Directions & Connections
(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

Muscle Strength and Functional Limitations: Preserving Function in Older Mexican Americans
This study examined if muscle strength was associated with 2-year preservation of instrumental activities of daily living (IADL) function and activities of daily living (ADL) disability status in older Mexican Americans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2018 Category: Health Management Authors: Ryan McGrath, Sheria G. Robinson-Lane, Mark D. Peterson, Ryan R. Bailey, Brenda M. Vincent Tags: Original Study Source Type: research

Functional Status Is Associated With 30-Day Potentially Preventable Readmissions Following Skilled Nursing Facility Discharge Among Medicare Beneficiaries
The objectives of this study were to determine the association between patients ’ functional status at discharge from skilled nursing facility (SNF) care and 30-day potentially preventable hospital readmissions, and to examine common reasons for potentially preventable readmissions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2018 Category: Health Management Authors: Addie Middleton, Brian Downer, Allen Haas, Yu-Li Lin, James E. Graham, Kenneth J. Ottenbacher Tags: Original Study Source Type: research

Muscle Power Training: A Hallmark for Muscle Function Retaining in Frail Clinical Setting
Functional ability, and retaining autonomy and independence, as people age is the cornerstone of healthy aging, a term established by World Health Organization in its first world report on aging and health.1 Physical function parameters, therefore, are currently being proposed as biomarkers of aging in humans; are predictive of adverse health events, disability, and mortality; and are commonly used as functional outcomes for clinical trials.2,3 Among the main physical function outcomes, muscle power output preservation will be in the palestra for counteracting the age-related decline of functional capacity. (Source: Journa...
Source: Journal of the American Medical Directors Association - January 19, 2018 Category: Health Management Authors: Eduardo Lusa Cadore, Mikel Izquierdo Tags: Editorial Source Type: research

Muscle Strength and Functional Limitations: Preserving Function in Older Mexican Americans
This study examined if muscle strength was associated with 2-year preservation of instrumental activities of daily living (IADL) function and activities of daily living (ADL) disability status in older Mexican Americans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2018 Category: Health Management Authors: Ryan McGrath, Sheria G. Robinson-Lane, Mark D. Peterson, Ryan R. Bailey, Brenda M. Vincent Tags: Original Study Source Type: research

Research Priorities for Optimizing Geriatric Pharmacotherapy: An International Consensus
Medication management is becoming increasingly challenging for older people, and there is limited evidence to guide medication prescribing and administration for people with multimorbidity, frailty, or at the end of life. Currently, there is a lack of clear research priorities in the field of geriatric pharmacotherapy. To address this issue, international experts from 5 research groups in geriatric pharmacotherapy and pharmacoepidemiology research were invited to attend the inaugural Optimizing Geriatric Pharmacotherapy through Pharmacoepidemiology Network workshop. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 18, 2018 Category: Health Management Authors: Edwin C.K. Tan, Janet K. Sluggett, Kristina Johnell, Graziano Onder, Monique Elseviers, Lucas Morin, Davide L. Vetrano, Jonas W. Wastesson, Johan Fastbom, Heidi Taipale, Antti Tanskanen, J. Simon Bell, Optimizing Geriatric Pharmacotherapy through Pharmaco Tags: Special Article Source Type: research

The Cost-Effectiveness of Using PARO, a Therapeutic Robotic Seal, to Reduce Agitation and Medication Use in Dementia: Findings from a Cluster –Randomized Controlled Trial
To examine the within-trial costs and cost-effectiveness of using PARO, compared with a plush toy and usual care, for reducing agitation and medication use in people with dementia in long-term care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 9, 2018 Category: Health Management Authors: Merehau C. Mervin, Wendy Moyle, Cindy Jones, Jenny Murfield, Brian Draper, Elizabeth Beattie, David H.K. Shum, Siobhan O'Dwyer, Lukman Thalib Tags: Original Study Source Type: research

