Comparison of Cognitive Intervention Strategies for Older Adults With Mild to Moderate Alzheimer's Disease: A Bayesian Meta-analytic Review
We aimed to identify the best form of cognitive therapy among 3 main cognitive interventions of Alzheimer's disease (AD) including cognitive training (CT), cognitive stimulation (CS), and cognitive rehabilitation (CR). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 17, 2018 Category: Health Management Authors: Jing-Hong Liang, Jia-Yu Li, Rui-Xia Jia, Ying-Quan Wang, Rong-Kun Wu, Hong-Bo Zhang, Lei Hang, Yong Xu, Chen-Wei Pan Tags: Original Study Source Type: research

Impact of Environmental Modifications to Enhance Day-Night Orientation on Behavior of Nursing Home Residents With Dementia
To determine whether environmental rearrangements of the long-term care nursing home can affect disruptive behavioral and psychological symptoms of dementia (BPSD) in residents with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 16, 2018 Category: Health Management Authors: Thierry Bautrant, Michel Grino, Corinne Peloso, Fr édéric Schiettecatte, Magali Planelles, Charles Oliver, Caroline Franqui Tags: Original Study - Brief Report Source Type: research

Impact of Environmental Modifications to Enhanced Day-Night Orientation on Behavior of Nursing Home Residents With Dementia
To determine whether environmental rearrangements of the long-term care nursing home can affect disruptive behavioral and psychological symptoms of dementia (BPSD) in residents with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 16, 2018 Category: Health Management Authors: Thierry Bautrant, Michel Grino, Corinne Peloso, Fr édéric Schiettecatte, Magali Planelles, Charles Oliver, Caroline Franqui Tags: Original Study - Brief Report Source Type: research

Development of the Decannulation Prediction Tool in Patients With Dysphagia After Acquired Brain Injury
Patients with acquired brain injuries (ABIs) often need tracheostomy because of dysphagia. However, many of them may recover over time and be eventually decannulated during post-acute rehabilitation. We developed the Decannulation Prediction Tool (DecaPreT) to identify, early in the post-acute course, patients with ABIs who can be safely decannulated. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 16, 2018 Category: Health Management Authors: Cristina Reverberi, Francesco Lombardi, Mirco Lusuardi, Alessandra Pratesi, Mauro Di Bari Tags: Original Study Source Type: research

Influence of Frailty on Cognitive Decline: A Population-Based Cohort Study in Rural Ecuador
To assess the influence of frailty on cognitive decline. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 16, 2018 Category: Health Management Authors: Oscar H. Del Brutto, Robertino M. Mera, Mauricio Zambrano, Mark J. Sedler Tags: Original Study-Brief Report Source Type: research

The Incidence of Recorded Delirium Episodes Before and After Dementia Diagnosis: Differences Between Dementia With Lewy Bodies and Alzheimer's Disease
To describe the incidence of delirium recording before and after a diagnosis of dementia is established in patients with dementia with Lewy bodies (DLB) and compare findings to a matched cohort of patients with Alzheimer's disease (AD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 15, 2018 Category: Health Management Authors: James M. FitzGerald, Gayan Perera, Alexandra Chang-Tave, Annabel Price, Anto P. Rajkumar, Manorama Bhattarai, John T. O'Brien, Clive Ballard, Dag Aarsland, Robert Stewart, Christoph Mueller Tags: Original Study Source Type: research

Measurement Properties of the Barthel Index in Geriatric Rehabilitation
The Barthel index (BI) is a widely used observer-based instrument to measure physical function. Our objective is to assess the structural validity, reliability, and interpretability of the BI in the geriatric rehabilitation setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 15, 2018 Category: Health Management Authors: Hylco Bouwstra, Ewout B. Smit, Elizabeth M. Wattel, Johannes C. van der Wouden, Cees M.P.M. Hertogh, Berend Terluin, Caroline B. Terwee Tags: Original Study Source Type: research

