Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 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 - July 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 - July 26, 2018 Category: Health Management Source Type: research

A Quality of Care Framework for Home-Based Medical Care
More than 6 million adults in the United States are homebound or semi-homebound and would benefit from home-based medical care (HBMC). There is currently no nationally recognized quality of care framework for home-based medical care. We sought to capture diverse stakeholder perspectives on the essential aspects of quality HBMC and create a quality of care framework for homebound adults. A qualitative analysis of semistructured interviews from purposive sampling of key HBMC stakeholders was performed. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2018 Category: Health Management Authors: Christine S. Ritchie, Bruce Leff, Sarah K. Garrigues, Carla Perissinotto, Orla C. Sheehan, Krista L. Harrison Tags: Special Article Source Type: research

mHealth and Aging
Mobile phones have become indispensable not only for young people, but also for older generations, with their current use extending far beyond making calls or texting in low-, mid-, and high-income countries. There are millions of mobile applications (apps) now available for different purposes, including health promotion, which has led to a new concept and opportunity of individual screening, diagnosis, and follow-up, globally labeled as mHealth by the World Health Organization (WHO).1 mHealth can be used to implement healthy lifestyle interventions, such as delivering feedback on an individual's daily physical activity le...
Source: Journal of the American Medical Directors Association - July 25, 2018 Category: Health Management Authors: Pedro L. Valenzuela, Javier S. Morales, Alejandro Santos-Lozano, Jos é Antonio Serra-Rexach, Mikel Izquierdo, Alejandro Lucia Tags: Letter to the Editor Source Type: research

Association Between Gait Speed With Mortality, Cardiovascular Disease and Cancer: A Systematic Review and Meta-analysis of Prospective Cohort Studies
Slow gait speed may be associated with premature mortality, cardiovascular disease (CVD), and cancer, although a comprehensive meta-analysis is lacking. In this systematic review and meta-analysis, we explored potential associations between gait speed and mortality, incident CVD, and cancer. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2018 Category: Health Management Authors: Nicola Veronese, Brendon Stubbs, Stefano Volpato, Giovanni Zuliani, Stefania Maggi, Matteo Cesari, Darren M. Lipnicki, Lee Smith, Patricia Schofield, Joseph Firth, Davy Vancampfort, Ai Koyanagi, Alberto Pilotto, Emanuele Cereda Tags: Original Study Source Type: research

Potentially Inappropriate Prescribing in Belgian Nursing Homes: Prevalence and Associated Factors
Our aim was to describe the prevalence of potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) in Belgian nursing homes and to identify characteristics of residents, general practitioners (GPs), and nursing homes (NHs) that are associated with the number of PIMs and PPOs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2018 Category: Health Management Authors: Pauline M.S. Anrys, Goedele C. Strauven, Veerle Foulon, Jean-Marie Degryse, S éverine Henrard, Anne Spinewine Tags: Original Study Source Type: research

Sarcopenia and Low Serum Albumin Level Synergistically Increase the Risk of Incident Disability in Older Adults
This study aimed to investigate the additive effects of sarcopenia and low serum albumin level on the risk of incident disability in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2018 Category: Health Management Authors: Kazuki Uemura, Takehiko Doi, Sungchul Lee, Hiroyuki Shimada Tags: Original Study - Brief Report Source Type: research

Patient-Reported Outcomes in Functioning Following Nursing Home or Inpatient Rehabilitation
Our study examines factors associated with patient-reported outcomes in functioning among Medicare beneficiaries who reported receiving rehabilitation services in a nursing home or inpatient (ie, hospital or rehabilitation facility) setting in the prior year. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2018 Category: Health Management Authors: Adam Simning, Thomas V. Caprio, Christopher L. Seplaki, Helena Temkin-Greener, Sarah L. Szanton, Yeates Conwell Tags: Original Studies Source Type: research