Ethical and Practical Ways in Which MOELI (Medical Orders for End-of-Life Intervention) Advance the Physician Orders for Life-Sustaining Treatment (POLST) Program
We are pleased that Hickman et  al,1 some of whom have done much of the heavy-lifting throughout the development of the Physician Orders for Life-Sustaining Treatment (POLST) program, offered their appraisal of our MOELI.2 They question the value or feasibility of 7 of our 16 suggested changes; we hope that their silence on the remaining 9 means that they either agree with our suggestions, or at least see no major problems with their implementation. We are surprised by the tone of some of their objections, because all of our recommendations are consistent with the policies and guidelines of the National POLST Paradigm...
Source: Journal of the American Medical Directors Association - January 9, 2018 Category: Health Management Authors: Richard B. Stuart, Stephen Thielke Tags: Letter to the Editor Source Type: research

Online Training and Support Programs Designed to Improve Mental Health and Reduce Burden Among Caregivers of People With Dementia: A Systematic Review
Dementia poses a considerable socioeconomic burden to society. On a global scale, family and other unpaid care predominates. Supporting caregivers is crucial, but scalable interventions are currently lacking. Because a growing number of studies have suggested that online training and support programs hold considerable promise for scaling up, we reviewed existing literature. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 4, 2018 Category: Health Management Authors: Kieren J. Egan, Ángel C. Pinto-Bruno, Irene Bighelli, Marla Berg-Weger, Annemieke van Straten, Emiliano Albanese, Anne-Margriet Pot Tags: Review Article Source Type: research

Antihypertensive Medication Regimen Intensity and Incident Dementia in an Older Population
To investigate the association between antihypertensive medication regimen intensity and risk of incident dementia in an older population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 3, 2018 Category: Health Management Authors: Edwin C.K. Tan, Chengxuan Qiu, Yajun Liang, Rui Wang, J. Simon Bell, Johan Fastbom, Laura Fratiglioni, Kristina Johnell Tags: Original Study Source Type: research

The Prevalence and Correlates of Frailty in Urban and Rural Populations in Latin America, China, and India: A 10/66 Population-Based Survey
There have been few cross-national studies of the prevalence of the frailty phenotype conducted among low or middle income countries. We aimed to study the variation in prevalence and correlates of frailty in rural and urban sites in Latin America, India, and China. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 3, 2018 Category: Health Management Authors: Juan J. Llibre Rodriguez, A. Matthew Prina, Daisy Acosta, Mariella Guerra, Yueqin Huang, K.S. Jacob, Ivonne Z. Jimenez-Velasquez, Aquiles Salas, Ana Luisa Sosa, Joseph D. Williams, A.T. Jotheeswaran, Isaac Acosta, Zhaorui Liu, Martin J. Prince Tags: Original Study Source Type: research

Calf Circumference as a Screening Instrument for Appendicular Muscle Mass Measurement
Currently, sarcopenia has been recognized as a specific disease rather than normal aging process because of its close relationship with multiple adverse outcomes in older people.1,2 The diagnosis of sarcopenia requires measurements of appendicular skeletal muscle mass (ASM) plus muscle strength and physical performance.3,4 Nevertheless, it is never convenient to conduct a community-based screening program for sarcopenia based on the dual-energy X-ray absorptiometry or body impedance analysis. Although SARC-F questionnaire has been developed and validated in screening sarcopenia in community or clinical settings,5,6 an accu...
Source: Journal of the American Medical Directors Association - January 3, 2018 Category: Health Management Authors: An-Chun Hwang, Li-Kuo Liu, Wei-Ju Lee, Li-Ning Peng, Liang-Kung Chen Tags: Letter to the Editor Source Type: research

Antihypertensive Medication Regimen Intensity and Incident Dementia in an Older Population
To investigate the association between antihypertensive medication regimen intensity and risk of incident dementia in an older population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 3, 2018 Category: Health Management Authors: Edwin C.K. Tan, Chengxuan Qiu, Yajun Liang, Rui Wang, J. Simon Bell, Johan Fastbom, Laura Fratiglioni, Kristina Johnell Tags: Original Study Source Type: research

