Impact of a public policy restricting staff mobility between nursing homes in Ontario, Canada during the COVID-19 pandemic
In Ontario, Canada, an emergency order restricting staff from working at multiple nursing homes greatly reduced mobility between homes. However, residual connectivity remains a potential vector of COVID-19 importation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 25, 2021 Category: Health Management Authors: Aaron Jones, Alexander G. Watts, Salah Uddin Khan, Jack Forsyth, Kevin A. Brown, Andrew P. Costa, Isaac I. Bogoch, Nathan M. Stall Tags: Original Study - Brief Report Source Type: research

Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths
Green House and other small nursing home (NH) models are considered “nontraditional” due to their size (10-12 beds), universal caregivers, and other home-like features. They have garnered great interest regarding their potential benefit to limit COVID-19 infections due to fewer people living, working, visiting, and being admitted to Green House/small NHs, and pr ivate rooms and bathrooms, but this assumption has not been tested. If they prove advantageous compared to other NHs, they may constitute an especially promising model as policy makers and providers reinvent NHs post-COVID. (Source: Journal of the Ameri...
Source: Journal of the American Medical Directors Association - January 25, 2021 Category: Health Management Authors: Sheryl Zimmerman, Carol Dumond-Stryker, Meera Tandan, John S. Preisser, Christopher J. Wretman, Abigail Howell, Susan Ryan Tags: Original Study - Brief Report Source Type: research

Management of Chronic Pain in Nursing Homes: Navigating Challenges to Improve Person-Centered Care
Despite the dynamic demands in the nursing home (NH), a definitive approach to managing chronic pain in older adults has yet to be established. Due to concerns for potential adverse pharmacologic effects, balancing appropriate pain management is a challenge among NH residents. The challenges encompass but are not limited to medical complexities, functional disabilities, and physical frailty. Barriers to the successful implementation of a comprehensive chronic pain management at the NH may include ambiguous directions on specific therapeutic interventions, insufficient guidance on treatment duration, and limited available t...
Source: Journal of the American Medical Directors Association - January 23, 2021 Category: Health Management Authors: Fatima Sheikh, Nicole Brandt, Dominque Vinh, Rebecca D. Elon Tags: Special Article Source Type: research

Durability of SARS-CoV-2 IgG Antibody Among Residents in a Long-Term Care Community
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 23, 2021 Category: Health Management Authors: Marcus D. Ruopp, Judy Strymish, Jonathan Dryjowicz-Burek, Katie Creedon, Kalpana Gupta Tags: Research Letters Source Type: research

Community-based Model for Dementia Risk Screening: The Beijing Aging Brain Rejuvenation Initiative (BABRI) Brain Health System
To address the condition that community-based geriatric services for the assessment and promotion of older adults ’ cognitive ability systemically aimed at delaying or preventing dementia is lacking in China. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 22, 2021 Category: Health Management Authors: Yiru Yang, Chenlong Lv, He Li, Kewei Chen, Xin Li, Yaojing Chen, Junying Zhang, Dongfeng Wei, Peng Lu, Jun Wang, Zhanjun Zhang Tags: Original Study Source Type: research

Physical Frailty, Multimorbidity, and All-Cause Mortality in an Older Population From Southern Italy: Results From the Salus in Apulia Study
We first estimated the prevalence of physical frailty in older subjects from the population-based Salus in Apulia Study (Apulia, Southern Italy), and its impact on all-cause mortality. Second, we explored the relationship between multimorbidity and physical frailty. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 22, 2021 Category: Health Management Authors: Fabio Castellana, Luisa Lampignano, Ilaria Bortone, Roberta Zupo, Madia Lozupone, Chiara Griseta, Antonio Daniele, Giovanni De Pergola, Gianluigi Giannelli, Rodolfo Sardone, Francesco Panza Tags: Original Study Source Type: research