The Role of Prefracture Health Status in Physical and Mental Function After Hip Fracture Surgery
To examine the associations of 3 measures of prefracture health status (physical function, mental function, and comorbidity count) with trajectories of physical and mental function at 1.5, 3, 6, and 12  months after hip fracture surgery. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 23, 2018 Category: Health Management Authors: Ka Keat Lim, William Yeo, Joyce S.B. Koh, Chuen Seng Tan, Hwei Chi Chong, Karen Zhang, Truls Østbye, Tet Sen Howe, David Bruce Matchar Tags: Original Study Source Type: research

Knowledge of a Diabetes Risk Score Does Not Alter Diabetes Screening Practice in a Seniors Population: A  Randomized Controlled Trial
Undetected diabetes can be a serious health problem in senior living facilities because uncontrolled elevated blood glucose will lead to future morbidity and increase pressure on health care resources.1,2 Population-based estimates suggest 1 in 3 adults ≥65 years of age living with diabetes may be undiagnosed.3 Therefore, screening and early detection is important for effective diabetes management in these facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 23, 2018 Category: Health Management Authors: Vanessa Law, Travis Featherstone, Dean T. Eurich, Scot H. Simpson Tags: Letter to the Editor Source Type: research

Anticholinergic Burden is Associated With Increased Mortality in Older Patients With Dependency Discharged From Hospital
To determine whether anticholinergic burden may predict differently 1-year mortality in older patients discharged from acute care hospitals with or without dependency in basic activities of daily living (BADL). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 23, 2018 Category: Health Management Authors: Fabrizia Lattanzio, Graziano Onder, Mattia Miriam La Fauci, Stefano Volpato, Antonio Cherubini, Paolo Fabbietti, Carmelinda Ruggiero, Sabrina Garasto, Annalisa Cozza, Lucia Crescibene, Assunta Tarsitano, Andrea Corsonello Tags: Original Study Source Type: research

The Improving Outcomes of UTI Management in Long-Term Care Project (IOU) Consensus Guidelines for the Diagnosis of Uncomplicated Cystitis in Nursing Home Residents
To identify a set of signs and symptoms most likely to indicate uncomplicated cystitis in noncatheterized nursing home residents ≥65 years of age using consensus-based methods informed by a literature review. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 20, 2018 Category: Health Management Authors: David A. Nace, Subashan K. Perera, Joseph T. Hanlon, Stacey Saracco, Gulsum Anderson, Steven J. Schweon, Michele Klein-Fedyshin, Charles B. Wessel, Mary Mulligan, Paul J. Drinka, Christopher J. Crnich Tags: Original Study Source Type: research

Bayesian Analyses Showed More Evidence for Apathy than for Depression Being Associated With Cognitive Functioning in Nursing Home Residents
This study in Dutch NH residents aimed to use Bayesian methods for comparing the evidence for the relationship of cognitive performance with apathy to that with depression. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 20, 2018 Category: Health Management Authors: Ruslan Leontjevas, Lily Fredrix, Martin Smalbrugge, Raymond T.C.M. Koopmans, Debby L. Gerritsen Tags: Original Study Source Type: research

Perceptions of Family Decision-makers of Nursing Home Residents With Advanced Dementia Regarding the Quality of Communication Around End-of-Life Care
(1) Compare family decision-makers' perceptions of quality of communication with nursing home (NH) staff (nurses and social workers) and clinicians (physicians and other advanced practitioners) for persons with advanced dementia; (2) determine the extent to which characteristics of NH residents and family decision-makers are associated with those perceptions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 19, 2018 Category: Health Management Authors: Mark Toles, Mi-Kyung Song, Feng-Chang Lin, Laura C. Hanson Tags: Original Study Source Type: research