Frailty, Disability, and Ambulatory Blood Pressure in Older Adults
Frailty and disability are associated with cardiovascular risk factors, including hypertension, in older people; however, little is known about their association with ambulatory blood pressure (BP). Thus, we assessed the relationship of frailty and disability with ambulatory BP in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 30, 2017 Category: Health Management Authors: Teresa Gij ón-Conde, Auxiliadora Graciani, Esther López-García, Esther García-Esquinas, Martin Laclaustra, Luis M. Ruilope, Fernando Rodríguez-Artalejo, José R. Banegas Tags: Original Study Source Type: research

A Randomized Controlled Study Comparing a DPP4 Inhibitor (Linagliptin) and Basal Insulin (Glargine) in Patients With Type 2 Diabetes in Long-term Care and Skilled Nursing Facilities: Linagliptin-LTC Trial
Safe and easily implemented treatment regimens are needed for the management of patients with type 2 diabetes mellitus (T2DM) in long-term care (LTC) and skilled nursing facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 27, 2017 Category: Health Management Authors: Guillermo E. Umpierrez, Saumeth Cardona, David Chachkhiani, Maya Fayfman, Sahebi Saiyed, Heqiong Wang, Priyathama Vellanki, J. Sonya Haw, Darin E. Olson, Francisco J. Pasquel, Theodore M. Johnson Tags: Original Study Source Type: research

Comparison of 3 Frailty Instruments in a Geriatric Acute Care Setting in a Low-Middle Income Country
Comparison of frailty instruments in low-middle income countries, where the prevalence of frailty may be higher, is scarce. In addition, less complex diagnostic tools for frailty are important in these settings, especially in acutely ill patients, because of limited time and economic resources. We aimed to compare the performance of 3 frailty instruments for predicting adverse outcomes after 1  year of follow-up in older adults with an acute event or a chronic decompensated disease. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 27, 2017 Category: Health Management Authors: Sumika Mori Lin, M árlon Juliano Romero Aliberti, Sileno de Queiroz Fortes-Filho, Juliana de Araújo Melo, Ivan Aprahamian, Claudia Kimie Suemoto, Wilson Jacob Filho Tags: Original Study Source Type: research

A Randomized Controlled Study Comparing a DPP4 Inhibitor (Linagliptin) and Basal Insulin (Glargine) in Patients With Type 2 Diabetes in Long-Term Care and Skilled Nursing Facilities: Linagliptin-LTC Trial
Safe and easily implemented treatment regimens are needed for the management of patients with type 2 diabetes mellitus (T2DM) in long-term care (LTC) and skilled nursing facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 27, 2017 Category: Health Management Authors: Guillermo E. Umpierrez, Saumeth Cardona, David Chachkhiani, Maya Fayfman, Sahebi Saiyed, Heqiong Wang, Priyathama Vellanki, J. Sonya Haw, Darin E. Olson, Francisco J. Pasquel, Theodore M. Johnson Tags: Original Study Source Type: research

Supervised Balance Training and Wii Fit –Based Exercises Lower Falls Risk in Older Adults With Type 2 Diabetes
This study examined the benefits of and differences between 12  weeks of thrice-weekly supervised balance training and an unsupervised at-home balance activity (using the Nintendo Wii Fit) for improving balance and reaction time and lowering falls risk in older individuals with type 2 diabetes mellitus (T2DM). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 27, 2017 Category: Health Management Authors: Steven Morrison, Rachel Simmons, Sheri R Colberg, Henri K Parson, Aaron I Vinik Tags: Original Study Source Type: research

Adherence to Mediterranean Diet and Frailty
Το investigate associations between adherence to the Mediterranean diet and frailty in a Greek population of older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 27, 2017 Category: Health Management Authors: Eva Ntanasi, Mary Yannakoulia, Mary-Helen Kosmidis, Costas A. Anastasiou, Efthimios Dardiotis, Giorgos Hadjigeorgiou, Paraskevi Sakka, Nikolaos Scarmeas Tags: Original Study Source Type: research

