-analysis aimed to assess the reliability of the SARC-F and its concurrent validity to identify sarcopenia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 15, 2021 Category: Health Management Authors: Stefanie N. Voelker, Nikolaos Michalopoulos, Andrea B. Maier, Esmee M. Reijnierse Tags: Review Article Source Type: research

Estimating Prognosis and Frailty in Persons Aged ≥75 Years in the Emergency Department: Further Validation of Dynamic Silver Code
To assess concurrent validity of the Dynamic Silver Code (DSC), a tool based on administrative data that predicts prognosis in older adults accessing the emergency department (ED), in terms of association with markers of poor functional and cognitive status. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 15, 2021 Category: Health Management Authors: Mauro Di Bari, Antonella Giordano, Francesco Tonarelli, Giulia Carreras, Stefano Grifoni, Enrico Benvenuti, Germana Ruggiano, Barbara Lazzari, Andrea Ungar, Daniela Balzi Tags: Original Studies Source Type: research

Texture-Modified Diets Are Associated With Poor Appetite in Older Adults Who Are Admitted to a Post-Acute Rehabilitation Hospital
This study aimed to clarify the association between texture-modified diets and poor appetite in older adults, as it is not fully understood. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 14, 2021 Category: Health Management Authors: Akio Shimizu, Ichiro Fujishima, Keisuke Maeda, Kenta Murotani, Jun Kayashita, Tomohisa Ohno, Akiko Nomoto, Junko Ueshima, Yuria Ishida, Tatsuro Inoue, Naoharu Mori Tags: Original Study - Brief Report Source Type: research

Effects of Staff Training on Nursing Home Residents ’ End-Of-Life Care: A Randomized Controlled Trial
This trial examines the effects of end-of-life training on long-term care facility (LTCF) residents' health-related quality of life (HRQoL) and use and costs of hospital services. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 13, 2021 Category: Health Management Authors: Pauli J. Lamppu, Harriet Finne-Soveri, Hannu Kautiainen, Marja-Liisa Laakkonen, Jouko V. Laurila, Kaisu H. Pitk älä Tags: Original Study Source Type: research

Development and Validation of a Nomogram to Predict Frailty Progression in Nonfrail Chinese Community-Living Older Adults
Frailty state progression is common among older adults, so it is necessary to identify predictors to implement individualized interventions. We aimed to develop and validate a nomogram to predict frailty progression in community-living older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 12, 2021 Category: Health Management Authors: Bing-Ru Dong, Xiao-Qing Gu, Hai-Ying Chen, Jie Gu, Zhi-Gang Pan Tags: Original Study Source Type: research

Decreased mortality over time during the first wave in patients with COVID-19 in geriatric care – data from the Stockholm GeroCovid Study
To describe temporal changes in treatment, care, and short-term mortality outcomes of geriatric patients during the first wave of the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 12, 2021 Category: Health Management Authors: Hong Xu, Sara Garcia-Ptacek, Martin Annetorp, Tommy Cederholm, Georg Engel, Malin Engstr öm, Håkan Erlandsson, Charlotte Julius, Miia Kivipelto, Lars Göran Lundberg, Carina Metzner, Linda Sandberg, Josefina Skogö Nyvang, Carina Sühl Öberg, Elisabet Tags: Original Studies Source Type: research

Antibody Responses After mRNA-Based COVID-19 Vaccination in Residential Older Adults: Implications for Reopening
COVID-19 disproportionately impacts residents in long-term care facilities. Our objective was to quantify the presence and magnitude of antibody response in vaccinated, older adult residents at assisted living, personal care, and independent living communities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 12, 2021 Category: Health Management Authors: David A. Nace, Kevin E. Kip, John W. Mellors, Octavia M. Peck Palmer, Michael R. Shurin, Katie Mulvey, Melissa Crandall, Michele D. Sobolewski, P. Nathan Enick, Kevin D. McCormic, Jana L. Jacobs, April L. Kane, Amy Lukanski, Paula L. Kip, Alan Wells Tags: Original Study - Brief Report Source Type: research