Research on Frailty: Where We Stand and Where We Need to Go
More than a century ago, Elie Metchnikoff, winner of the Nobel Prize of Physiology and Medicine in 1908, proposed the term gerontology to define the “scientific study of old age.”1 Six years later, Ignatz Leo Nascher coined the term geriatrics to define the branch of medicine devoted to the prevention and care of diseases in older people in a book and presentation to the NewYork Academy of Sciences.2 Two decades later, in the 1930s, Marjorie Warren showed that “chronic sick, unclassified and ill-assorted” disabled older patients, long admitted to a London Hospital, when appropriately treated were ab...
Source: Journal of the American Medical Directors Association - January 22, 2021 Category: Health Management Authors: Leocadio Rodr íguez Mañas, Isabel Rodriguez-Sánchez Tags: Editorial Source Type: research

Exercise Effects on Brain and Muscle Function in Acutely Hospitalized Older Patients Assessed by Functional Near-Infrared Spectroscopy
Acute medical illness and subsequent hospitalization are associated with several negative health consequences in older adults, even when the acute disease that caused the hospital admission is successfully treated.1,2 Loss of function in activities of daily living following hospitalization increases the risk of new disabilities, hospital readmissions, institutionalization, and death, and also increases the likelihood of developing cognitive impairment.3 In fact, hospital-acquired cognitive impairment is independently associated with multiple adverse outcomes, including increased length of hospital stay, nursing home admiss...
Source: Journal of the American Medical Directors Association - January 21, 2021 Category: Health Management Authors: Mikel L. S áez de Asteasu, Nicolás Martínez-Velilla, Fabricio Zambom-Ferraresi, Robinson Ramírez-Vélez, Antonio García-Hermoso, Eduardo L. Cadore, Mikel Izquierdo Tags: Research Letters Source Type: research

Clinical Implications of Research on Frailty
Heading into the United Nations Decade of Healthy Ageing (2021-2030), health practitioners must respond to the quest to help older people maintain functional ability1 as they age. Functional ability is defined as the capability to be and do what older people have reason to value, including2 (1) meeting their basic needs; (2) learning, growing, and making decisions; (3) being mobile; (4) building and maintaining relationships; and (5) contributing to society. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 21, 2021 Category: Health Management Authors: Renuka Visvanathan, Solomon Yu Tags: Editorial Source Type: research

Letter to the Editor: Premorbid Frailty is a better Prognostic Indicator than Age in Oldest-old Hospitalized with COVID-19
Older people have a higher susceptibility for coronavirus disease 2019 (COVID-19) and a higher risk of developing severe COVID-19 symptoms and mortality.1 Current studies examining the relation between outcome and frailty in COVID-19 show contrasting results2 –7; however, these studies did not include illness severity as an effect. We conducted a multicenter cohort study in patients aged 80 years and older who were admitted with COVID-19 to 10 different acute hospitals in March and April 2020 in order to better understand the relation between frailty and in-hospital mortality combined with respiratory failure. (...
Source: Journal of the American Medical Directors Association - January 18, 2021 Category: Health Management Authors: Ruth Piers, Wim Janssens, Katrien Cobbaert, Inge Pattyn, Ine Westhovens, Han Martens, Katrien Van Puyvelde, Sandra Maertens, Vinciane Guyssens, Hilde Baeyens, Griet Buyck, Eva De Raes, Marie Louise Van Leeuwen, Veerle Mouton, David Dedecker, Ellen Deschep Tags: Research Letter Source Type: research

Medical Costs and Readmissions After Intensive Poststroke Rehabilitation: Japanese Claims Data
This study examined the association between intensive rehabilitation for subacute stroke patients and medical costs and readmission ratio during the year after discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 18, 2021 Category: Health Management Authors: Hirofumi Nagayama, Kounosuke Tomori, Kouhei Ikeda, Keita Yamauchi Tags: Original Study - Brief Report Source Type: research

Mobility and Self-Care Are Associated With Discharge to Community After Home Health for People With Dementia
The objective of this study was to determine the association between patient factors and successful DTC after home health for individuals with Alzheimer's disease and related dementias (ADRD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 18, 2021 Category: Health Management Authors: Sara Knox, Brian Downer, Allen Haas, Kenneth J. Ottenbacher Tags: Original Study Source Type: research