Bingo Candies in Long-term Care: A  Quality Improvement Project
The prevalence of obesity in nursing homes may vary between facilities and ranges between 25% and 58%.1,2 Obesity in older adults leads to functional decline, increased morbidity and mortality, and exists in context with sarcopenia (sarcopenic obesity) and frailty.3,4 In addition to its impact on patient outcomes, caring for obese individuals in nursing homes requires higher demand for staff and equipment to provide personal assistance and a physical environment capable of meeting their unique care needs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 14, 2018 Category: Health Management Authors: Quratulain Syed, Sara Sharif, Claire Frohardt Tags: Research Letter Source Type: research

Patient Characteristics as Indicator for Care Dependence after Hip Fracture: A Retrospective Cohort Study Using Health Insurance Claims Data From Germany
Hip fractures are common consequences of falls in older adults and, among other negative health outcomes, often lead to care dependence in the long term. Until 2016, the German long-term care insurance classified care recipients according to a standardized classification system consisting of 3 care levels. It was based on required assistance in performing activities of daily living and assessed by a qualified physician or nurse. Thus, care level reflects the degree of care dependence. The aim of this study was to determine relevant patient characteristics, which are related to the likelihood of increasing care dependence i...
Source: Journal of the American Medical Directors Association - November 14, 2018 Category: Health Management Authors: Claudia Schulz, Gisela B üchele, Martin Rehm, Dietrich Rothenbacher, Patrick Roigk, Kilian Rapp, Christian Günster, Hans-Helmut König, Katrin Reber Tags: Original Study Source Type: research

Examining Black-White Disparities Among Medicare Beneficiaries in Assisted Living Settings in 2014
We examined racial differences among a national cohort of AL residents and how the racial variation among AL Medicare Fee-For-Service (FFS) beneficiaries compared to differences among community-dwelling and nursing home cohorts. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 14, 2018 Category: Health Management Authors: Chanee D. Fabius, Kali S. Thomas Tags: Original Study Source Type: research

Feasibility and Acceptability of a Peer Mentoring Program for Older Adults Following Hospitalization for Hip Fracture
Peer support interventions represent a promising avenue for improving the outcomes of chronic diseases,1 such as diabetes.2 Hip fractures occur more than 300,000 times annually among older US adults.3 Functional recovery after hip fracture may occur over months to years after the initial treatment4 and may be affected by social supports.5 We conducted a pilot study to assess the feasibility and acceptability of a 6-week telephone peer support program for older adults recently hospitalized with a hip fracture. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 13, 2018 Category: Health Management Authors: Mark D. Neuman, Lakisha J. Gaskins, Brittany Montgomery, Diane A. Menio, Judith Long, Lee A. Fleisher, Lauren Beaupre, Jaimo Ahn Tags: Letter to the Editor Source Type: research

Three Nurse-administered Protocols Reduce Nutritional Decline and Frailty in Older Gastrointestinal Surgery Patients: A Cluster Randomized Trial
To evaluate the effects of the modified Hospital Elder Life Program (mHELP) comprising 3 nurse-administered protocols in older patients undergoing gastrointestinal (GI) surgery. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 10, 2018 Category: Health Management Authors: Cheryl Chia-Hui Chen, Yi-Ting Yang, I-Rue Lai, Been-Ren Lin, Ching-Yao Yang, John Huang, Yu-Wen Tien, Chiung-Nien Chen, Ming-Tsan Lin, Jin-Tung Liang, Hsiu-Ching Li, Guan-Hua Huang, Sharon K. Inouye Tags: Original Study Source Type: research

Healthcare Costs of Frailty: Implications for Long-term Care
In the next few decades, there will be an unprecedented demand for health services required by frail and nonfrail older individuals. This increased demand will have multiple implications for individuals, families, health systems, and larger society. One of the main implications is higher health care costs. Recent evidence has shown that frailty could be associated with higher health care costs.1 –3 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 10, 2018 Category: Health Management Authors: Aar ón Salinas-Rodríguez, Betty Manrique-Espinoza, Ileana Heredia-Pi, Ana Rivera-Almaraz, José Alberto Ávila-Funes Tags: Research Letter Source Type: research