Spectrum of Hemodynamic Responses in the First 60 Seconds after Active Standing Up: Importance of Time Course of Blood Pressure Changes and Definitions
The study by Doyle et  al1 corroborates earlier findings in The Irish Longitudinal Study on Ageing (TILDA) cohort2 that a delayed recovery of blood pressure (BP) in the first 60 seconds after active standing up is associated with injurious falls in community-dwelling older people. Given the serious outcome associated w ith injurious falls (especially hip fractures), identification of delayed recovery of BP after standing up as a potentially modifiable risk factor is important and highly relevant. In the assessment of falls and syncope in older people, continuous noninvasive monitoring of finger arterial pressures...
Source: Journal of the American Medical Directors Association - June 11, 2021 Category: Health Management Authors: Wouter Wieling, Daan J.L. van Twist, Veera K. van Wijnen, Mark P.M. Harms Tags: Letter to the Editor Source Type: research

True Effect of Nintendo Wii: Training Effect or Motivating Effect?
This study included 29 patients with a history of stroke. From this well-designed study, the authors concluded that adding the Nintendo Wii program could improve patients’ balance and daily activity. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 10, 2021 Category: Health Management Authors: Naoto Kuroda, Ryo Momosaki, Toshiya Sakoda, Yuki Kataoka Tags: Letter to the Editor Source Type: research

A local COVID-19 support platform for nursing homes: feedback and perspectives
The COVID-19 pandemic has had a major impact on nursing homes (NHs), which were not prepared to manage infections among their at-risk patient populations. In order to comply with the French government ’s guidelines, we rapidly set up a local support platform (LSP) to help NHs to manage their cases of COVID-19. The LSP comprised multidisciplinary decision support, a specialist phone hotline, mobile geriatric medicine teams, and videoconferences on COVID-19.We first quantified the LSP’s interve ntions in 63 local NHs since the start of the first wave of COVID-19 (March 2020): 9 instances of multidisciplinary deci...
Source: Journal of the American Medical Directors Association - June 9, 2021 Category: Health Management Authors: Matthieu Coulongeat, Amal A ïdoud, Pierre Poupin, Sophie Dubnitskiy-Robin, Bertrand Fougère Tags: Pragmatic Innovations Source Type: research

Evaluation of a Home-Based, Nurse Practitioner –led Advanced Illness Care Program
In the United States, people with serious illness often experience gaps and discontinuity in care. Gaps are frequently exacerbated by limited mobility, need for social support, and challenges managing multiple comorbidities. The Advanced Illness Care (AIC) Program provides nurse practitioner –led, home-based care for people with serious or complex chronic illnesses that specifically targets palliative care needs and coordinates with patients’ primary care and specialty health care providers. We sought to investigate the effect of the AIC Program on hospital encounters [hospitalizati ons and emergency department...
Source: Journal of the American Medical Directors Association - June 8, 2021 Category: Health Management Authors: Natalie C. Ernecoff, Stefanie C. Altieri-Dunn, Andrew Bilderback, Cindy L. Wilson, Susan Saxon, Namita Ahuja Yende, Robert M. Arnold, Michael Boninger Tags: Original Study - Brief Report Source Type: research

Erratum
Regarding the January 2021 article, Vu M, et  al. Antihypertensive Deprescribing in Older Adult Veterans at End of Life Admitted to Veteran Affairs Nursing Homes. J Am Med Dir Assoc 2021 Jan;22(1):132-140.e5. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 8, 2021 Category: Health Management Tags: Erratum Source Type: research

COVID Challenges and Adaptations Among Home-Based Primary Care Practices: Lessons for an Ongoing Pandemic From a National Survey
Approximately 7.5 million US adults are homebound or have difficulty accessing office-based primary care. Home-based primary care (HBPC) provides such patients access to longitudinal medical care at home. The purpose of this study was to describe the challenges and adaptations by HBPC practices made during the first surge of the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 7, 2021 Category: Health Management Authors: Christine S. Ritchie, Naomi Gallopyn, Orla Sheehan, Shanaz Ahmed Sharieff, Emily Franzosa, Ksenia Gorbenko, Katherine A. Ornstein, Alex D. Federman, Abraham A. Brody, Bruce Leff Tags: Original Study Source Type: research

RETRACTED: Development and Implementation of the Advanced Practice Nurse Worldwide with an Interest in Geriatric Care
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 7, 2021 Category: Health Management Authors: Bertrand Foug ère, John E. Morley, Frédérique Decavel, Fati Nourhashémi, Patricia Abele, Barbara Resnick, Marilyn Rantz, Claudia Kam Yuk Lai, Wendy Moyle, Maryse Pédra, Bruno Chicoulaa, Emile Escourrou, Stéphane Oustric, Bruno Vellas Tags: Erratum Source Type: research

