The Association of Oral Bisphosphonate Use With Mortality Risk Following a Major Osteoporotic Fracture in the United Kingdom: Population-Based Cohort Study
Bisphosphonates (BPs) might have extra benefits in reducing mortality because of their anti-atherosclerotic effects, but studies reported conflicting results. We investigated the association between oral BP use and mortality risk following a major osteoporotic fracture (MOF) in the United Kingdom. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 11, 2019 Category: Health Management Authors: Shahab Abtahi, Andrea M. Burden, Piet Geusens, Joop P. van den Bergh, Tjeerd van Staa, Frank de Vries Tags: Original Study Source Type: research

Measurement of Dynamical Resilience Indicators Improves the Prediction of Recovery Following Hospitalization in Older Adults
This study aimed to investigate if dynamical resilience indicators based on repeated physical and mental measurements in acutely hospitalized geriatric patients have added value over single baseline measurements in predicting favorable recovery. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 9, 2019 Category: Health Management Authors: Sanne M.W. Gijzel, Jerrald Rector, Fokke B. van Meulen, Rolinka Schim van der Loeff, Ingrid A. van de Leemput, Marten Scheffer, Marcel G.M. Olde Rikkert, Ren é J.F. Melis Tags: Original Study Source Type: research

Epidemiology of Antibiotic Use for Urinary Tract Infection in Nursing Home Residents
Describe antibiotic use for urinary tract infection (UTI) among a large cohort of US nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 6, 2019 Category: Health Management Authors: Nicola D. Thompson, Austin Penna, Taniece R. Eure, Wendy M. Bamberg, Grant Barney, Devra Barter, Paula Clogher, Malini B. DeSilva, Ghinwa Dumyati, Erin Epson, Linda Frank, Deborah Godine, Lourdes Irizarry, Marion A. Kainer, Linda Li, Ruth Lynfield, J.P. M Tags: Original Study Source Type: research

Reducing Hospital Readmissions Through a Skilled Nursing Facility Discharge Intervention: A Pragmatic Trial
To determine if implementation of Project Re-Engineered Discharge (RED), designed for hospitals but adapted for skilled nursing facilities (SNFs), reduces hospital readmissions after SNF discharge to the community in residents admitted to the SNF following an index hospitalization. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 4, 2019 Category: Health Management Authors: Rebekah L. Gardner, Kimberly Pelland, Rouba Youssef, Blake Morphis, Kathleen Calandra, Lara Hollands, Stefan Gravenstein Tags: Original Study Source Type: research

Respiratory Practices in the Long-term Care Setting: A Human Factors –Based Risk Analysis
To systematically assess safety risks pertaining to tracheostomy care in the long-term care (LTC) setting using a human factors engineering approach. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 29, 2019 Category: Health Management Authors: Morgan J. Katz, Patience M. Osei, Arjun Vignesh, Andrea Montalvo, Ifeoluwa Oresanwo, Ayse P. Gurses Tags: Original Study Source Type: research

Combining Procalcitonin and Rapid Multiplex Respiratory Virus Testing for Antibiotic Stewardship in Older Adult Patients With Severe Acute Respiratory Infection
Virus infection is underevaluated in older adults with severe acute respiratory infections (SARIs). We aimed to evaluate the clinical impact of combining point-of-care molecular viral test and serum procalcitonin (PCT) level for antibiotic stewardship in the emergency department (ED). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2019 Category: Health Management Authors: Chien-Chang Lee, Julia Chia-Yu Chang, Xiao-Wei Mao, Wan-Ting Hsu, Shey-Ying Chen, Yee-Chun Chen, Chorng-Kuang How Tags: Original Study Source Type: research

Antibiotic Stewardship in European Nursing Homes: Experiences From the Netherlands, Norway, Poland, and Sweden
Antibiotics are among the most widely prescribed drugs in long-term care facilities, which highlights the importance of antibiotic stewardship (ABS) in this setting. In this article, we describe the experiences with ABS in nursing homes (NHs) from the perspective of 4 European countries: the Netherlands, Norway, Poland, and Sweden. In these countries, a large variety of initiatives to develop and implement ABS in NHs have been introduced in recent years. Among these initiatives are national antibiotic prescribing surveillance systems, NH-specific prescribing guidelines, and national networks of healthcare institutions that...
Source: Journal of the American Medical Directors Association - November 28, 2019 Category: Health Management Authors: Laura W. Van Buul, Annelie A. Monnier, P är-Daniel Sundvall, Peter Ulleryd, Maciek Godycki-Cwirko, Anna Kowalczyk, Morten Lindbaek, Cees M.P.M. Hertogh Tags: Special Article Source Type: research