Preventing Alzheimer's Disease: Why Not Targeting the Muscle First?
Alzheimer's disease (AD) is the commonest cause of dementia and in fact the most frequent neurologic disorder that accompanies the ageing process, currently affecting more than 30 million persons around the world.1 Although research is rapidly progressing, AD prevalence continues to rise worldwide, and currently available treatments produce minimal improvements, prompting the need for new strategies, including nonpharmacologic approaches. In this regard, a key lifestyle intervention, regular physical activity (PA), might play a major  role in AD prevention,2 with the pandemic of physical inactivity being at odds with ...
Source: Journal of the American Medical Directors Association - November 10, 2018 Category: Health Management Authors: Pedro L. Valenzuela, Javier S. Morales, Carmen Fiuza-Luces, Pedro de la Villa, Alejandro Santos-Lozano, Alejandro Lucia Tags: Letter to the Editor Source Type: research

Understanding the Feasibility and Validity of Muscle Strength Measurements in Aging Adults
This study concluded that at individual and population levels, HGS alone should not be considered a proxy for overall muscle strength. These findings con tribute to the ongoing debate regarding what measures of muscle strength should be included for accurately evaluating age-related declines in strength. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 8, 2018 Category: Health Management Authors: Ryan P. McGrath Tags: Letter to the Editor Source Type: research

Reply to the Letter to Editor
The following two letters consist of a critique and author's reply related to an article in this month's journal, which was published online early enough to obtain both the letter and reply in time to publish all three simultaneously. The letter by Fung et  al raises legitimate questions about the conduct and interpretation of data in a systematic review and meta-analysis, which the response by Zhang et al addresses point-by-point. Taken together, these correspondences illustrate many of the challenges inherent in conducting a comprehensive and vali d systematic review and meta-analysis. (Source: Journal of the A...
Source: Journal of the American Medical Directors Association - November 8, 2018 Category: Health Management Authors: Yunpeng Zhang, Ming Yuan, Mengqi Gong, Guangping Li, Gary Tse, Tong Liu Tags: Letter to the Editor Source Type: research

Using a Decision Support Algorithm for Referrals to Post-Acute Care
Although hospital clinicians strive to effectively refer patients who require post-acute care (PAC), their discharge planning processes often vary greatly, and typically are not evidence-based. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 7, 2018 Category: Health Management Authors: Kathryn H. Bowles, Sarah J. Ratcliffe, John H. Holmes, Sue Keim, Sheryl Potashnik, Emilia Flores, Diane Humbrecht, Christina R. Whitehouse, Mary D. Naylor Tags: Original Study Source Type: research

Effects of Resistance Training on Functional Strength and Muscle Mass in 70-Year-Old Individuals With Pre-sarcopenia: A Randomized Controlled Trial
Sarcopenia has been defined as age-related loss of muscle mass and function. The aim of this randomized controlled trial was to examine the effects of a 10-week instructor-led resistance training program on functional strength and body composition in men and women aged 70  years with pre-sarcopenia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 7, 2018 Category: Health Management Authors: Sanna Vikberg, Niklas S örlén, Lisa Brandén, Jonas Johansson, Anna Nordström, Andreas Hult, Peter Nordström Tags: Original Study Source Type: research

Association Between the Discrepancy in Self-Reported and Performance-Based Physical Functioning Levels and Risk of Future Falls Among Community-Dwelling Older Adults: The Locomotive Syndrome and Health Outcomes in Aizu Cohort Study (LOHAS)
A discrepancy in self-reported and performance-based physical functioning levels is often observed among older adults. We investigated the association of discrepancy in self-reported and performance-based physical functioning levels with risk of future falls among community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 5, 2018 Category: Health Management Authors: Tsukasa Kamitani, Yosuke Yamamoto, Shingo Fukuma, Tatsuyoshi Ikenoe, Miho Kimachi, Sayaka Shimizu, Shungo Yamamoto, Koji Otani, Miho Sekiguchi, Yoshihiro Onishi, Misa Takegami, Rei Ono, Shin Yamazaki, Shinichi Konno, Shinichi Kikuchi, Shunichi Fukuhara Tags: Original Study Source Type: research

Aggressive Behaviors Among Nursing Home Residents: Association With Dementia and Behavioral Health Disorders
We measured the prevalence and severity of aggressive behaviors (ABs) among nursing home (NH) residents and examined whether individuals with behavioral health disorders were more likely to exhibit aggressive behaviors than others. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 5, 2018 Category: Health Management Authors: Xi Cen, Yue Li, Michael Hasselberg, Thomas Caprio, Yeates Conwell, Helena Temkin-Greener Tags: Original Study Source Type: research