Premorbid Frailty is a better Prognostic Indicator than Age in Oldest-old Hospitalized with COVID-19
Premorbid frailty and neither age nor residence is associated with in-hospital mortality in oldest old with moderate COVID-19 disease. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 18, 2021 Category: Health Management Authors: Ruth Piers, Wim Janssens, Katrien Cobbaert, Inge Pattyn, Ine Westhovens, Han Martens, Katrien Van Puyvelde, Sandra Maertens, Vinciane Guyssens, Hilde Baeyens, Griet Buyck, Eva De Raes, Marie Louise Van Leeuwen, Veerle Mouton, David Dedecker, Ellen Deschep Tags: Research Letters Source Type: research

Antihypertensive Medication Classes and the Risk of Dementia: A Systematic Review and Network Meta-analysis
To systematically review and synthesize the evidence on differential associations between antihypertensive medication (AHM) classes and the risk of incident dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 15, 2021 Category: Health Management Authors: Melina G.H.E. den Brok, Jan Willem van Dalen, Hanna Abdulrahman, Eric Larson, Tessa van Middelaar, Willem A. van Gool, Eric P. Moll van Charante, Edo Richard Tags: Review Article Source Type: research

Does Recent Hospitalization Increase Antipsychotic Initiation Among Community Dwellers With Alzheimer's Disease
Antipsychotics are often prescribed to persons with cognitive impairment in the hospital, but it is not known whether recent hospital care increases the risk of antipsychotic initiation in community dwellers with Alzheimer's disease (AD). We studied whether hospital care during the previous 2  weeks is associated with antipsychotic initiation in persons with AD. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 15, 2021 Category: Health Management Authors: Anna Hakala, Anna-Maija Tolppanen, Marjaana Koponen, Heidi Taipale, Antti Tanskanen, Sirpa Hartikainen, Miia Tiihonen Tags: Original Study - Brief Report Source Type: research

Machine-Learning Modeling to Predict Hospital Readmission Following Discharge to Post-acute Care
Primary purpose was to generate a model to identify key factors relevant to acute care hospital readmission within 90  days from 3 types of post-acute care (PAC) sites: home with home care services (HC), skilled nursing facility (SNF), and inpatient rehabilitation facility (IRF). Specific aims were to (1) examine demographic characteristics of adults discharged to 3 types of PAC sites and (2) compare 90-day acute hospital readmission rate across PAC sites and risk levels. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 14, 2021 Category: Health Management Authors: Elizabeth P. Howard, John N. Morris, Erez Schachter, Ran Schwarzkopf, Nicholas Shepard, Emily R. Buchanan Tags: Original Study Source Type: research

A Cluster Randomized Controlled Trial Testing the Impact of Function and Behavior Focused Care for Nursing Home Residents With Dementia
The purpose of this study was to test the effectiveness of the Function and Behavior Focused Care for the Cognitively Impaired (FBFC-CI) intervention on function, physical activity, and behavioral symptoms among nursing home residents with dementia, and to explore the adoption of the intervention at the facility level. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 14, 2021 Category: Health Management Authors: Elizabeth M. Galik, Barbara Resnick, Sarah D. Holmes, Erin Vigne, Karen Lynch, Jeanette Ellis, Shijun Zhu DrE, Erik Barr Tags: Original Study Source Type: research

Factors Associated With Hospital Presentation of Self-Harm Among Older Canadians in Long-Term Care: A 12-year Cohort Study
This study aimed to examine the incidence of, and factors associated with, hospital presentation for self-harm among older Canadians in long-term care (LTC). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 14, 2021 Category: Health Management Authors: Yi Chai, Hao Luo, Paul S.F. Yip, Chris M. Perlman, John P. Hirdes Tags: Original Study Source Type: research

Sarcopenia, Low Handgrip Strength, and Low Absolute Muscle Mass Predict Long-Term Mortality in Older Hospitalized Patients: An Observational Inception Cohort Study
This study aimed to investigate whether sarcopenia and its measures handgrip strength (HGS) and muscle mass at hospital admission were associated with long-term mortality in a cohort of hospitalized older patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 13, 2021 Category: Health Management Authors: Kira Scheerman, Carel G.M. Meskers, Sjors Verlaan, Andrea B. Maier Tags: Original Study Source Type: research