Effectiveness of Intervention Based on End-effector Gait Trainer in Older Patients With Stroke: A Systematic Review
The objective of the article is to analyze the effects of the end-effector technology for gait rehabilitation on acute, subacute, and chronic stroke in order to verify the efficacy of the treatment in older people, based on evidence from randomized controlled trials, and thus increase the clinical knowledge for future applications in the hospital setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 27, 2019 Category: Health Management Authors: Elvira Maranesi, Giovanni Renato Riccardi, Valentina Di Donna, Mirko Di Rosa, Paolo Fabbietti, Riccardo Luzi, Luigi Pranno, Fabrizia Lattanzio, Roberta Bevilacqua Tags: Review Article Source Type: research

Weakness May Have a Causal Association With Early Mortality in Older Americans: A Matched Cohort Analysis
Quantifying the association between muscle weakness and mortality with carefully matched cohorts will help to better establish the impact of weakness on premature death. We used a matched cohort analysis in a national sample of older Americans to determine if those who were weak had a higher risk for mortality compared with control groups with incrementally higher strength capacities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 26, 2019 Category: Health Management Authors: Ryan McGrath, Brenda M. Vincent, Mark D. Peterson, Donald A. Jurivich, Lindsey J. Dahl, Kyle J. Hackney, Brian C. Clark Tags: Original Study Source Type: research

The Research Agenda for Dementia in Post-acute and Long-term Care, 2020 (Part I)
The December 2019 issue of JAMDA includes 11 articles related to cognitive impairment, Alzheimer's disease, and other dementias —no surprise, given that 50 million people across the globe have dementia. In 10 years, this number will grow to 82 million, and by 2050 it will be 152 million, with much of the increase due to rising numbers in low- and middle-income countries.1 The United States accounts for 5.8 of the current 50 million, and with a new case being identified every 65 seconds, will account for 14 million by 2050. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 26, 2019 Category: Health Management Authors: Sheryl Zimmerman Tags: Dementia Care Research Source Type: research

Is Physical Frailty a Neuromuscular Condition?
Various mechanisms have been suggested for the age-associated concomitant decline of brain volume and musculoskeletal mass, strength, and function,1 most of which indicate that a decline in one tissue leads to decreased mutual feedback (chemical or electroneurologic). In other terms, a decline in neuronal stimulation of muscle could lead to disuse atrophy, whereas lack of sensory input from inactive muscles and proprioceptors may, in turn, lead to the atrophy of relevant brain centers.2 Several potential factors and mechanisms have also been suggested for such crosstalk. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 26, 2019 Category: Health Management Authors: Ebrahim Bani Hassan, Mahdi Imani, Gustavo Duque Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 26, 2019 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 26, 2019 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 26, 2019 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 26, 2019 Category: Health Management Source Type: research

FRAIL Scale also Predicts Long-Term Outcomes in Older Patients With Acute Coronary Syndromes
No previous studies have assessed the role of the FRAIL scale in predicting long-term outcomes in older patients with acute coronary syndromes (ACS). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 25, 2019 Category: Health Management Authors: Oriol Rodr íguez-Queraltó, Francesc Formiga, Ramón López-Palop, Francisco Marín, María T. Vidán, Manuel Martínez-Sellés, Pablo Díez-Villanueva, Juan Sanchís, Miguel Corbí, Jaime Aboal, Eva Bernal, Oriol Alegre, Lourdes Vicent, Albert Ariza-Sol Tags: Original Study - Brief Report Source Type: research

Optimizing Quality of Life With Cognitive Impairment: A Study of End-of-Life Care in Assisted Living
Assisted living (AL) is an expanding site of end-of-life (EOL) care in the United States. Understanding determinants of quality of life (QoL) for AL residents near EOL is vital to optimize care for  this growing population, most of whom have some degree of cognitive impairment (CI). This analysis aimed to identify factors associated with QoL in a diverse sample of AL residents with CI approaching EOL. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 25, 2019 Category: Health Management Authors: Laura Arneson, Alexis A. Bender, Maggi N. Robert, Molly M. Perkins Tags: Original Study - Brief Report Source Type: research