Prevalence and Associated Factors of Sarcopenia in Nursing Home Residents: A Systematic Review and Meta-analysis
To review the prevalence and associated factors of sarcopenia in nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 5, 2018 Category: Health Management Authors: Yanjiao Shen, Jing Chen, Xiaoyan Chen, LiSha Hou, Xiufang Lin, Ming Yang Tags: Review Article Source Type: research

Depression is Associated With Sarcopenia Due to Low Muscle Strength: Results From the ELSA-Brasil Study
To investigate the association of sarcopenia and its defining components with depression in Brazilian middle-aged and older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 5, 2018 Category: Health Management Authors: Claudia Szlejf, Claudia K. Suemoto, Andre R. Brunoni, Maria Carmen Viana, Arlinda B. Moreno, Sheila M.A. Matos, Paulo A. Lotufo, Isabela M. Bense ñor Tags: Original Study Source Type: research

Effect of Monthly Vitamin D on Chronic Pain Among Community-Dwelling Seniors: A Randomized, Double-Blind Controlled Trial
With advancing age, the prevalence of vitamin D deficiency and musculoskeletal pain increases. However, published data on the effectiveness of vitamin D supplementation in reducing chronic pain are inconclusive. The purpose of this study was to test the effect of 3 different monthly doses of vitamin D on chronic pain in seniors 70  years and older with a prior fall event. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 3, 2018 Category: Health Management Authors: Mathias Schl ögl, Patricia Chocano-Bedoya, Bess Dawson-Hughes, Endel J. Orav, Gregor Freystaetter, Robert Theiler, Reto W. Kressig, Andreas Egli, Heike A. Bischoff-Ferrari Tags: Original Study Source Type: research

Effect of Vitamin D Supplementation on Depressive Symptoms in Patients With Knee Osteoarthritis
To determine the effect of vitamin D supplementation and maintaining sufficient serum vitamin D on depressive symptoms in patients with knee osteoarthritis (OA) and vitamin D deficiency. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 3, 2018 Category: Health Management Authors: Shuang Zheng, Liudan Tu, Flavia Cicuttini, Weiyu Han, Zhaohua Zhu, Benny Antony, Anita Wluka, Tania Winzenberg, Tao Meng, Dawn Aitken, Leigh Blizzard, Graeme Jones, Changhai Ding Tags: Original Study Source Type: research

Neighborhood Walkability of Retirement Homes: A Cross-Sectional Cohort Study
The built environment is a key determinant of successful aging.1 One essential feature is neighborhood walkability, which is a measure of street connectivity and access to amenities within walking distance.2 Living in highly walkable neighborhoods is associated with substantial physical and mental health benefits, but few studies have considered the neighborhoods inhabited by older adults despite their progressive urbanization.3,4 Retirement homes (also known as residential care or assisted living facilities) are an increasingly common housing option for older adults who require some supportive care and services but wish t...
Source: Journal of the American Medical Directors Association - November 3, 2018 Category: Health Management Authors: Hana Brath, Sanghun J. Kim, Rachel D. Savage, Susan E. Bronskill, Paula A. Rochon, Nathan M. Stall Tags: Research Letter Source Type: research

Letter by Fung et  al Regarding Article, “Frailty and Clinical Outcomes in Heart Failure: A Systematic Review and Meta-analysis”
The following two letters consist of a critique and author's reply related to an article in this month's journal, which was published online early enough to obtain both the letter and reply in time to publish all three simultaneously. The letter by Fung et  al raises legitimate questions about the conduct and interpretation of data in a systematic review and meta-analysis, which the response by Zhang et al addresses point-by-point. Taken together, these correspondences illustrate many of the challenges inherent in conducting a comprehensive and vali d systematic review and meta-analysis. (Source: Journal of the A...
Source: Journal of the American Medical Directors Association - November 1, 2018 Category: Health Management Authors: Erik Fung, Xiaobo Yang, Phillip J. Newton, Caleb Ferguson, Paloma Gastelurrutia, Josep Lup ón, Antoni Bayés-Genís, Sunita Jha, Peter S. Macdonald Tags: Letter to the Editor Source Type: research