Three-Year Adverse Health Consequences of Sarcopenia in Community-Dwelling Older Adults According to 5 Diagnosis Definitions
To assess the occurrence of 3 major adverse outcomes of sarcopenia (ie, physical disabilities, institutionalizations and deaths) observed over a 3-year follow-up in older adults and compare the risk of these outcomes using 5 definitions of sarcopenia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 19, 2018 Category: Health Management Authors: M édéa Locquet, Charlotte Beaudart, Manon Hajaoui, Jean Petermans, Jean-Yves Reginster, Olivier Bruyère Tags: Original Study Source Type: research

Phase Angle as an Indicator of Health and Fitness in Patients Entering an Exercise Referral Scheme
The loss of function as we age may be related to changes at the cellular level.1 Recently, attention has been given to measurement of the phase angle (PhA); a noninvasive simple measure using bioelectrical impedance analysis (BIA). Indeed, PhA is considered a valuable indicator of cellular health and, as it is derived purely from electrical properties of the tissue, it avoids typical concerns associated with BIA using prediction equations. PhA is calculated from the arctangent of the ratio between the resistance and reactance from BIA, and a number of studies have evidenced its associations with age and sex,2 lean body mas...
Source: Journal of the American Medical Directors Association - July 17, 2018 Category: Health Management Authors: Steven Mann, Matthew Wade, James Fisher, J ürgen Giessing, Paulo Gentil, James Steele Tags: Letter to the Editor Source Type: research

Association Between Late-Life Blood Pressure and the Incidence of Cognitive Impairment: A Community-Based Prospective Cohort Study
To investigate the association between late-life blood pressure and the incidence of cognitive impairment in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 15, 2018 Category: Health Management Authors: Jin-Qiu Yuan, Yue-Bin Lv, Hua-Shuai Chen, Xiang Gao, Zhao-Xue Yin, Wen-Tao Wang, Virginia Byers Kraus, Jie-Si Luo, Jiao-Nan Wang, Yi Zeng, Chen Mao, Xiao-Ming Shi Tags: Original Study Source Type: research

Baseline Rehospitalization Rates of Nursing Homes in Bundled Payments for Care Improvement
The Bundled Payments for Care Improvement (BPCI) initiative was developed by the Center for Medicare and Medicaid Innovation with the goals of lowering health care expenditures while improving quality through enhanced coordination of services across different settings of care.1 Participating organizations enter into contractual arrangements where a single reimbursement is made from Medicare that must be divided among all providers involved in an episode of care. However, participation in BPCI is voluntary, and it is possible that early participants were already high-performing providers. (Source: Journal of the American Me...
Source: Journal of the American Medical Directors Association - July 11, 2018 Category: Health Management Authors: Joseph Solomon Needleman, Na-Kyung Kim, Hye-Young Jung, Mark Aaron Unruh Tags: Letter to the Editor Source Type: research

Cardiovascular Risk Factors and the Risk of Disability in Older Adults: Variation by Age and Functional Status
We aimed to quantify the increased risk of disability associated with cardiovascular risk factors among older adults, and to verify whether this risk may vary by age and functional status. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 10, 2018 Category: Health Management Authors: Emerald G. Heiland, Anna-Karin Welmer, Rui Wang, Giola Santoni, Laura Fratiglioni, Chengxuan Qiu Tags: Original Study-Brief Report Source Type: research

Access to and Confidence in Using Technology Among Homebound Older Adults and Caregivers
With estimates of homebound adults aged 65  years and older in the United States as high as 3.6 million and rising,1,2 solutions to counter the adverse outcomes experienced by these individuals, including social isolation and advanced medical conditions, will become increasingly necessary. Supporting older homebound adults as they age in pl ace is a matter of humanity as well as economics, as social isolation and homebound status are independent predictors of both functional decline and death.3–6 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 10, 2018 Category: Health Management Authors: Karen A. Abrashkin, Vidhi Patel, Andrzej Kozikowski, Meng Zhang, Asantewaa Poku, Renee Pekmezaris Tags: Letter to the Editor Source Type: research