Comment on “Polypharmacy and Kidney Function in Community-Dwelling Adults Age 60 Years and Older: A Prospective Observational Study”
We read with interest the study by Rahel Ernst et  al in which they aimed to investigate whether there was a relationship between the total intake of drugs or nonsteroidal anti-inflammatory drugs (NSAIDs) and kidney function. The authors found that each additional medication taken cumulatively for 24 months decreased renal function and, in a high -risk subgroup, per NSAID taken cumulatively for 24 months, the renal function decreased by 1.21 mL/min/1.73 m2 estimated glomerular filtration rate.1 In the present study, the cumulative uptake of NSAIDs was found to be associated with a nearly 3-fold red...
Source: Journal of the American Medical Directors Association - November 25, 2019 Category: Health Management Authors: Pinar Soysal, Lee Smith, Ahmet Turan Isik Tags: Letter to the Editor Source Type: research

Proton Pump Inhibitors and Kidney Function Decline in Community-Dwelling Older Adults
We thank Drs Soysal and colleagues for their important comment that proton pump inhibitors (PPIs), often given in combination with nonsteroidal anti-inflammatory drugs (NSAIDs), may have added to the decrease in kidney function observed with NSAID use. We therefore performed additional analyses in our data set to explore this important concern. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 25, 2019 Category: Health Management Authors: Caroline de Godoi Rezende Costa Molino, Ursina Meyer, Rahel Ernst, Heike A. Bischoff-Ferrari Tags: Letter to the Editor Source Type: research

Improving Evidence-Based Oral Health of Nursing Home Residents Through Coaching by Dental Hygienists
This report discusses implementation of the qua lity improvement project, which improved the quality of daily mouth care provided to nursing home residents, as well as changed the knowledge and attitudes of the staff providing their care, all supported by regional dental hygienist coaches. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 24, 2019 Category: Health Management Authors: Lisa Volk, Melony Spock, Philip D. Sloane, Sheryl Zimmerman Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

The Multidimensional Prognostic Index Predicts Falls in Older People: An 8-Year Longitudinal Cohort Study of the Osteoarthritis Initiative
Falls are associated with several negative outcomes. Early identification of those who are at risk of falling is of importance in geriatrics, and comprehensive geriatric assessment (CGA) seems to be promising in this regard. Therefore, the present study investigated whether the multidimensional prognostic index (MPI), based on a standard CGA, is associated with falls in the Osteoarthritis Initiative (OAI). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 24, 2019 Category: Health Management Authors: Nicola Veronese, Giacomo Siri, Alberto Cella, Stefania Maggi, Ekaterini Zigoura, Matteo Puntoni, Lee Smith, Clarissa Musacchio, Antonella Barone, Carlo Sabb à, Francesco Vallone, Alberto Pilotto Tags: Original Study Source Type: research

Physician Views on a Computerized Decision Support System for Home Care Information Exchange
Healthcare in Canada has been described as inefficient, fragmented, and physician-centered.1 By providing computerized decision support systems (CDSS) to healthcare providers, improvements in quality of care, continuity of care, efficiency, communication, identification of risk factors, and adherence with best-practice guidelines are expected.2 Less understood are physicians' perspectives on if and how a CDSS should be developed. The aim of this study is to address this gap and inform the development of an effective CDSS for use by physicians. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 24, 2019 Category: Health Management Authors: Amanda A. Nova, Aein Zarrin, George A.W. Heckman Tags: Research Letter Source Type: research

Argentine Tango Reduces Fall Risk in Parkinson's Patients
Argentine tango (tango) is a partnered dance focused on walking and balance dynamics. Partners learn correct posture and the ability to use the floor as a walking aid. For example, a forward step is broken down into multiple aspects: weight shifting, knee and hip positions, torso dissociation from hips, and gradual foot placement onto the floor again. Literature reports that tango significantly improves Unified Parkinson Disease Rating Scale (UPDRS) motor scores in patients with Parkinson's disease (PD) compared to no intervention. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 24, 2019 Category: Health Management Authors: Shani Peter, Nathan D. Crock, Beau J. Billings, Richard Wu, Shane Sterling, Sonia Koul, William F. Taber, Karina Pique, Roei Golan, Gerry Maitland Tags: Research Letter Source Type: research

Physician Views on the Resident Assessment Instrument for Home Care Information Exchange
Use of a system-wide standardized clinical assessment to facilitate information-sharing is an essential component of an integrated healthcare system.1 The Resident Assessment Instrument for Home Care (interRAI-HC) is a standardized clinical assessment and decision support instrument used to assess complex and vulnerable clients in home care.2 It provides reliable and valid screeners, risk stratification algorithms, outcome measures, and clinical recommendations for common and important conditions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 20, 2019 Category: Health Management Authors: Amanda A. Nova, Aein Zarrin, George A.W. Heckman Tags: Research Letter Source Type: research