The Impact of Incomplete Nursing Home Transfer Documentation on Emergency Department Care
This study aimed to review the completeness of NH transfer documentation according to expected core components, as guided by the INTERACT 4.0 quality improvement tool. We also describe the association between patient or facility characteristics and transfer documentation completeness, as well as establish whether information gaps in NH-ED transfer documentation were associated with hospital admission. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 29, 2018 Category: Health Management Authors: Cameron J. Gettel, Roland C. Merchant, Yanan Li, Sara Long, Austin Tam, Sarah J. Marks, Elizabeth M. Goldberg Tags: Original Study Source Type: research

Potentially Inappropriate Medications and Polypharmacy
One cross-sectional study conducted by Anrys and colleagues1 published in JAMDA has reported that the prevalence of potentially inappropriate medications was 88.3% among nursing home residents aged ≥65 years. The definition of potentially inappropriate medications is the use of a drug where a clinical indication does not exist or the use of an indicated drug in conditions where the risk outweighs the benefit.2 Anrys and colleagues also reported that polypharmacy (use of 5 or more drugs) was significantly associated with potentially inappropriate medications. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2018 Category: Health Management Authors: Shih-Wei Lai Tags: Letter to the Editor Source Type: research

Antihypertensive Drugs, Incident Dementia, and the Competing Risk of Death
In the article “Antihypertensive Medication Regimen Intensity and Incident Dementia in an Older Population” by Tan et al, the authors reported that in a prospective observational population-based cohort of 1208 older persons (mean age: 84.1 ± 5.6), use of a higher number of antihypertensive drug (AHD) cla sses was associated with a lower dementia risk during 6 years of follow-up.1 Cox regression was used to estimate hazard ratios (HRs), and competing risk of death was adjusted for using the subdistribution hazard method of Fine and Gray. (Source: Journal of the American Medical D...
Source: Journal of the American Medical Directors Association - October 26, 2018 Category: Health Management Authors: Jan Willem van Dalen, Eric P. Moll van Charante, Edo Richard, William A. van Gool Tags: Letter to the Editor Source Type: research

Response to the Letter to the Editor: “Antihypertensive Medication Regimen Intensity and Incident Dementia in an Older Population”
We thank the authors for their comments regarding our recent study on antihypertensive regimen intensity and incident dementia in an older Swedish population.1 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2018 Category: Health Management Authors: Edwin C.K. Tan, Chengxuan Qiu, J. Simon Bell, Kristina Johnell Tags: Letter to the Editor Source Type: research

Deprescribing in Geriatric Medicine: Challenges and Opportunities
Drug safety, polypharmacy, and deprescribing are important issues in post-acute and long-term care medicine and therefore also of great interest to JAMDA's editors and readers. This issue of JAMDA features a number of articles that advance the discussion of these topics. Two articles document and describe prescribing behavior —one on the challenges clinicians face determining whether and, if so, when antipsychotics are appropriate to prescribe1; the other on the subjective nature of opioid prescribing decisions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2018 Category: Health Management Authors: Philip D. Sloane, Sheryl Zimmerman Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2018 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 - October 26, 2018 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2018 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2018 Category: Health Management Source Type: research

Risk Factors for Vertebral, Hip, and Femoral Fractures Among Patients With Parkinson's Disease: A 5-Year Follow-up in Korea
To investigate the prevalence and incidence of Parkinson's disease (PD) and provide evidence for preventive strategy of vertebral, hip, and femoral fractures (VF, HF, and FF) in PD patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 23, 2018 Category: Health Management Authors: Sung Bae Park, Chun Kee Chung, Jee-Young Lee, Jin Yong Lee, Jayeun Kim Tags: Original Study Source Type: research

Physician Visits and Recognition of Residents' Terminal Phase in Long-Term Care Facilities: Findings From the PACE Cross-Sectional Study in 6 EU Countries
To describe the relation between physician visits and physicians' recognition of a resident's terminal phase in long-term care facilities (LTCFs) in Belgium, England, Finland, Italy, the Netherlands, and Poland. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 23, 2018 Category: Health Management Authors: M.G. Oosterveld-Vlug, H.R.W. Pasman, M. ten Koppel, H.P.J. van Hout, J.T. van der Steen, D. Collingridge Moore, L. Deliens, G. Gambassi, M. Kyl änen, T. Smets, K. Szczerbińska, L. Van den Block, B.D. Onwuteaka-Philipsen, PACE Tags: Original Study Source Type: research

