Measuring Team Effectiveness in the Veterans Health Administration's Home-Based Primary Care Program
The Department of Veterans Affairs (VA) operates Home-Based Primary Care (HBPC), a program designed to provide comprehensive and longitudinal care to community-based frail Veterans with complex, chronic care needs. The HBPC has been in existence for over 40 years and encompasses almost 400 sites enrolling 50,000+ Veterans. To date, much of the HBPC-related research has focused on the program ’s impact on cost of care and clinical quality. Little is known about variations in HBPC interdisciplinary teams’ functioning. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Suzanne Gillespie, H. Temkin-Greener, J. Szydlowski, O. Intrator, T. Olsan, J. Karuza, X. Cai, S. Gao, S. Gillespie Tags: Research Source Type: research

Number of Long Term Care Beds by County Correlates with Caregiver Burden
High caregiver burden and low caregiver self-efficacy are associated with worse health outcomes for persons with dementia (PWD) and their caregivers. There is substantial variability in the availability of community resources for dementia patients in rural areas, which may impact these caregiver variables. The current study aims to determine differences in baseline caregiver burden and self-efficacy based on the availability of long term care beds, as a surrogate for community resource availability, in Nebraska. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Sasha Kapil, S. Kapil, N. Manley, T. Michaud, J. Kim, T. Braley, A. Clark, S. Bonasera, J. Merrilees, K. Possin Tags: Research Source Type: research

Nurse –Physician Communication Gaps During After-hour Phone Calls in a Long-term Care Facility (LTC)
The objective of this project is to examine communication gaps in phone calls related to patient fall reports in a LTC facility. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Adil Ahmed, A. Ahmed, K. Zietlow, N. Sharda, M. Yanamadala, N. Eisenson Tags: Research Source Type: research

Nursing Home Provider Perceptions of Deprescribing to Reduce Potentially Inappropriate Medications
Potentially inappropriate medications in nursing home (NH) residents carries significant burden and costs to residents and health-systems alike. The goal of this study was to survey a nationally representative sample of NH providers to describe current utilization of deprescribing, and perception and desired components of a deprescribing program in NH residents to reduce potentially inappropriate medications. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Jennifer Pruskowski, J. Pruskowski, S.M. Handler Tags: Research Source Type: research

Older Adult Oral Health Risk in Arkansas
Poor oral health can lead to malnutrition, pain, and social isolation. Between 1999 and 2004, 17.2% of individuals aged 65 and above had periodontal disease, and 10.58% of all seniors were considered to have moderate or severe periodontal disease. Compared to 46% in 1980 and 30% of in 2000, 18.6% older adults were edentulous. The quantity and type of prescriptions and over-the-counter drugs taken by older adults usually cause at least 1 oral side effect, which is often dry mouth. Arkansas ’ institutionalized older adults may be at greater oral health risk due to multiple health provider shortage areas. (Source: Journ...
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Joel Goodin, J.B. Goodin, K. Chaffee, A. Riggs, M. Efurd, J. Stane Tags: Research Source Type: research

Opportunities for Antimicrobial Stewardship in Skilled Nursing Facilities
Overuse of antibiotics in the inpatient, outpatient, and skilled nursing facility (SNF) settings has accelerated the emergence of resistant bacteria. Multidrug resistant organisms (MDROs) are becoming common, with over 35% of SNF residents colonized or infected with MDROs in some studies. The emergence of antimicrobial stewardship programs (ASPs) in acute care hospitals has led to decreased antibiotic resistance, improved patient outcomes, reduced adverse events (including Clostridium difficile infections), and lower costs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Stephanie Biedny, S. Biedny, K. Imam, K. Hyde, S. Kaur, M.E. Maddens, P. Johnson, A. Skrzynski, P. Chittick, C.F. Carpenter, P.P. Shah, C.N. Yost, A. Eke-Usim Tags: Research Source Type: research

Subclinical Serotonin Syndrome and the Risk of Antipsychotic Prescribing in the Elderly
To evaluate whether drugs with serotonergic activity, alone or in combination, are a risk factor for antipsychotic prescribing among long-term care (LTC) residents. The secondary objective was to evaluate that same risk among residents with dementia or Alzheimer ’s disease. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Amie Blaszczyk, A.T. Blaszczyk, J. Light Tags: Research Source Type: research