Educating Dutch General Practitioners in Dementia Advance Care Planning: A Cluster Randomized Controlled Trial
Advance care planning (ACP) is seldom initiated with people with dementia (PWD) and mainly focuses on medical end-of-life decisions. We studied the effects of an educational intervention for general practitioners (GPs) aimed at initiating and optimizing ACP, with a focus on discussing medical and nonmedical preferences of future care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 19, 2019 Category: Health Management Authors: Bram Tilburgs, Raymond Koopmans, Myrra Vernooij-Dassen, Eddy Adang, Henk Schers, Steven Teerenstra, Marjolein van de Pol, Carolien Smits, Yvonne Engels, Marieke Perry Tags: Original Study Source Type: research

Predictors of Rehospitalization in Post-Acute Rehabilitation among Different Ethnic Groups
Previous research has shown that ethnicity may play a role in increased risk for hospital readmission during a post-acute rehabilitation care (PARC) stay. However, little is known about risk factors influencing discharge status from PARC settings among different ethnic groups. Hence, the aim of our study was to investigate the relationship of individual characteristics (eg, sex, neighborhood quality) and health behavior (use of rehabilitation services) with rehospitalization across ethnic groups of older adult patients who received post-acute rehabilitation for a cardiovascular disease at a skilled nursing facility (SNF). ...
Source: Journal of the American Medical Directors Association - November 19, 2019 Category: Health Management Authors: Verena R. Cimarolli, Francesca Falzarano, Stephanie Hicks Tags: Original Study Source Type: research

Vitamin K Antagonists and Direct Oral Anticoagulants in Nonagenarian Patients With Atrial Fibrillation
Nonagenarian patients are underrepresented in clinical trials that have evaluated oral anticoagulation in patients with atrial fibrillation (AF). The aim of this study was to assess the pronostic impact of oral anticoagulation in patients with AF age ≥90 years. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 17, 2019 Category: Health Management Authors: Sergio Raposeiras-Roub ín, David Alonso Rodríguez, Santiago Jesús Camacho Freire, Emad Abu-Assi, Rafael Cobas-Paz, Carlos Rodríguez Pascual, Julio García Comesaña, Alberto González-Carrero López, Naiara Cubelos Fernández, Álvaro López-Masjuán Tags: Original Study Source Type: research

Vitamin D Supplementation for Extraskeletal Indications in Older Persons
Low levels of vitamin D have been implicated in a wide variety of conditions highly prevalent in the geriatric population, including fractures, functional limitations, cancer, cardiovascular disease, and depression. Vitamin D supplementation is often considered integral to the prevention of falls and fractures in the setting of osteoporosis. For other conditions, however, consensus is lacking, and the clinician may struggle to balance competing recommendations around screening, supplementation, and monitoring. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 17, 2019 Category: Health Management Authors: Lauren E. Bode, Mallory McClester Brown, Emily M. Hawes Tags: Special Article Source Type: research

Marital Status and Risk of Physical Frailty: A Systematic Review and Meta-analysis
The objectives of this study were to perform a systematic review for associations between marital status and physical frailty and to perform a meta-analysis to combine findings. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 15, 2019 Category: Health Management Authors: Gotaro Kojima, Kate Walters, Steve Iliffe, Yu Taniguchi, Nanako Tamiya Tags: Review Article Source Type: research

Effect of Protein Supplementation on Physical Performance in Older People With Sarcopenia –A Randomized Controlled Trial
To test the long-term effects of whey-enriched protein supplementation on muscle and physical performance. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 12, 2019 Category: Health Management Authors: Mikko P. Bj örkman, Merja H. Suominen, Hannu Kautiainen, Satu K. Jyväkorpi, Harriet U. Finne-Soveri, Timo E. Strandberg, Kaisu H. Pitkälä, Reijo S. Tilvis Tags: Original Study Source Type: research