The Healthy Nordic Diet and Mediterranean Diet and Incidence of Disability 10  Years Later in Home-Dwelling Old Adults
Diet has a major impact on a person's health. However, limited information exists on the long-term role of the whole diet on disability. We investigated the association of the healthy Nordic diet and the Mediterranean diet with incident disability 10  years later. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 23, 2018 Category: Health Management Authors: Mia-Maria Per älä, Mikaela B. von Bonsdorff, Satu Männistö, Minna K. Salonen, Mika Simonen, Pertti Pohjolainen, Eero Kajantie, Taina Rantanen, Johan G. Eriksson Tags: Original Study Source Type: research

Feasibility and Clinical Efficacy of a Multidisciplinary Home-Telehealth Program to Prevent Falls in Older Adults: A Randomized Controlled Trial
The aim of this study was to determine the feasibility and efficacy of a 6-month tele-rehabilitation home-based program, designed to prevent falls in older adults with 1 or more chronic diseases (cardiac, respiratory, neuromuscular or neurologic) returning home after in-hospital rehabilitation for their chronic condition. Patients were eligible for selection if they had experienced a fall during the previous year or were at high risk of falling. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 23, 2018 Category: Health Management Authors: Palmira Bernocchi, Alessandro Giordano, Giuseppe Pintavalle, Tiziana Galli, Eleonora Ballini Spoglia, Doriana Baratti, Simonetta Scalvini Tags: Original Study Source Type: research

Response to the Letter to the Editor: “Understanding the Feasibility and Validity of Muscle Strength Measurements in Aging Adults”
Thank you for the response to our recent article “Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength”.1 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 23, 2018 Category: Health Management Authors: Suey S.Y. Yeung, Andrea B. Maier Tags: Letter to the Editor Source Type: research

Plasma Klotho and Mortality Risk Among Nursing Home Residents: Results From the SENIOR Cohort
This study aimed to test the relationship between the level of plasma Klotho and mortality among a specific population of nursing home residents. To address this objective, we measured plasma klotho levels in a longitudinal cohort of 662 nursing home residents, the SENIOR cohort.5 A sample of 4 43 subjects from the SENIOR cohort with archived blood samples available at the point of enrollment was included in the current study. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 15, 2018 Category: Health Management Authors: Fanny Buckinx, Olivier Bruy ère, Jean-Yves Reginster, Alexia Charles, Pierre Delanaye, Etienne Cavalier Tags: Letter to the Editor Source Type: research

Prevalence and Risk Factors Associated With Low Fluid Intake in Institutionalized Older Residents
The aim of this study was to determine the prevalence of low fluid intake in institutionalized older residents and the associated factors. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 15, 2018 Category: Health Management Authors: Teresa Botigu é, Olga Masot, Jèssica Miranda, Carmen Nuin, Maria Viladrosa, Ana Lavedán, Sandra Zwakhalen Tags: Original Studies Source Type: research

Rationing of Nursing Care: Exploring the Views of Care Workers and Residents in a Swiss Nursing Home
Care workers in nursing homes cannot always carry out all necessary nursing interventions because of time constraints, lack of resources, or other organizational or personal factors. This failure is included within the concept of unfinished nursing care, which comprises missed care, implicit rationing of nursing care, and care left undone.1 In nursing homes, residents' pronounced dependency on physical, psychological, and sociocultural care makes them especially vulnerable to implicit rationing, which intensifies with cognitive impairment and social isolation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 15, 2018 Category: Health Management Authors: Daniela Braun, Oliver Mauthner, Franziska Z úñiga Tags: Letter to the Editor Source Type: research