Hospital Deaths Increased After Reforms Regardless of Dementia Status: An Interrupted Time-Series Analysis
The objective of this study is to fill an evidence gap on whether the 2015 Dutch long-term care reforms were effective in increasing deaths at home while avoiding increases in hospital deaths for the total population aged ≥65 years and by dementia status. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 13, 2021 Category: Health Management Authors: Janet L. MacNeil-Vroomen, Jenny T. van der Steen, Rebecca Holman, Joan K. Monin, Bianca M. Buurman Tags: Original Study Source Type: research

Spouse and Adult-Child Dementia Caregivers in Chinese American Families: Who Are More Stressed Out?
Though many studies have explored differences between spouses and adult children in dementia care, empirical evidence is lacking on racial- and ethnic-minority populations. To fill this research gap, this study examined care tasks, caregiver burden, and depressive symptoms of Chinese spouse and adult-child caregivers in dementia care. Guided by the stress process model, this study asked 3 questions: Do spouse and adult-child caregivers take up different care tasks and experience different levels of caregiver burden and depressive symptoms? Does gender moderate the differences between spouse and adult-child caregivers? Whet...
Source: Journal of the American Medical Directors Association - January 13, 2021 Category: Health Management Authors: Jinyu Liu Tags: Original Study Source Type: research

Sarcopenia, Low Handgrip Strength and Low Absolute Muscle Mass Predict Long-Term Mortality in Older Hospitalized Patients: An Observational Inception Cohort Study
This study aimed to investigate whether sarcopenia and its measures handgrip strength (HGS) and muscle mass at hospital admission were associated with long-term mortality in a cohort of hospitalized older patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 13, 2021 Category: Health Management Authors: Kira Scheerman, Carel G.M. Meskers, Sjors Verlaan, Andrea B. Maier Tags: Original Study Source Type: research

Health Care Costs and Utilization Predictions by the Skilled Nursing Facility Readmission Risk Instrument
Health care providers at hospitals and skilled nursing facilities (SNFs) are increasingly expected to optimize care of post-acute patients to reduce hospital readmissions and contain costs. To achieve these goals, providers need to understand their patients ’ risk of hospital readmission and how this risk is associated with health care costs. A previously developed risk prediction model identifies patients’ probability of 30-day hospital readmission at the time of discharge to an SNF. With a computerized algorithm, we translated this model as the S killed Nursing Facility Readmission Risk (SNFRR) instrument. (S...
Source: Journal of the American Medical Directors Association - January 11, 2021 Category: Health Management Authors: Anupam Chandra, Sue L. Visscher, Kandace A. Lackore, Rajeev Chaudhry, Paul Y. Takahashi, Gregory J. Hanson, Bijan J. Borah Tags: Original Study Source Type: research

WITHDRAWN: Taking Our Own Pulse in Considering Medication Changes
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at 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 - January 10, 2021 Category: Health Management Authors: Karl E. Steinberg, Richard G. Stefanacci Source Type: research

Taking Our Own Pulse in Considering Medication Changes
In the irreverent classic The House of God,1 one of Samuel Shem's rules for physicians was “First, take your own pulse.” The reason for this is that often in a crisis we may rush to act, missing our mark. Such has been the case with coronavirus disease 2019 (COVID-19) in post-acute and long-term care (PALTC). The COVID-19 pandemic has been a devastating catastrophe for PALTC residents in the United States and worldwide. Because of the lack of traditional high-quality data (and despite rapid availability of data online), medical professionals are often left to make clinical decisions based on anecdotal, poor-qua...
Source: Journal of the American Medical Directors Association - January 10, 2021 Category: Health Management Authors: Karl E. Steinberg, Richard G. Stefanacci Tags: Letter to the Editor Source Type: research

Quality and Safety in Long-Term Care in Ontario: The Impact of Language Discordance
This study compared quality indicators across linguistic groups and sought to determine whether disparities are influenced by resident-facility language discordance in long-term care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 9, 2021 Category: Health Management Authors: Ricardo Batista, D. Prud'homme, E. Rhodes, A. Hsu, R. Talarico, M. Reaume, E. Guerin, L. Bouchard, J. Desaulniers, D. Manuel, P. Tanuseputro Tags: Original Study Source Type: research