Dementia Severity Associated With Increased Risk of Potentially Preventable Readmissions During Home Health Care
Approximately 14% of Medicare beneficiaries are readmitted to a hospital within 30  days of home health care admission. Individuals with dementia account for 30% of all home health care admissions and are at high risk for readmission. Our primary objective was to determine the association between dementia severity at admission to home health care and 30-day potentially preventabl e readmissions (PPR) during home health care. A secondary objective was to develop a dementia severity scale from Outcome and Assessment Information Set (OASIS) items based on the Functional Assessment Staging Tool (FAST). (Source: Journal of...
Source: Journal of the American Medical Directors Association - November 12, 2019 Category: Health Management Authors: Sara Knox, Brian Downer, Allen Haas, Addie Middleton, Kenneth J. Ottenbacher Tags: Original Study Source Type: research

Prevalence of Hospital-Associated Disability in Older Adults: A Meta-analysis
Hospital-associated disability (HAD), defined as loss of independence in activities of daily living (ADL) following acute hospitalization, is observed among older adults. The study objective is to determine overall prevalence of HAD among older adults hospitalized in acute care, and to assess the impact of study initiation year in moderation of prevalence. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 12, 2019 Category: Health Management Authors: Christine Loyd, Alayne D. Markland, Yue Zhang, Mackenzie Fowler, Sara Harper, Nicole C. Wright, Christy S. Carter, Thomas W. Buford, Catherine H. Smith, Richard Kennedy, Cynthia J. Brown Tags: Review Article Source Type: research

Ambulatory Care –Sensitive Conditions Associated With Potentially Avoidable Hospital Admissions
Hospitalized nursing home residents have more chronic conditions, higher levels of care needs, and more unplanned admissions compared to non –nursing home residents.1,2 Unplanned admissions are admissions at out-of-hours care—thus, in the evening and night hours, and on weekends and holidays. However, evidence suggests that some of these unplanned admissions are potentially avoidable.3,4 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 6, 2019 Category: Health Management Authors: Sarah Berger, Joachim Szecsenyi, Gunter Laux, R üdiger Leutgeb Tags: Research Letter Source Type: research

Effects of a Multicomponent Frailty Prevention Program in Prefrail Community-Dwelling Older Persons: A Randomized Controlled Trial
To examine the effects of a multicomponent frailty prevention program in community-dwelling older persons with prefrailty. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 5, 2019 Category: Health Management Authors: Ruby Yu, Cecilia Tong, Florence Ho, Jean Woo Tags: Original Study Source Type: research

The Longitudinal Associations of Handgrip Strength and Cognitive Function in Aging Americans
Factors that are responsible for age-related neurologic deterioration of noncognitive and cognitive processes may have a shared cause. We sought to examine the temporal, directional associations of handgrip strength and cognitive function in a national sample of aging Americans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 5, 2019 Category: Health Management Authors: Ryan McGrath, Brenda M. Vincent, Kyle J. Hackney, Sheria G. Robinson-Lane, Brian Downer, Brian C. Clark Tags: Original Study Source Type: research

Diagnostic Accuracy of the SLU AMSAD Scale for Depression in Older Adults Without Dementia
To evaluate the diagnostic accuracy of a short depression screening tool, the Saint Louis University (SLU) AMSAD depression scale, relative to the Geriatric Depression Scale –15 (GDS-15) and Montgomery-Asberg Depression Rating Scale (MADRS), and in relation to the Diagnostic and Statistical Manual of Mental Disorders–Fifth Edition (DSM-5) criteria for major depressive disorder, in cognitively intact older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 4, 2019 Category: Health Management Authors: Rita Khoury, Binu Chakkamparambil, John Chibnall, Jayashree Rajamanickam, Aneel Kumar, George T. Grossberg Tags: Original Study Source Type: research

State Variability in Assisted Living Residents ’ End-of-Life Care Trajectories
The objective of this study is to describe assisted living residents ’ end-of-life care trajectories and how they vary by state. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 4, 2019 Category: Health Management Authors: Kali S. Thomas, Emmanuelle Belanger, Wenhan Zhang, Paula Carder Tags: Original Study - Brief Report Source Type: research

Evolution of the Nursing Home Industry in States With Different Certificate of Need Policies
One of the earliest efforts to curb needless health care spending in the United States was certificate-of-need (CON) programs, which limit and manage the expansion of different health care institutions. CON programs mainly targeted nursing homes and home health industry that provide long-term care that is predominantly financed by states through Medicaid program. A large set of empirical studies documented that CON laws have been unsuccessful in limiting growth of hospital,1,2 nursing home,3,4 and home health5,6 spending. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 4, 2019 Category: Health Management Authors: Nasim B. Ferdows, Momotazur Rahman Tags: Research Letter Source Type: research