Not All Falls Are Equal: Risk Factors for Unplanned Readmission in Older Patients After Moderate and Severe Injury —A National Cohort Study
Readmission after acute care is a significant contributor to health care costs, and has been proposed as a quality indicator. Our earlier studies showed that patients aged ≥55 years who are injured by falls from heights of ≤0.5 m were at increased risk for long-term mortality, compared to patients by high-velocity blunt trauma (higher fall heights, road injuries, and other blunt trauma). We hypothesized that these patients are also at higher risk of readmission, compared to patients injured by high-velocity mechanisms. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 9, 2018 Category: Health Management Authors: Ting Hway Wong, Yu Jie Wong, Zheng Yi Lau, Nivedita Nadkarni, Gek Hsiang Lim, Dennis Chuen Chai Seow, Marcus Eng Hock Ong, Kelvin Bryan Tan, Hai V. Nguyen, Chek Hooi Wong Tags: Original Study-Brief Report Source Type: research

The Added Value of SARC-F to Prescreening Using FRAX for Hip Fracture Prevention in Older Community Adults
To examine the potential added value of a simple 5-item questionnaire for sarcopenia screening (SARC-F) to the Fracture Risk Assessment Tool (FRAX) for hip fracture risk prediction, in order to identify at-risk older adults for screening with dual-energy x-ray absorptiometry (DXA). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 9, 2018 Category: Health Management Authors: Yi Su, Jean W. Woo, Timothy C.Y. Kwok Tags: Original Study Source Type: research

Exploiting Drug-Apolipoprotein E Gene Interactions in Hypertension to Preserve Cognitive Function: The 3-City Cohort Study
The objective was to test the hypothesis that antihypertensive drugs have a differential effect on cognition in carriers and noncarriers of the apolipoprotein ε4 (APOE4) polymorphism. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 3, 2018 Category: Health Management Authors: Phillip J. Tully, Catherine Helmer, Ruth Peters, Christophe Tzourio Tags: Original Study Source Type: research

Effectiveness of a Hospital-at-Home Integrated Care Program as Alternative Resource for Medical Crises Care in Older Adults With Complex Chronic Conditions
To compare clinical outcomes in older patients with acute medical crises attended by a geriatrician-led home hospitalization unit (HHU) vs an inpatient intermediate-care geriatric unit (ICGU) in a post-acute care setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 1, 2018 Category: Health Management Authors: Miquel À. Mas, Sebastià J. Santaeugènia, Francisco J. Tarazona-Santabalbina, Sara Gámez, Marco Inzitari Tags: Original Study Source Type: research

Quality Indicators of Primary Care Provider Engagement in Nursing Home Care
The initiative described here aims to identify quality indicators (QIs) germane to the international practice of primary care providers (PCP) in post-acute and long-term care in order to demonstrate the added value of medical providers in nursing homes (NHs). A 7-member international team identified and adapted existing QIs to the AMDA competencies for medical providers. QI sources included the ACOVE 3 Quality Indicators (2007), NH Quality Indicators (2004), NH Residential Care Quality Indicators (2002), and AGS Choosing Wisely (2014). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 1, 2018 Category: Health Management Authors: Allison Moser Mays, Debra Saliba, Sid Feldman, Martin Smalbrugge, Cees M.P.M. Hertogh, Tina L. Booker, Kisa A. Fulbright, Simone A. Hendriks, Paul R. Katz Tags: Special Article Source Type: research

Quality Clinical Care in Nursing Facilities
Despite improvements in selected nursing facility (NF) quality measures such as reduction in antipsychotic use; local, state, and national initiatives; and regulatory incentives, the quality of clinical care delivered in this setting remains inconsistent. Herein, recommendations for overcoming barriers to achieving consistent, high-quality clinical outcomes in long-term (LTC) and post-acute care are provided to address inadequate workforce, suboptimal culture and interprofessional teamwork, insufficiently evidence-based processes of care, and poor adoption and fidelity of technology and integrated clinical decision support...
Source: Journal of the American Medical Directors Association - October 1, 2018 Category: Health Management Authors: Barbara J. Zarowitz, Barbara Resnick, Joseph G. Ouslander Tags: Special Article Source Type: research

The Never-Ending Quest for Quality in Post-acute and Long-term Care: A Cup Half-Empty, or Half-Full?
The bad news/good news is that improving quality will forever be a concern of clinicians, researchers, policy makers, and others who have a stake in post-acute and long-term care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 1, 2018 Category: Health Management Authors: Sheryl Zimmerman, Philip D. Sloane Tags: Editorial Source Type: research