Successful Aging in Place: Seniors ’ Reflections and Perspectives About What Constitutes Successful Aging
The objective of this study was to qualitatively assess seniors ’ perceptions of the terms “successful aging” and “successful aging in place.” (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Andrea Cise, A.C. Cise, L. Lindquist, K. Cameron Tags: Research Source Type: research

Telemedicine Program for Chronic Wound Management
Chronic wounds (pressure ulcers, diabetic, arterial, and venous ulcers) have a slow healing process and therefore require frequent monitoring of wound progress by certified wound clinicians. The Agency for Healthcare Research and Quality national guideline recommends a weekly assessment of all chronic wounds which can be difficult for older adults residing in assisted living and extended care facilities with limited access to wound certified clinicians. Studies show that telemedicine wound assessment is a viable alternative to on-site wound assessment of patients with chronic wounds. (Source: Journal of the American Medica...
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Fiona U. Okoroti, F.U. Okoroti, C.A. McGrath, V. Nika Tags: Research Source Type: research

Transitional Care Management in patients discharging from Skilled Nursing facility: Combating Rehospitalization and Bridging the Gaps in Care
To implement CMS Transitional Care Management program (TCM) to help decrease unnecessary rehospitalizations post discharge from Skilled nursing facility (SNF). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Chandan Cheema, R. Brar, A. Narwan, C. Cheema Tags: Research Source Type: research

Use of the Spanish Version of the Frail-NH Scale to Predict Adverse Outomes in a Nursing Home in Mexico City
Few studies assert the prevalence of Frailty in Latin America and Mexico . Most of these studies are from data of community dwelling elders. To our knowledge, there is no study showing the prevalence or outcomes of frailty among the nursing home residents in Mexico. Frailty has proven to predict falls, worsening of ADL function, hospitalization and death in nursing homes . The timely identification of frailty in nursing homes is necessary to enhance measures in care plan and reevaluate goals of care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Beatriz Mariscal, B.E. Mariscal, J.A. Mena-Madrazo Tags: Research Source Type: research

Zinc and Vitamin B6 Deficiency and Associated Conditions in a Nursing Home Population
This study aimed to estimate the prevalence of zinc and vitamin B6 deficiency status among nursing home patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Kathleen Long, K. Long, J. Gau Tags: Research Source Type: research

Effects of Psychosocial Interventions for Behavioral and Psychological Symptoms in Dementia on the Prescription of Psychotropic Drugs: A Systematic Review and Meta-Analyses
Dementia is often accompanied by neuropsychiatric symptoms. Psychotropic drugs for the treatment of neuropsychiatric symptoms are frequently used to manage these problems, but they are of limited effectiveness and can have serious side effects. Psychosocial interventions are advocated as first line treatment and may help to reduce psychotropic drug use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Elizabeth G. Birkenh äger-Gillesse, Boudewijn J. Kollen, Wilco P. Achterberg, Froukje Boersma, Lydia Jongman, Sytse U. Zuidema Tags: JAMDA Online Source Type: research

It's Not a Small World After All
The article by Morris et  al in this issue of JAMDA, entitled “Hearing the Voice of the Resident in Long-Term Care Facilities—An Internationally Based Approach to Assessing Quality of Life,”1 underscores the importance of including residents’ perspectives regarding the care they receive. The Inter-Resident Assessme nt Instrument (InterRAI), an international research collaborative, developed a Self-Report Quality of Life Survey for Long-Term Care Facilities, which assesses resident perspectives on subscales reflecting social life, personal control, food, caring staff, and staff responsiveness. (...
Source: Journal of the American Medical Directors Association - February 22, 2018 Category: Health Management Authors: Sheryl Zimmerman, Jenny T. van der Steen Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 22, 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 - February 22, 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 - February 22, 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 - February 22, 2018 Category: Health Management Source Type: research

Frailty Predicts Incident Urinary Incontinence Among Hospitalized Older Adults —A 1-Year Prospective Cohort Study
The relationship between frailty and urinary incontinence (UI) remains highly complex. There is limited data on the impact of frailty on new-onset UI among hospitalized older adults. Thus, we examined the ability of frailty to predict incident UI among them. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 10, 2018 Category: Health Management Authors: Edward Chong, Mark Chan, Wee Shiong Lim, Yew Yoong Ding Tags: Original Study Source Type: research