Effect of Low-Dose Statins and Apolipoprotein E Genotype on Cerebral Small Vessel Disease in Older Hypertensive Patients: A Subgroup Analysis of a Randomized Clinical Trial
To investigate the effect of low-dose statins and apolipoprotein E (APOE) genotypes on cerebral small vessel disease (CSVD) to prevent CSVD in older hypertensive patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 10, 2018 Category: Health Management Authors: Tiantian Ji, Yingxin Zhao, Juan Wang, Yi Cui, Dandan Duan, Qiang Chai, Hua Zhang, Zhendong Liu Tags: Original Study Source Type: research

Prevalence and Risk Factors of Dehydration Among Nursing Home Residents: A Systematic Review
To provide an overview of the prevalence rates and risk factors of dehydration among nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 6, 2018 Category: Health Management Authors: Simone J.C. Paulis, Irma H.J. Everink, Ruud J.G. Halfens, Christa Lohrmann, Jos M.G.A. Schols Tags: Review Article Source Type: research

Gait Speed Assessment in Older Adults: A Comparison Among Walk Tests, a Portable Gait Analysis Device and Self-Report
Gait speed is a strong predictor of health outcomes, mobility, and survival in older adults.1 Assessments of usual gait speed are usually performed in clinical settings using physical performance tests.1 Self-report has recently emerged as a practical method to assess usual gait speed when physical performance tests are not feasible (eg, epidemiologic studies in large populations).2 New technologies such as portable gait analysis systems can obtain a long and varied amount of information about gait speed from 24-hour monitoring. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 6, 2018 Category: Health Management Authors: Miguel Á. de la Cámara, Sara Higueras-Fresnillo, David Martinez-Gomez, Óscar L. Veiga Tags: Letter to the Editor Source Type: research

Correlates of Response to Mail Questionnaires Among Assisted Living Communities in Oregon, 2014 ‒2016
Questionnaires are commonly used by researchers to collect information from assisted living and residential care (AL/RC) communities. Alongside concerns over coverage (eg, lack of sampling frame) and design effects, community-level self-selection may potentially compromise study findings by introducing nonresponse bias. When organizations that fail to respond or complete a questionnaire differ in important ways from those that do, response bias is introduced in outcomes associated with probability of participation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 6, 2018 Category: Health Management Authors: Ozcan Tunalilar, Paula C. Carder, Sarah Dys Tags: Letter to the Editor Source Type: research

The Effect of Xerostomic Medication on Oral Health in Persons With Dementia
The objective of this study was to describe the association between the number of xerostomic medications used and tooth loss and restorative and dental preventive treatment in a population of persons with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 5, 2018 Category: Health Management Authors: Duangjai Lexomboon, Edwin CK. Tan, Jonas H öijer, Sara Garcia-Ptacek, Maria Eriksdotter, Dorota Religa, Johan Fastbom, Kristina Johnell, Gunilla Sandborgh-Englund Tags: Original Study Source Type: research

Assessment of Skeletal Muscle Mass in Older People: Comparison Between 2 Anthropometry-Based Methods and Dual-Energy X-ray Absorptiometry
Sarcopenia is a common geriatric syndrome, whose diagnosis implies the assessment of muscle mass. Dual-energy x-ray absorptiometry (DXA) is the reference method for clinical practice, but it is not universally available. We compared DXA with 2 anthropometry-based methods to assess muscle mass in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 5, 2018 Category: Health Management Authors: Vincenzo Carnevale, Valeria Castriotta, Pamela Angela Piscitelli, Luciano Nieddu, Maria Mattera, Giuseppe Guglielmi, Alfredo Scillitani Tags: Original Study - Brief Report Source Type: research