Effects of Unstructured Mobility Programs in Older Hospitalized General Medicine Patients: A Systematic Review and Meta-Analysis
The objective of this study was to determine the effects of unstructured mobility programs on physical activity, physical function, length of stay (LOS), and quality of life (QOL) in older ( ≥60 years) general medicine inpatients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 9, 2021 Category: Health Management Authors: Courtney D. Reynolds, Kaitlyn V. Brazier, Evelyn A.A. Burgess, Jonathan A. Golla, Jayson Le, Brenna A. Parks, Sachi O'Hoski, Marla K. Beauchamp Tags: Original Study Source Type: research

Identifying Urinary Tract Infection –Related Information in Home Care Nursing Notes
This study aimed to examine the value of nursing notes in detecting UTI signs and symptoms in home care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 9, 2021 Category: Health Management Authors: Kyungmi Woo, Victoria Adams, Paula Wilson, Li-heng Fu, Kenrick Cato, Sarah Collins Rossetti, Margaret McDonald, Jingjing Shang, Maxim Topaz Tags: Original Study Source Type: research

Racial/Ethnic Disparities in Nursing Home End-of-Life Care: A Systematic Review
Health disparities are pervasive in nursing homes (NHs), but disparities in NH end-of-life (EOL) care (ie, hospital transfers, place of death, hospice use, palliative care, advance care planning) have not been comprehensively synthesized. We aim to identify differences in NH EOL care for racial/ethnic minority residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 8, 2021 Category: Health Management Authors: Leah V. Estrada, Mansi Agarwal, Patricia W. Stone Tags: Review Article Source Type: research

Longitudinal Changes in Muscle Mass, Muscle Strength, and Physical Performance in Acutely Hospitalized Older Adults
Acute hospitalization may lead to a decrease in muscle measures, but limited studies are reporting on the changes after discharge. The aim of this study was to determine longitudinal changes in muscle mass, muscle strength, and physical performance in acutely hospitalized older adults from admission up to 3  months post-discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 8, 2021 Category: Health Management Authors: Jesse J. Aarden, Esmee M. Reijnierse, Marike van der Schaaf, Martin van der Esch, Lucienne A. Reichardt, Rosanne van Seben, Jos A. Bosch, Jos W.R. Twisk, Andrea B. Maier, Raoul H.H. Engelbert, Bianca M. Buurman, the Hospital-ADL study group Tags: Original Study Source Type: research

Feasible and Appropriate Strategies for Implementing Evidence-Based Practices in Nursing Homes
The uptake of evidence-based practice(s) (EBPs) in “real-world” settings requires the use of feasible and appropriate implementation strategies.1 But, identifying implementation strategies is often a challenge for researchers and clinicians.2 The Expert Recommendations for Implementing Change (ERIC) strategies were developed3 to identify impleme ntation strategies that work well across diverse settings and populations. There is limited evidence, however, on which ERIC strategies are feasible and appropriate in the context of the nursing home (NH) setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 6, 2021 Category: Health Management Authors: Caroline Madrigal, Ann Kolanowski, Diane Berish, Kimberly VanHaitsma Tags: Research Letters Source Type: research

Advance Care Planning in Asia: A Systematic Narrative Review of Healthcare Professionals ’ Knowledge, Attitude, and Experience
The value of advance care planning (ACP) for patients with life-limiting illnesses is widely recognized but Asian health care professionals' (HCPs') perspectives on ACP have received little systematic attention. We aim to synthesize evidence regarding Asian HCPs ’ knowledge of, attitudes toward, and experiences with ACP. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 6, 2021 Category: Health Management Authors: Diah Martina, Cheng-Pei Lin, Martina S. Kristanti, Wichor M. Bramer, Masanori Mori, Ida J. Korfage, Agnes van der Heide, Carin C.D. van der Rijt, Judith A.C. Rietjens Tags: Review Article Source Type: research

Incomplete Home Health Care Referral After Hospitalization Among Medicare Beneficiaries
This study examines the prevalence of incomplete referrals to home health, defined as not receiving home health care within 7  days after an initial hospital discharge, and investigates the relationship between home health referral completion and patient outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 5, 2021 Category: Health Management Authors: Berna Demiralp, Jessica S. Speelman, Christine M. Hack, Danielle Pierotti, Marie Steele-Adjognon, Norbert Hudak, Michael P. Neuman, Ian Juliano, Sharon Harder, Lane Koenig Tags: Original Study Source Type: research