The Role of Physicians Practicing in Assisted Living: Time for Change
Although there is general consensus on the need for, and value of, experienced, knowledgeable, and dedicated physicians in the nursing home (NH), there has been insufficient dialogue concerning the “value proposition” for physicians in assisted living (AL) communities. We believe there are two overriding issues that have stifled this dialogue. The first relates to the commonly accepted premise that the social model, rather than the medical model, must be the predominant driver of care in A L. The second issue relates to the variability of state regulations that have implications for the physician's ultimate rol...
Source: Journal of the American Medical Directors Association - December 27, 2017 Category: Health Management Authors: Paul R. Katz, Alan Kronhaus, Steven Fuller Tags: Editorial Source Type: research

Ultrasonography to Measure Swallowing Muscle Mass and Quality in Older Patients With Sarcopenic Dysphagia
Sarcopenic dysphagia is characterized by difficulty swallowing due to a loss of whole-body skeletal and swallowing muscle mass and function. However, no study has reported on swallowing muscle mass and quality in patients with sarcopenic dysphagia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 26, 2017 Category: Health Management Authors: Nami Ogawa, Takashi Mori, Ichiro Fujishima, Hidetaka Wakabayashi, Masataka Itoda, Kenjiro Kunieda, Takashi Shigematsu, Shinta Nishioka, Haruka Tohara, Minoru Yamada, Sumito Ogawa Tags: Original Study Source Type: research

Use of Anticholinergic Drugs and its Relationship With Psychological Well-Being and Mortality in Long-Term Care Facilities in Helsinki
To assess the burden of drugs with anticholinergic properties (DAPs) and associated factors in long-term care facilities and to explore how psychological well-being and mortality are associated with the use of DAPs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 26, 2017 Category: Health Management Authors: Ulla Liisa Aalto, Hanna-Maria Roitto, Harriet Finne-Soveri, Hannu Kautiainen, Kaisu Pitk älä Tags: Original Study Source Type: research

Ultrasonography to Measure Swallowing Muscle Mass and Quality in Older Patients With Sarcopenic Dysphagia
Sarcopenic dysphagia is characterized by difficulty swallowing due to a loss of whole-body skeletal and swallowing muscle mass and function. However, no study has reported on swallowing muscle mass and quality in patients with sarcopenic dysphagia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 26, 2017 Category: Health Management Authors: Nami Ogawa, Takashi Mori, Ichiro Fujishima, Hidetaka Wakabayashi, Masataka Itoda, Kenjiro Kunieda, Takashi Shigematsu, Shinta Nishioka, Haruka Tohara, Minoru Yamada, Sumito Ogawa Tags: Original Study Source Type: research

Pain Treatments After Hip Fracture Among Older Nursing Home Residents
To examine the association between use of opioids versus other analgesics with death and functioning after hip fracture in older nursing home (NH) residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 26, 2017 Category: Health Management Authors: Andrew R. Zullo, Tingting Zhang, Francesca L. Beaudoin, Yoojin Lee, Kevin W. McConeghy, Douglas P. Kiel, Lori A. Daiello, Vincent Mor, Sarah D. Berry Tags: Brief Report Source Type: research

Analysis of Reasons for Potentially Preventable Hospital Transfers Using the Modified INTERACT-II Tool
Nursing home (NH) residents are generally frail and have multiple chronic illnesses, making them use hospital services frequently. Hospitalizations are often necessary, but a portion of them could potentially be prevented.1 Hospitalization of NH residents, although mostly essential for safe and effective care of acute conditions, can result in iatrogenic complications, morbidity, and excess health care expenditure.2 Hence, if clinical outcomes were not different between the NH and acute hospital care for the same condition,3 substantial savings may accrue if the residents were kept “in place.”4 With increasing ...
Source: Journal of the American Medical Directors Association - December 26, 2017 Category: Health Management Authors: G.C. Magpantay, H.J. Toh, J.A. Low, W.K. Chia Tags: Letter to the Editor Source Type: research