RETRACTED: Association Between Frailty and Cognitive Impairment: Cross-Sectional Data From Toulouse Frailty Day Hospital
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 7, 2021 Category: Health Management Authors: Bertrand Foug ère, Matthieu Daumas, Matthieu Lilamand, Sandrine Sourdet, Julien Delrieu, Bruno Vellas, Gabor Abellan van Kan Tags: Erratum Source Type: research

Uncontrolled Pain and Risk for Depression and Behavioral Symptoms in Residents With Dementia
Limited cohort studies have assessed the association between uncontrolled pain and risk for behavioral and psychological symptoms of dementia (BPSDs). We conducted a longitudinal cohort study to examine whether associations exist between uncontrolled pain and risk for 2 common BPSDs —depression and behavioral symptoms—among long-term care (LTC) residents with Alzheimer disease and related dementia (ADRD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2021 Category: Health Management Authors: Yu-Jung Jenny Wei, Cheng Chen, Roger B. Fillingim, Steven T. DeKosky, Siegfried Schmidt, Marco Pahor, Laurence Solberg, Almut G. Winterstein Tags: Original Study Source Type: research

Engaging Nursing Assistants to Enhance Receptivity to the Coronavirus Disease 2019 Vaccine
Certified nursing assistants (CNAs) are the backbone of long-term care in the United States, and the restoration of safety in nursing homes during and after the coronavirus disease 2019 (COVID-19) pandemic requires successfully vaccinating them. The nearly 600,000 CNAs employed in nursing homes provide the majority of direct care to residents in these settings and represent the largest proportion of nursing home personnel.1 However, despite having what has been called, “the most dangerous job in America” during the COVID-19 pandemic,2 CNAs experience high levels of vaccine hesitancy. (Source: Journal of the Ame...
Source: Journal of the American Medical Directors Association - June 1, 2021 Category: Health Management Authors: Tina R. Sadarangani, Daniel David, Jasmine Travers Tags: Editorial Source Type: research

Addressing Hearing and Vision Impairment in Long-Term Care: An Important and Often-Neglected Care Priority
Optimizing quality of life for older persons in long-term care settings to a large extent involves identifying chronic disabling conditions and implementing measures to minimize their impact on everyday function. To address these issues, comprehensive assessment is necessary, followed by application of appropriate supportive and rehabilitative resources. In theory, this is how long-term care should function, but in reality, the burden of morbidity, the challenge of competing priorities, and the limitations of funding streams tend to leave many treatable problems unaddressed. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2021 Category: Health Management Authors: Philip D. Sloane, Heather Whitson, Sharon Wallace Williams Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2021 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, 2021 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, 2021 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, 2021 Category: Health Management Source Type: research

Hypoglycemia in Older Adults: Time Trends and Treatment Differences in Patients Aged ≥75 Years With Type 2 Diabetes
Hypoglycemia is a potentially life-threatening drug event under antidiabetic treatment. The aim of the study was to examine time trends in severe hypoglycemia in older adults with type 2 diabetes mellitus (T2DM) and antidiabetic treatment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2021 Category: Health Management Authors: Katja S. Just, Sascha R. Tittel, Cornelius Bollheimer, Michael Naudorf, Katharina Laubner, Stefan Zimny, Andrej Zeyfang, Michael Hummel, Julia C. Stingl, Reinhard W. Holl Tags: Original Study Source Type: research

The Compliance of End-of-life Care Preferences Among Older Adults and Its Facilitators and Barriers: A Scoping Review
To explore the compliance of end-of-life (EOL) care preferences, and the facilitators and barriers of promoting quality of EOL care among older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2021 Category: Health Management Authors: Jie Fu Master, Bei Wu, Ping Ni, Jing Mao Tags: Review Article Source Type: research

Managing Pain and Psychosis Symptoms in Nursing Home Patients: Results From a Cluster-Randomized Controlled Trial (COSMOS)
In nursing homes (NHs), 30% to 60% of patients experience daily pain and>80% have dementia. This can lead to neuropsychiatric symptoms, including psychosis symptoms such as delusion. We investigated if there was a relationship between pain and psychosis symptoms over time. We also aimed to investigate the effect of a multicomponent intervention (COSMOS) on pain, psychosis symptoms, and analgesic prescription. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2021 Category: Health Management Authors: Torstein F. Habiger, Wilco P. Achterberg, Elisabeth Flo-Groeneboom, Janne Mannseth, Bettina S. Husebo Tags: Original Study Source Type: research