Socioeconomic and Geographic Disparities in Accessing Nursing Homes With High Star Ratings
The Centers for Medicare& Medicaid Services Nursing Home Compare (NHC) serves as the most comprehensive repository of Medicaid- and/or Medicare-certified nursing homes providing services to approximately 1.4 million US residents. A gap in the literature exists in understanding on the national level whether residents from socioeconomically disadvantaged counties experience disparities in the access to nursing homes with higher NHC star ratings. The study aimed to examine nursing home quality variations with regard to county-level socioeconomic, geographic, and metropolitan status, while adjusting for nursing home facili...
Source: Journal of the American Medical Directors Association - July 5, 2018 Category: Health Management Authors: Yiyang Yuan, Christopher Louis, Howard Cabral, Jeffrey C. Schneider, Colleen M. Ryan, Lewis E. Kazis Tags: Original Study Source Type: research

Music Listening for People Living With Dementia
We have very much appreciated the article entitled “Receptive Music Therapy Is More Effective Than Interactive Music Therapy to Relieve Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis” by Tsoi et al1 and the authors’ efforts to compare active music approaches with music listening in dementia. This is a lso one of the main points suggested by a previous Cochrane Review publication regarding music interventions in dementia. However, we would like to introduce some remarks arising from this paper. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 4, 2018 Category: Health Management Authors: Alfredo Raglio, Ester Pavlic, Daniele Bellandi Tags: Letter to the Editor Source Type: research

Response to the Letter to the Editor “Music Listening for People Living With Dementia”
In the response letter concerning our recent article, we appreciate seeing the constructive viewpoints on how we should implement the receptive music therapy. We also spent time investigating the format of delivery, including the type of music selection. However, a major limitation of meta-analyses is that one can only investigate secondary data, with limited details. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 4, 2018 Category: Health Management Authors: Joyce Y.C. Chan, Kelvin K.F. Tsoi Tags: Letter to the Editor Source Type: research

Are the Kihon Checklist and the Kaigo-Yobo Checklist Compatible With the Frailty Index?
To explore comparability of Kihon Checklist (KCL) and Kaigo-Yobo Checklist (KYCL) to Frailty Index (FI) in predicting risks of long-term care insurance (LTCI) certification and/or mortality over 3  years. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 3, 2018 Category: Health Management Authors: Gotaro Kojima, Yu Taniguchi, Akihiko Kitamura, Shoji Shinkai Tags: Original Study –Brief Report Source Type: research

Drug Administration to the Wrong Nursing Home Residents Reported to the Qu ébec Poison Center: A Retrospective Study
This study examined the association between the administration of drugs to the wrong nursing home residents with a need for hospital treatment or as an indicator of mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 2, 2018 Category: Health Management Authors: Pierre-Andr é Dubé, Jessie Portelance, Olivier Corbeil, Mélanie Tessier, Maude St-Onge Tags: Original Study Source Type: research

Writing for Impact in Post-acute and Long-term Care
To state the obvious: impactful research in post-acute and long-term care (PA/LTC) addresses topics important for practice, policy, and research now and in the future, using sound data and rigorous analytic methods. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 2, 2018 Category: Health Management Authors: Sheryl Zimmerman, Philip D. Sloane, Paul R. Katz, Gustavo Duque Tags: Editorial Source Type: research

Telomere Length and Frailty: The Helsinki Birth Cohort Study
Telomere length is associated with aging-related pathologies. Although the association between telomere length and frailty has been studied previously, only a few studies assessing longitudinal changes in telomere length and frailty exist. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 28, 2018 Category: Health Management Authors: Markus J. Haapanen, Mia-Maria Per älä, Minna K. Salonen, Maria A. Guzzardi, Patricia Iozzo, Eero Kajantie, Taina Rantanen, Mika Simonen, Pertti Pohjolainen, Johan G. Eriksson, Mikaela B. von Bonsdorff Tags: Original Study Source Type: research

Effects of Geriatric Team Rehabilitation After Hip Fracture: Meta-Analysis of Randomized Controlled Trials
Systematic rehabilitation by geriatric interdisciplinary teams has been associated with  favorable outcomes in frail older patients. The aim of the present meta-analysis was to evaluate the effects of interdisciplinary geriatric team rehabilitation in older patients with hip fracture. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 26, 2018 Category: Health Management Authors: Peter Nordstr öm, Karl-Gunnar Thorngren, Ami Hommel, Lena Ziden, Sten Anttila Tags: Review Article Source Type: research