Implementation and Evaluation of an IPAC SWAT Team Mobilized to Long-Term Care and Retirement Homes During the COVID-19 Pandemic: A Pragmatic Health System Innovation
Long-term care facilities (LTCFs), retirement homes (RHs), and other congregate care settings in Canada and worldwide have experienced significant COVID-19 outbreaks. As a health system response, our acute care hospital in Toronto, Ontario, Canada, developed and mobilized an onsite Infection Prevention and Control (IPAC) SWAT team (IPAC-SWAT) to regional settings on outbreak and implemented a strategy of support through education, training, and engagement.Between April 28, 2020, and June 30, 2020, IPAC-SWAT assessed 7 LTCFs and 10 RHs for IPAC preparedness and actively managed 10 of 13 COVID-19 outbreaks (LTCF n=5; RH n=5)...
Source: Journal of the American Medical Directors Association - January 3, 2021 Category: Health Management Authors: Michael J. Lamb, Anthony La Delfa, Monakshi Sawhney, Diana Adams, Karoleen Abdel-Shahied, Tamara Belfer, James Schembri, Kevin Katz Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Administration of As-Needed Psychotropic Medications in Aged Care: Decision Matrix Employed by Nursing Staff
Prescribing of psychotropic medication in residential aged care facilities (RACFs) in Australia has again been highlighted by the Royal Commission into Aged Care Quality and Safety.1 Some are prescribed for psychological disorders and others for behavioral and psychological symptoms of dementia (BPSD). A 2018 Australian Institute of Health and Welfare report2 indicated that 86% of RACF residents had at least 1 diagnosed psychological disorder or behavioral condition [primarily depression (49%) and dementia (52%)]. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 31, 2020 Category: Health Management Authors: Tien Ngoc Thi Bui, Hope J. Stahl, Josef Kaplan, Elizabeth Hotham, Helen Loffler, Megan Corlis, Vijayaprakash Suppiah Tags: Letter to the Editor Source Type: research

Mouth Care in Assisted Living: Potential Areas for Improvement
Poor oral care may lead to systemic disease, and there is evidence that assisted living (AL) residents lack quality oral care; in AL, poor care may be due to staff knowledge and attitudes, as well as organizational barriers to providing care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 29, 2020 Category: Health Management Authors: Christine E. Kistler, Jessica Scott, Kimberly Ward, Robin Zeigler, Louise Sullivan, Sarah E. Tomlinson, Christopher J. Wretman, Sheryl Zimmerman Tags: Original Study - Brief Report Source Type: research

How typical is the spectrum of COVID-19 in nursing home residents?
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 29, 2020 Category: Health Management Authors: Sarah I.M. Janus, Angelique A.M. Schepel, Sytse U. Zuidema, Esther C. de Haas Tags: Research Letters Source Type: research

To What Extent Do Local Nursing Home Prescribing Patterns Relate to Psychotropic Prescribing in Assisted Living?
This study examined how antipsychotic and antianxiety medication prescribing in AL compares with NHs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 28, 2020 Category: Health Management Authors: Kali Thomas, Christopher J. Wretman, Philip D. Sloane, Paula Carder, Lindsay Schwartz, Anna S. Beeber, Sheryl Zimmerman Tags: Original Study Source Type: research

Health Care Needs in Assisted Living: Survey Data May Underestimate Chronic Conditions
Research using electronic and administrative databases has  become increasingly common in post-acute and long-term care—so much so that its use has been conjectured to surpass that based on primary purposive data collection.1 The benefits of these databases include the large number of observations they contain and the relative ease with which they can be accessed. Data from the National Nursing Home Survey enabled widescale research on nationally representative US samples over more than 30 years,2 and the availability of the Minimum Data Set (MDS) in 19913 expanded nursing home research across the globe; to...
Source: Journal of the American Medical Directors Association - December 27, 2020 Category: Health Management Authors: Sheryl Zimmerman, Wenhan Guo, Yunjiao Mao, Yue Li, Helena Temkin-Greener Tags: Research Letters Source Type: research