Cognitive Screening at the Population Level: The Italian Health Examination Survey, 2008-2012
In 2011, 35.6 million people worldwide were living with dementia.1 This number will more than triple by 2050.1 Among noncommunicable diseases, dementia accounts for 11.9% of years lived with disability,2 and the annual global cost of either formal or informal care has been more than US$600 billion in 2010, with alarming, probably unsustainable, increases expected in the near future.3 Given this, the World Health Organization (WHO) has set dementia as a major public health priority.4 On December 7, 2017, the WHO has launched the web-based platform Global Dementia Observatory, with the aim to monitor the presence of national...
Source: Journal of the American Medical Directors Association - February 10, 2018 Category: Health Management Authors: Giovanni Viscogliosi, Diego Vanuzzo, Simona Giampaoli Tags: Letter to the Editor Source Type: research

Frailty Predicts Incident Urinary Incontinence Among Hospitalized Older Adults —A 1-Year Prospective Cohort Study
The relationship between frailty and urinary incontinence (UI) remains highly complex. There is limited data on the impact of frailty on new-onset UI among hospitalized older adults. Thus, we examined the ability of frailty to predict incident UI among them. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 10, 2018 Category: Health Management Authors: Edward Chong, Mark Chan, Wee Shiong Lim, Yew Yoong Ding Tags: Original Study Source Type: research

Cognitive Screening at the Population Level: The Italian Health Examination Survey, 2008-2012
In 2011, 35.6 million people worldwide were living with dementia.1 This number will more than triple by 2050.1 Among noncommunicable diseases, dementia accounts for 11.9% of years lived with disability,2 and the annual global cost of either formal or informal care has been more than US$600 billion in 2010, with alarming, probably unsustainable, increases expected in the near future.3 Given this, the World Health Organization (WHO) has set dementia as a major public health priority.4 On December 7, 2017, the WHO has launched the web-based platform Global Dementia Observatory, with the aim to monitor the presence of national...
Source: Journal of the American Medical Directors Association - February 10, 2018 Category: Health Management Authors: Giovanni Viscogliosi, Diego Vanuzzo, Simona Giampaoli Tags: Letter to the Editor Source Type: research

Diabetes Care and Dementia Among Older Adults: A Nationwide 3-Year Longitudinal Study
To compare diabetes monitoring and the incidence of acute diabetic complications between patients with and without incident Alzheimer's Disease and Related Syndromes (ADRS). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 4, 2018 Category: Health Management Authors: Matthieu Wargny, Adeline Gallini, H élène Hanaire, Fati Nourhashemi, Sandrine Andrieu, Virginie Gardette Tags: Original Study Source Type: research

Receptive Music Therapy Is More Effective than Interactive Music Therapy to Relieve Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis
Music therapy is demonstrated to be effective to relieve the agitation among people with dementia, but the comparative effectiveness of methods of music engagement for people with dementia is uncertain. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 4, 2018 Category: Health Management Authors: Kelvin K.F. Tsoi, Joyce Y.C. Chan, Yiu-Ming Ng, Mia M.Y. Lee, Timothy C.Y. Kwok, Samuel Y.S. Wong Tags: Review Article Source Type: research

Diabetes Care and Dementia Among Older Adults: A Nationwide 3-Year Longitudinal Study
To compare diabetes monitoring and the incidence of acute diabetic complications between patients with and without incident Alzheimer's Disease and Related Syndromes (ADRS). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 4, 2018 Category: Health Management Authors: Matthieu Wargny, Adeline Gallini, H élène Hanaire, Fati Nourhashemi, Sandrine Andrieu, Virginie Gardette Tags: Original Study Source Type: research

Receptive Music Therapy Is More Effective than Interactive Music Therapy to Relieve Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis
Music therapy is demonstrated to be effective to relieve the agitation among people with dementia, but the comparative effectiveness of methods of music engagement for people with dementia is uncertain. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 4, 2018 Category: Health Management Authors: Kelvin K.F. Tsoi, Joyce Y.C. Chan, Yiu-Ming Ng, Mia M.Y. Lee, Timothy C.Y. Kwok, Samuel Y.S. Wong Tags: Review Article Source Type: research