Antipsychotic Deprescription for Older Adults in Long-term Care: The HALT Study
This study evaluates the sustained reduction of antipsychotic use for BPSD through a deprescribing intervention and education of health care professionals. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 23, 2018 Category: Health Management Authors: Henry Brodaty, Liesbeth Aerts, Fleur Harrison, Tiffany Jessop, Monica Cations, Lynn Chenoweth, Allan Shell, Gordana C. Popovic, Megan Heffernan, Sarah Hilmer, Perminder S. Sachdev, Brian Draper Tags: Original Study Source Type: research

The Unmet Promise of a Miracle Drug for Alzheimer's Disease: Implications for Practice, Policy, and Research
Sixteen years ago, we published an analytical model that projected the impact of a breakthrough drug for Alzheimer's disease.1 At that time, the enzyme that cleaves amyloid precursor protein had recently been identified,2 and it seemed reasonable to assume that a more  effective treatment was on the near horizon.3–5 We modeled 2 scenarios: one in which the breakthrough drug delayed disease onset and the other in which the new drug slowed disease progression. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 23, 2018 Category: Health Management Authors: Philip D. Sloane, Sheryl Zimmerman, Malaz Boustani Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 23, 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 - June 23, 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 - June 23, 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 - June 23, 2018 Category: Health Management Source Type: research

Orthostatic Hypotension in the Elderly: A Marker of Clinical Frailty?
Orthostatic hypotension (OH) has high prevalence in frail older adults. However, its effect on mortality, disability, and hospitalization in frail older adults is poorly investigated. Thus, we assessed the relationship between the prevalence of OH and its effect on mortality, disability, and hospitalization in noninstitutionalized older adults stratified by frailty degree. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 22, 2018 Category: Health Management Authors: Ilaria Liguori, Gennaro Russo, Vincenzo Coscia, Luisa Aran, Giulia Bulli, Francesco Curcio, David Della-Morte, Gaetano Gargiulo, Gianluca Testa, Francesco Cacciatore, Domenico Bonaduce, Pasquale Abete Tags: Original Study Source Type: research

Higher Level of Obesity Is Associated with Intensive Personal Care Assistance in the Nursing Home
To examine whether higher obesity level was associated with extensive staffing assistance (from 2 or more persons) for completing activities of daily living (ADL) among older nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 20, 2018 Category: Health Management Authors: Cyrus M. Kosar, Kali S. Thomas, Pedro L. Gozalo, Vincent Mor Tags: Original Study - Brief Report Source Type: research

Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength
This study assessed the agreement between HGS and knee extension strength (KES) in populations differing in age and health status. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 20, 2018 Category: Health Management Authors: Suey S.Y. Yeung, Esmee M. Reijnierse, Marijke C. Trappenburg, Jean-Yves Hogrel, Jamie S. McPhee, Mathew Piasecki, Sarianna Sipila, Anu Salpakoski, Gillian Butler-Browne, Mati P ääsuke, Helena Gapeyeva, Marco V. Narici, Carel G.M. Meskers, Andrea B. Maie Tags: Original Study Source Type: research

Antimicrobial Stewardship in Long-Term Care Facilities: Approaches to Creating an Antibiogram when Few Bacterial Isolates Are Cultured Annually
Antibiograms are important clinical tools to report and track antibiotic susceptibility and help guide empiric antimicrobial therapy. Antibiograms support compliance with antimicrobial stewardship (AMS) requirements from the Centers for Medicare and Medicaid Services and are in line with recommendations from the Centers for Disease Control and Prevention Core Elements of AMS for nursing homes/long-term care facilities (LTCFs). Unlike most acute-care settings, LTCFs are challenged in creating antibiograms because of the low number of bacterial isolates collected annually. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 19, 2018 Category: Health Management Authors: Maria-Stephanie A. Tolg, David M. Dosa, Robin L.P. Jump, Angelike P. Liappis, Kerry L. LaPlante Tags: Controversies in Care Source Type: research