Hope Springs Eternal: Can Project ECHO Transform Nursing Homes?
There have been more than 100,000 deaths in US nursing homes attributed to COVID-19, accounting for 40% of COVID-19 deaths across the country.1 In addition, staff turnover has increased dramatically, as many workers are afraid of becoming sick or bringing the virus home to family members, or they are simply exhausted and unable to maintain the pace required to care for so many severely ill residents.2 Suddenly, nursing homes have been thrust into the national spotlight. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 27, 2020 Category: Health Management Authors: Alice Bonner Tags: Editorial Source Type: research

New Findings on Palliative Care Issues Near the End-of-Life
To palliate means to relieve suffering. However, the public —and even clinicians—often confuse palliation with hospice care and believe that palliative care is restricted solely to the last hours, days, or weeks of life. Nothing could be further from the truth. According to the American Academy of Hospice and Palliative Medicine, “palliative care focus es on improving a patient's quality of life by managing pain and other distressing symptoms of a serious illness. Palliative care should be provided along with other medical treatments; Hospice is palliative care for patients in their last year of life.&rdq...
Source: Journal of the American Medical Directors Association - December 27, 2020 Category: Health Management Authors: Christine E. Kistler, Philip D. Sloane, Sheryl Zimmerman Tags: Editorial Source Type: research

Geographic Variation in Anticoagulant Use and Resident, Nursing Home, and County Characteristics Associated With Treatment Among US Nursing Home Residents
To quantify geographic variation in anticoagulant use and explore what resident, nursing home, and county characteristics were associated with anticoagulant use in a clinically complex population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 25, 2020 Category: Health Management Authors: Matthew Alcusky, Jonggyu Baek, Jennifer Tjia, David D. McManus, Kate L. Lapane Tags: Original Study Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 25, 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 - December 25, 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 - December 25, 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 - December 25, 2020 Category: Health Management Source Type: research

Dementia and Poor Continuity of Primary Care Delay Hospital Discharge in Older Adults: A Population-Based Study From 2001 to 2016
Delayed discharge, remaining in acute care longer than medically necessary, reflects less than optimal use of hospital care resources and can have negative implications for patients. We studied (1) the change over time in delayed discharge in people with and without dementia, and (2) the association of delayed discharge with discharge destination and with the continuity of primary care prior to urgent admission. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 22, 2020 Category: Health Management Authors: Shiraz El Adam, Anne Martin-Matthews, Mariko Sakamoto, Erin Strumpf, Kimberlyn M. McGrail, Mari Aaltonen Tags: Original Study Source Type: research

Temporal Associations between Community Incidence of COVID-19 and Nursing Home Outbreaks in Ontario, Canada
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 19, 2020 Category: Health Management Authors: Kamil Malikov, Qing Huang, Shengli Shi, Nathan M. Stall, Ashleigh R. Tuite, Michael P. Hillmer Tags: Research Letters Source Type: research

Nighttime Agitation in Persons with Dementia as a Manifestation of Restless Legs Syndrome
Nighttime agitation or “sundowning” is challenging for clinicians and caregivers to manage in older adults in the dementia stage of Alzheimer's disease (AD-D). Our research previously revealed that nighttime agitation might be a manifestation of restless legs syndrome (RLS). The current study aims to describe the char acteristics of older adults with AD-D, nighttime agitation, and RLS, and to evaluate sleep disturbance and iron status in relation to nighttime agitation severity. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 18, 2020 Category: Health Management Authors: Kathy C. Richards, Richard P. Allen, Janet Morrison, Liam Fry, Christine R. Kovach, Angelica Rangel, Ana Loera, Yanyan Wang, Alexandra L. Hanlon, Alicia J. Lozano, Donald L. Bliwise Tags: Original Study Source Type: research

Poisoning Exposures in People with Dementia (2014 ‒2019): A Retrospective Study
To describe the most common types of poisoning exposures, implicated substances and underlying sources of medication error in people with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 17, 2020 Category: Health Management Authors: Ilsa R. Wojt, Rose Cairns, Edwin C.K. Tan Tags: Original Study - Brief Report Source Type: research