Links Between Physical Frailty and Regional Gray Matter Volumes in Older Adults: A Voxel-Based Morphometry Study
The relationship between physical frailty and regional gray matter volume in the brain was investigated among community-dwelling older Japanese people. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Authors: Yukiko Nishita, Akinori Nakamura, Takashi Kato, Rei Otsuka, Kaori Iwata, Chikako Tange, Fujiko Ando, Kengo Ito, Hiroshi Shimokata, Hidenori Arai Tags: Original Study Source Type: research

Assistance With Eating and Drinking Only When Requested Can Prevent Living With Advanced Dementia
Alzheimer's disease and other progressive neurodegenerative dementias are growing as the population ages. Managing dementia is challenging from economic, societal, and ethical perspectives. One significant ethical issue concerns people who want to avoid living with advanced dementia. Current strategies (suicide and traditional advance directives) are suboptimal or inadequate. Stopping eating and  drinking by advance directive (SED by AD) is a better potential solution. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Authors: Ladislav Volicer, Thaddeus Mason Pope, Karl E. Steinberg Tags: Care Decisions at the End of Life Source Type: research

Moving From Recommendations to Impact in Post-acute and Long-term Care Research
Articles published in JAMDA aim to inform practice and policy in post-acute and long-term care. Three of the articles in the November 2019 issue serve as a good illustration of the promise of research in that regard, and how that promise can be augmented. The intent of this editorial is to encourage researchers to take the next step toward impact in their work by more fully and thoughtfully presenting this next step as part of their recommendations. In the paragraphs below, we summarize 3 articles in the current issue, providing examples of how each of a retrospective cohort study, prospective observational study, and clus...
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Authors: Sheryl Zimmerman, Meera Tandan Tags: Editorial Source Type: research

Delirium Superimposed Upon Dementia
Like the ouroboros, the snake eating another snake which is, in turn, eating the first snake, and also sometimes portrayed as a single snake eating its own tail, so delirium and dementia feed off each other. Delirium leads to dementia and dementia leads to delirium, in a downward spiral of worsening cognitive and physical function, such that it is, at times, hard to separate them and, as the 2 snakes swallow each other, they become one. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Authors: Gideon A. Caplan Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 31, 2019 Category: Health Management Source Type: research

Predictive Accuracy of Frailty Tools for Adverse Outcomes in a Cohort of Adults 80  Years and Older: A Decision Curve Analysis
To compare the predictive performance of 3 frailty identification tools for mortality, hospitalization, and functional decline in adults aged ≥80 years using risk reclassification statistics and decision curve analysis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 30, 2019 Category: Health Management Authors: Eralda Hegend örfer, Bert Vaes, Gijs Van Pottelbergh, Catharina Matheï, Jan Verbakel, Jean-Marie Degryse Tags: Original Study Source Type: research

The Minimum Data Set Agitated and Reactive Behavior Scale: Measuring Behaviors in Nursing Home Residents With Dementia
Interventions aimed at managing agitated and aggressive behaviors in dementia without the use of antipsychotics are currently being tested in nursing homes (NHs). Researchers and clinicians require a measure that can capture the severity of residents ’ behaviors. We test the internal consistency and construct validity of the Agitated and Reactive Behavior Scale (ARBS), a measure created using data from mandatory NH assessments. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 30, 2019 Category: Health Management Authors: Ellen McCreedy, Jessica A. Ogarek, Kali S. Thomas, Vincent Mor Tags: Original Study - Brief Report Source Type: research

Quality Indicators as Predictors of Future Inspection Performance in Ontario Nursing Homes
In this study, we aimed to examine whether quality indicators could predict future inspection performance in LTC homes across Ontario, Canada. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 28, 2019 Category: Health Management Authors: Pouria Mashouri, Babak Taati, Hannah Quirt, Andrea Iaboni Tags: Original Study Source Type: research

A Multicenter Study to Identify Clinician Barriers to Participating in Goals of Care Discussions in Long-term Care
Long-term care (LTC) is an important setting for goals of care (GoC) discussions. Understanding clinician barriers to GoC discussions could identify opportunities for LTC-specific interventions to improve quantity and quality of GoC discussions in the context of serious illness. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 27, 2019 Category: Health Management Authors: Henry Y.H. Siu, Dawn Elston, Neha Arora, Amie Vahrmeyer, Sharon Kaasalainen, Paula Chidwick, Michelle Howard, Daren K. Heyland Tags: Original Study Source Type: research