Chronic Care, Dementia Care Management, and Financial Considerations
The needs of persons living with Alzheimer's disease and Alzheimer's disease –related dementia (AD/ADRD) are challenged by tremendous complexity impacting both care delivery and financing. Most persons living with dementia (PLWD) also suffer from other chronic medical or mental health conditions, which further burden quality of life and function. In addition to difficult t reatment choices, optimal dementia care models likely involve people and services that are not typical pieces of the health care delivery system but are all critical partners—care partners, social workers, and community services, to name a fe...
Source: Journal of the American Medical Directors Association - May 31, 2021 Category: Health Management Authors: Norma Coe, Cynthia Boyd, Joshua Chodosh Tags: Special Article Source Type: research

Integration Activities Between Hospitals and Skilled Nursing Facilities: A National Survey
Increasing recognition of the adverse events older adults experience in post-acute care in skilled nursing facilities (SNFs) has led to multiple efforts to improve care integration between hospitals and SNFs. We sought to measure current care integration activities between hospitals and SNFs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 29, 2021 Category: Health Management Authors: Robert E. Burke, Jessica Phelan, Dori Cross, Rachel M. Werner, Julia Adler-Milstein Tags: Original Study - Brief Report Source Type: research

Was hospital care refused to Belgian nursing home residents during Covid-19?
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 29, 2021 Category: Health Management Authors: Daan Duppen, Anja Declercq Tags: Research Letters Source Type: research

Integrating the Financing and Delivery of Medical and Supportive Services for People Living With Dementia
This article considers issues related to integrating long-term services and supports (LTSS), medical care, and financing for PLWD; reviews the policy context and key clinical and delivery system challenges to these efforts; and describes key lessons regarding integration learned from examples in the field. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 27, 2021 Category: Health Management Authors: Bruce Leff, David G. Stevenson Tags: Special Article Source Type: research

Emerging evidence on effectiveness of COVID-19 vaccines among residents of long-term care facilities
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 25, 2021 Category: Health Management Authors: Maximilian Salcher-Konrad, Sian Smith, Adelina Comas-Herrera Tags: Research Letters Source Type: research

Recommendations to Deliver Person-Centered Long-Term Care for Persons Living With Dementia
Person-centered care (PCC) is the standard for the delivery of long-term services and supports (LTSS). In this article, we summarize the state of the science on meaningful outcomes and workforce development and discuss what is needed to ensure that person-centered LTSS becomes a universal reality. These 2 themes are intimately related: the dementia care workforce's capacity cannot be improved until care processes and outcomes that are significant to PCC are explicated. The LTSS workforce needs training in PCC as well as pragmatic measures to assess the quality of the care they provide. (Source: Journal of the American Medi...
Source: Journal of the American Medical Directors Association - May 24, 2021 Category: Health Management Authors: Laura M. Wagner, Kimberly VanHaitsma, Ann Kolanowski, Joanne Spetz Tags: Special Article Source Type: research

Intranasal Oxytocin Improves Lean Muscle Mass and Lowers LDL Cholesterol in Older Adults with Sarcopenic Obesity: Aa Pilot Randomized Controlled Trial
Obesity is associated with sarcopenia in older adults, and weight loss can lead to further muscle mass loss. Oxytocin decreases with age, and animal studies suggest that oxytocin administration has trophic effects on skeletal muscle cells and reduces adiposity. We conducted a clinical trial to examine the safety and preliminary efficacy of intranasal oxytocin for older adults with sarcopenic obesity. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 21, 2021 Category: Health Management Authors: Sara E. Espinoza, Jessica L. Lee, Chen-Pin Wang, Vinutha Ganapathy, Daniel MacCarthy, Chiara Pascucci, Nicolas Musi, Elena Volpi Tags: Original Study Source Type: research

POLST Is More Than a Code Status Order Form: Suggestions for Appropriate POLST Use in Long-term Care
POLST (Physician Orders for Life-Sustaining Treatment) is a medical order form used to document preferences about cardiopulmonary resuscitation (CPR), medical interventions such as hospitalization, care in the intensive care unit, and/or ventilation, as well as artificial nutrition. Programs based on the POLST paradigm are used in virtually every state under names that include POST (Physician Orders for Scope of Treatment), MOLST (Medical Orders for Life-Sustaining Treatment), and MOST (Medical Orders for Scope of Treatment), and these forms are used in the care of hundreds of thousands of geriatric patients every year. (S...
Source: Journal of the American Medical Directors Association - May 21, 2021 Category: Health Management Authors: Susan E. Hickman, Karl Steinberg, John Carney, Hillary D. Lum Tags: Special Article Source Type: research