Sarcopenia in Parkinson Disease: Comparison of Different Criteria and Association With Disease Severity
In Parkinson disease (PD), sarcopenia may represent the common downstream pathway that from motor and nonmotor symptoms leads to the progressive loss of resilience, frailty, and disability. Here we (1) assessed the prevalence of sarcopenia in older adults with PD using 3 different criteria, testing their agreement, and (2) evaluated the association between PD severity and sarcopenia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2018 Category: Health Management Authors: Davide L. Vetrano, Maria S. Pisciotta, Alice Laudisio, Maria R. Lo Monaco, Graziano Onder, Vincenzo Brandi, Domenico Fusco, Beatrice Di Capua, Diego Ricciardi, Roberto Bernabei, Giuseppe Zuccal à Tags: Original Study Source Type: research

Hearing Loss: Why Does It Matter for Nursing Homes?
We describe why hearing loss may be especially disabling in nursing home settings and provide an estimate of prevalence using the Minimum Data Set (MDS v.3.0). We outline steps to mitigate hearing loss. Many solutions are inexpensive and low-tech, but require significant awareness and institutional commitment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2018 Category: Health Management Authors: Ellen M. McCreedy, Barbara E. Weinstein, Joshua Chodosh, Jan Blustein Tags: Special Article Source Type: research

Management of Nursing Home Residents Following Acute Hospitalization: Efficacy of the “Regular Early Assessment Post-Discharge (REAP)” Intervention
This study aims to evaluate the impact and cost-effectiveness of the Regular Early Assessment Post-Discharge (REAP) protocol of coordinated specialist geriatrician and nurse practitioner visits on rates of rehospitalization, hospital length of stay, and emergency department presentations for NH residents recently discharged from hospital. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2018 Category: Health Management Authors: Nicholas J. Cordato, Mary Kearns, Peter Smerdely, Katrin M. Seeher, Matthew D. Gardiner, Henry Brodaty Tags: Original Study Source Type: research

Fall-Risk-Increasing Drugs: A Systematic Review and Meta-Analysis: I. Cardiovascular Drugs
Use of certain medications is recognized as a major and modifiable risk factor for falls. Although the literature on psychotropic drugs is compelling, the literature on cardiovascular drugs as potential fall-risk-increasing drugs is conflicting. The aim of this systematic review and meta-analysis is to provide a comprehensive overview of the associations between cardiovascular medications and fall risk in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2018 Category: Health Management Authors: Max de Vries, Lotta J. Seppala, Joost G. Daams, Esther M.M. van de Glind, Tahir Masud, Nathalie van der Velde, EUGMS Task and Finish Group on Fall-Risk-Increasing Drugs Tags: Original Study Source Type: research

El Intercambio Cultural – A Hispanic Culture and Language Immersion Project in a Nursing Home
Hispanics are one of the United States ’ fastest-growing minority populations, currently comprising approximately 18% of the population—a percentage expected to double within 40 years.1 Adults 65 or over, who disproportionately utilize healthcare, are predicted to be nearly one-quarter Hispanic in the same timeframe.2 As our nation ages and becomes increasingly more diverse, it is imperative to actively train medical students to be compassionate and culturally competent physicians so that they will be better advocates for all patients in our community. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2018 Category: Health Management Authors: Nathaniel J. Spezia-Lindner, Victoria Mitre, Mark E. Kunik Tags: Letter to the Editor Source Type: research

Erratum
Regarding the July, 2017 article, Sporns PB, Muhle P, Hanning U, et  al. Atrophy of swallowing muscles is associated with severity of dysphagia and age in patients with acute stroke. J Am Med Dir Assoc 2017;18(7):635.e1-635.e7. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2018 Category: Health Management Tags: Erratum Source Type: research

Is Neighborhood Green Space Associated With Less Frailty? Evidence From the Mr. and Ms. Os (Hong Kong) Study
To examine whether neighborhood green space was related to frailty risk longitudinally and to examine the relative contributions of green space, physical activity, and individual health conditions to the frailty transitions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Ruby Yu, Dan Wang, Jason Leung, Kevin Lau, Timothy Kwok, Jean Woo Tags: Original Study Source Type: research

Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study
To investigate the ability of the fatigue, resistance, ambulation, incontinence or illness, loss of weight, nutritional approach, and help with dressing (FRAIL-NH) tool to predict mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Thanuja R. De Silva, Olga Theou, Bruno Vellas, Matteo Cesari, Renuka Visvanathan Tags: Original Study Source Type: research

Treatment of Cardiovascular Diseases Among Elderly Residents of Long-term Care Facilities
The prevalence of cardiovascular diseases among nursing home residents is high but little is known whether pharmacologic therapy recommended by actual medication guidelines is followed by facility's staff. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Anna Ka ńtoch, Barbara Gryglewska, Jadwiga Wójkowska-Mach, Piotr Heczko, Tomasz Grodzicki Tags: Original Study Source Type: research

Fall-Risk-Increasing Drugs: A Systematic Review and Meta-analysis: III. Others
The use of psychotropic medication and cardiovascular medication has been associated with an increased risk of falling. However, other frequently prescribed medication classes are still under debate as potential risk factors for falls in the older population. The aim of this systematic review and meta-analysis is to evaluate the associations between fall risk and nonpsychotropic and noncardiovascular medications. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Lotta J. Seppala, Esther M.M. van de Glind, Joost G. Daams, Kimberley J. Ploegmakers, Max de Vries, Anne M.A.T. Wermelink, Nathalie van der Velde, EUGMS Task and Finish Group on Fall-Risk-Increasing Drugs Tags: JAMDA Online Source Type: research

A Quality Improvement System to Manage Feeding Assistance Care in Assisted-Living
To describe a feasible quality improvement system to manage feeding assistance care processes in an assisted living facility (ALF) that provides dementia care and the use of these data to maintain the quality of daily care provision and prevent unintentional weight loss. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Sandra F. Simmons, Chris S. Coelho, Andrew Sandler, John F. Schnelle Tags: Clinical Experience Source Type: research

Progressive Resistance and Balance Training for Falls Prevention in Long-Term Residential Aged Care: A Cluster Randomized Trial of the Sunbeam Program
Falls prevention is an international priority, and residents of long-term aged care fall approximately 3 times more often than community dwellers. There is a relative scarcity of published trials in this setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Jennifer Hewitt, Stephen Goodall, Lindy Clemson, Timothy Henwood, Kathryn Refshauge Tags: Original Study Source Type: research

Is Neighborhood Green Space Associated With Less Frailty? Evidence From the Mr. and Ms. Os (Hong Kong) Study
To examine whether neighborhood green space was related to frailty risk longitudinally and to examine the relative contributions of green space, physical activity, and individual health conditions to the frailty transitions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Ruby Yu, Dan Wang, Jason Leung, Kevin Lau, Timothy Kwok, Jean Woo Tags: Original Study Source Type: research

Fifteen Minutes Daily Brisk Walk May Be a New Best Target in Very Old Adults: Age Is Not an Excuse to Not Exercise
Epidemiologic studies are a powerful tool for scientific societies to promote physical activity implementation among older adults. They clarify the type, intensity, duration, and frequency needed to induce health benefits.1 Some studies reported significant benefits of vigorous intensity and/or long duration of physical activity in reducing mortality.2 Others an optimal threshold with long-term physical activity.3 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: J érémy Raffin, Jean-Claude Barthelemy, Nathalie Barth, Martin Garet, Thierry Busso, Léonard Feasson, Amandine Devun, Claude Montuy-Coquard, Marc Thillays, Rémi Poillerat, Rémi Bouvier, Bienvenu Bongue, Frédéric Roche, David Hupin Tags: Letter to the Editor Source Type: research

Fall-Risk-Increasing Drugs: A Systematic Review and Meta-Analysis: II. Psychotropics
Falls are a major public health problem in older adults. Earlier studies showed that psychotropic medication use increases the risk of falls. The aim of this study is to update the current knowledge by providing a comprehensive systematic review and meta-analysis on psychotropic medication use and falls in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Lotta J. Seppala, Anne M.A.T. Wermelink, Max de Vries, Kimberley J. Ploegmakers, Esther M.M. van de Glind, Joost G. Daams, Nathalie van der Velde, the EUGMS task and Finish group on fall-risk-increasing drugs Tags: Original Study Source Type: research