Implementing Integrated Care Into Assisted Living —The Road (Finally) Taken
Two recent editorials in JAMDA highlighted the increasing health care needs of residents in assisted living (AL) communities. Katz et  al addressed the need for more physician presence in AL,1 and Resnick and colleagues recognized that nurses play an important role in AL care.2 This letter provides data to suggest the benefit of providing onsite medical care to AL residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2018 Category: Health Management Authors: Alan Kronhaus, Sheryl Zimmerman, Steven Fuller, David Reed Tags: Letter to the Editor Source Type: research

Innovative Use of Cognitive Interviewing for Nursing Home Research
Due to nursing home (NH) regulatory and payment changes emphasizing person-centered care and value-based payment,1,2 we conducted a follow-up of a 2009 –2010 survey3 to understand NH practice changes. In particular, our focus was on understanding NH culture change (CC) practices aimed at advancing person-centered care and deinstitutionalizing NHs.4,5 Unlike the 2009–2010 survey of directors of nursing (DONs) and NH administrators (NHAs), this f ollow-up survey's budget could only accommodate responses from 1 survey recipient at a facility. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2018 Category: Health Management Authors: Ren ée Shield, Denise Tyler, Clara Berridge, Melissa Clark, Susan C. Miller Tags: Research Letter Source Type: research

An Exoskeleton in the Rehabilitation of Institutionalized Elderly Patients at High Risk of Falls: A Pilot Study
Age-related changes in balance control combined with inactivity can lead to decreased physical performance resulting in increased risk of falling for many elderly people.1 Physical training exerts several beneficial effects in the elderly people including improvement in muscle strength and body coordination, thus, reducing the risk of falls.2,3 However, poor adherence to exercise, especially in the long term, represents a problematic issue in the elderly people. New strategies to quickly improve gait and balance control in the elderly people are needed. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2018 Category: Health Management Authors: Walter Verrusio, Alessia Renzi, Maurizio Ripani, Mauro Cacciafesta Tags: Letter to the Editor Source Type: research

Comparison of Computerized and Paper-and-Pencil Memory Tests in Detection of Mild Cognitive Impairment and Dementia: A Systematic Review and Meta-analysis of Diagnostic Studies
To compare the diagnostic performance of computerized and paper-and-pencil memory tests in detection of mild cognitive impairment (MCI) and dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2018 Category: Health Management Authors: Joyce Y.C. Chan, Joey S.W. Kwong, Adrian Wong, Timothy C.Y. Kwok, Kelvin K.F. Tsoi Tags: Review Article Source Type: research

The Development of a Decision Tool for the Empiric Treatment of Suspected Urinary Tract Infection in Frail Older Adults: A Delphi Consensus Procedure
Nonspecific signs and symptoms combined with positive urinalysis results frequently trigger antibiotic therapy in frail older adults. However, there is limited evidence about which signs and symptoms indicate urinary tract infection (UTI) in this population. We aimed to find consensus among an international expert panel on which signs and symptoms, commonly attributed to UTI, should and should not lead to antibiotic prescribing in frail older adults, and to integrate these findings into a decision tool for the empiric treatment of suspected UTI in this population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 14, 2018 Category: Health Management Authors: Laura W. van Buul, Hilde L. Vreeken, Suzanne F. Bradley, Christopher J. Crnich, Paul J. Drinka, Suzanne E. Geerlings, Robin L.P. Jump, Lona Mody, Joseph J. Mylotte, Mark Loeb, David A. Nace, Lindsay E. Nicolle, Philip D. Sloane, Rhonda L. Stuart, P är-Da Tags: Original Study Source Type: research