Community Discharge Among Post-Acute Nursing Home Residents: An Association With Patient Safety Culture?
We examined whether better patient safety culture (PSC) in skilled nursing facilities was associated with higher likelihood of successful community discharge for post-acute care residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 21, 2021 Category: Health Management Authors: Wenhan Guo, Yue Li, Helena Temkin-Greener Tags: Original Study - Brief Report Source Type: research

Social isolation and self-reported cognitive decline among older adults in Japan: A longitudinal study in the COVID-19 pandemic
We aimed to examine the association between the transition to social isolation and cognitive decline in older adults during the coronavirus disease 2019 (COVID-19) pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 21, 2021 Category: Health Management Authors: Taiji Noguchi, Yuta Kubo, Takahiro Hayashi, Naoki Tomiyama, Akira Ochi, Hiroyuki Hayashi Tags: Original Study - Brief Report Source Type: research

Greater Quadriceps Muscle Mass at Post-Acute Care Admission Is Associated With Better Swallowing Ability at Discharge Among Adults With Stroke
This study aimed to examine the relationship between muscle mass and intramuscular adipose tissue of the quadriceps at post-acute care admission and recovery of swallowing ability in patients with stroke. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2021 Category: Health Management Authors: Naoki Akazawa, Masaki Kishi, Toshikazu Hino, Ryota Tsuji, Kimiyuki Tamura, Akemi Hioka, Hideki Moriyama Tags: Original Study Source Type: research

Laxative Agents in Nursing Homes: An Example of Prescribing Cascade
Laxatives are among the most prescribed medications to nursing home (NH) patients, and we evaluated the hypothesis that laxative agents could be prescribed as a result of a prescribing cascade. The aims of the study are (1) to investigate the use of laxative drugs in a large sample of Italian NHs and (2) to assess the relationship between medications that can induce constipation and laxative use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2021 Category: Health Management Authors: Chiara Elli, Alessio Novella, Alessandro Nobili, Aladar Ianes, Luca Pasina Tags: Original Study Source Type: research

State Variation in Chronic Opioid Use in Long-Term Care Nursing Home Residents
We examined the trends and variation in chronic opioid use among states and nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 19, 2021 Category: Health Management Authors: Hemalkumar B. Mehta, Yong-Fang Kuo, Mukaila Raji, Jordan Westra, Cynthia Boyd, G. Caleb Alexander, James S. Goodwin Tags: Original Study Source Type: research

Geriatric Rehabilitation Inpatients Roam at Home! A Matched Cohort Study of Objectively Measured Physical Activity and Sedentary Behavior in Home-Based and Hospital-Based Settings
This study aimed to describe objectively measured physical activity and sedentary behavior in geriatric rehabilitation patients receiving care in the home-based compared to the hospital-based setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 19, 2021 Category: Health Management Authors: Keenan A. Ramsey, Paula Loveland, Anna G.M. Rojer, Linda Denehy, Rose Goonan, Celia Marston, Jacqueline E. Kay, Jacinta Brenan, Marijke C. Trappenburg, Wen Kwang Lim, Esmee M. Reijnierse, Carel G.M. Meskers, Andrea B. Maier Tags: Original Study Source Type: research

Potential Overtreatment and Undertreatment of Type 2 Diabetes Mellitus in Long-Term Care Facilities: A Systematic Review
To investigate the prevalence, outcomes, and factors associated with potential glycemic overtreatment and undertreatment of type 2 diabetes mellitus (T2DM) in long-term care facilities (LTCFs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 15, 2021 Category: Health Management Authors: Jacquelina Stasinopoulos BHumNut, Stephen J. Wood, J. Simon Bell, Jo-Anne Manski-Nankervis, Michelle Hogan, Janet K. Sluggett Tags: Review Article Source Type: research

Concurrent and Predictive Validity of FRAIL-NH in Hospitalized Older Persons: An Exploratory Study
The FRAIL-NH was originally developed for frailty assessment of nursing home (NH) residents. We aimed to compare concurrent, predictive, and known-groups validity between FRAIL-NH and FRAIL, using the Frailty Index (FI) as gold standard reference. We also examined for ceiling effect of both measures in the detection of severe frailty. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 15, 2021 Category: Health Management Authors: Edward Chong, Yufang Huang, Mark Chan, Huei Nuo Tan, Wee Shiong Lim Tags: Original Study - Brief Report Source Type: research