Fall-Risk-Increasing Drugs: A Systematic Review and Meta-analysis: III. Others.
The use of psychotropic medication and cardiovascular medication has been associated with an increased risk of falling. However, other frequently prescribed medication classes are still under debate as potential risk factors for falls in the older population. The aim of this systematic review and meta-analysis is to evaluate the associations between fall risk and nonpsychotropic and noncardiovascular medications. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Lotta J. Seppala, Esther M.M. van de Glind, Joost G. Daams, Kimberley J. Ploegmakers, Max de Vries, Anne M.A.T. Wermelink, Nathalie van der Velde, the EUGMS Task and Finish Group on Fall-Risk-Increasing Drugs Tags: Original Study Source Type: research

Frailty Screening (FRAIL-NH) and Mortality in French Nursing Homes: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Residents Study
To investigate the ability of the fatigue, resistance, ambulation, incontinence or illness, loss of weight, nutritional approach, and help with dressing (FRAIL-NH) tool to predict mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Thanuja R. De Silva, Olga Theou, Bruno Vellas, Matteo Cesari, Renuka Visvanathan Tags: Brief Report Source Type: research

Treatment of Cardiovascular Diseases Among Elderly Residents of Long-term Care Facilities
The prevalence of cardiovascular diseases among nursing home residents is high but little is known whether pharmacologic therapy recommended by actual medication guidelines is followed by facility's staff. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2018 Category: Health Management Authors: Anna Ka ńtoch, Barbara Gryglewska, Jadwiga Wójkowska-Mach, Piotr Heczko, Tomasz Grodzicki Tags: Original Study Source Type: research

The Broken Lens of BPSD: Why We Need to Rethink the Way We Label the Behavior of People Who Live With Alzheimer Disease
For the past 20  years, the behaviors of people who live with dementia (PLWD) that others find challenging or problematic have primarily been ascribed to Alzheimer disease and related dementias and have been assessed through the biomedical lens of Behavioral and Psychological Symptoms of Dementia (BPSD). This has led to the root causes of these behaviors being overlooked, which in turn leaves them unaddressed. Further, using the artificial construct of BPSD has led to many PLWD being inappropriately prescribed (off-label) medications that are largely ineffective in resolving the behaviors because they do not hing to r...
Source: Journal of the American Medical Directors Association - February 1, 2018 Category: Health Management Authors: Susan Macaulay Tags: Controversies in Long Term Care Source Type: research

Administrative Data for Research: An Increasingly Powerful Tool, but Still With Caveats
Recent decades have seen an explosion of administrative and clinical databases. Most developed countries now maintain a variety of aging and long-term care-related data sets at the national level; in the United States they include the Minimum Data Set (MDS) for Nursing Home Resident Assessment database,1 the Outcome Assessment and Information Set (OASIS) for home health patients,2 a variety of Medicare databases,3 the Online Survey, Certification and Reporting (OSCAR) database,4 and surveys such as the National Study of Long-Term Care Providers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2018 Category: Health Management Authors: Philip D. Sloane, Vincent Mor, John S. Preisser Tags: Editorial Source Type: research

Polypharmacy, An Unfinished Term
It is known that the worldwide population is aging, and the number of elderly people is at an all-time high. Elderly people have a high burden of chronic diseases associated with increased risk of hospitalization and death.1 This situation results in the prescription of an excessive number of drugs, which increases the risk of drug interactions and adverse drug reactions.2,3 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2018 Category: Health Management Authors: Jorge Enrique Machado-Alba, Juan Daniel Ayala-Torres, Andr és Gaviria-Mendoza, Manuel Enrique Machado-Duque, Alejandro Castro-Rodríguez Tags: Letter to the Editor Source Type: research

The Role of Physicians Practicing in Assisted Living: What Changes Do We Really Need?
We strongly concur with the editorial written by Katz, Kronhaus, and Fuller1 with regard to the recommendation that there be involvement of physicians in the care of residents living in assisted living (AL) communities, regardless of the state and the requirements within that state. Those of us working in this profession know that the description of AL varies by state2 but generally refers to residences that provide housing and supportive services, 24-hour supervision, and at least 2 meals a day to meet the individual needs of residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2018 Category: Health Management Authors: Barbara Resnick, Josh Allen, Ed McMahon, The American Assisted Living Nurses Association Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2018 Category: Health Management Source Type: research