Protocol for the Assessment of Patient Capacity to Make End-of-Life Treatment Decisions
Patients' right to decide what happens to their bodies, especially around the end of life, is enshrined in legislation across the world, but questions often arise about whether a patient is capable of meaningfully participating in such decisions. Because of uncertainties about capacity, care providers and administrative agencies often must decide whether to honor, or even to elicit, patients' wishes. General decision-making capacity has been well studied, but few clear protocols exist for ascertaining capacity at the end of life. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 26, 2017 Category: Health Management Authors: Richard B. Stuart, Stephen Thielke Tags: Special Article Source Type: research

Use of Anticholinergic Drugs and its Relationship With Psychological Well-Being and Mortality in Long-Term Care Facilities in Helsinki
To assess the burden of drugs with anticholinergic properties (DAPs) and associated factors in long-term care facilities and to explore how psychological well-being and mortality are associated with the use of DAPs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 26, 2017 Category: Health Management Authors: Ulla Liisa Aalto, Hanna-Maria Roitto, Harriet Finne-Soveri, Hannu Kautiainen, Kaisu Pitk älä Tags: Original Study Source Type: research

Costs of Care of Agitation Associated With Dementia in 8 European Countries: Results From the RightTimePlaceCare Study
To estimate the additional societal costs for people living with dementia (PwD) with agitation in home care (HC) and institutional long-term care (ILTC) settings in 8 European countries. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 22, 2017 Category: Health Management Authors: Nad ège Costa, Ansgar Wübker, Adelaïde De Mauléon, Sandra M.G. Zwakhalen, David Challis, Helena Leino-Kilpi, Ingalill R. Hallberg, Astrid Stephan, Adelaida Zabalegui, Kai Saks, Laurent Molinier, Anders Wimo, Bruno Vellas, Dirk Sauerland, Ingrid Binot, Tags: JAMDA Online Source Type: research

The Prevalence of Burnout Among Nursing Home Physicians: An International Perspective
Physician burnout is a critical factor influencing the quality of care delivered in various healthcare settings. Although the prevalence and consequences of burnout have been well documented for physicians in various jurisdictions, no studies to date have reported on burnout in the postacute and long-term care setting. In this exploratory study, we sought to quantify the prevalence of burnout among 3 cohorts of physicians, each practicing in nursing homes in the United States (US), Canada, or The Netherlands. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 22, 2017 Category: Health Management Authors: Arif Nazir, Martin Smalbrugge, Andrea Moser, Jurgis Karuza, Charles Crecelius, Cees Hertogh, Sid Feldman, Paul R. Katz Tags: Brief Report Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 22, 2017 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 22, 2017 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 22, 2017 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 22, 2017 Category: Health Management Source Type: research

Reallocating Accelerometer-Assessed Sedentary Time to Light or Moderate- to Vigorous-Intensity Physical Activity Reduces Frailty Levels in Older Adults: An Isotemporal Substitution Approach in the TSHA Study
The effects of replacing sedentary time with light or moderate- to vigorous-intensity physical activity on frailty are not well known. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 18, 2017 Category: Health Management Authors: Asier Ma ñas, Borja del Pozo-Cruz, Amelia Guadalupe-Grau, Jorge Marín-Puyalto, Ana Alfaro-Acha, Leocadio Rodríguez-Mañas, Francisco J. García-García, Ignacio Ara Tags: Original Study Source Type: research

Predictive Ability of Individual Items of the Cardiovascular Health Study (CHS) Scale Compared With the Summative Score
To examine the ability of each item of the Fried phenotype of frailty to predict physical limitation and physical performance measures after 4  years, walking speed and hospitalization after 7 years, and mortality after 12 years. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 16, 2017 Category: Health Management Authors: Jean Woo, Ruby Yu, Jason Leung Tags: Original Study Source Type: research

Impact of Advanced Practice Registered Nurses on Quality Measures: The Missouri Quality Initiative Experience
The purpose of this article is to review the impact of advanced practice registered nurses (APRNs) on the quality measure (QM) scores of the 16 participating nursing homes of the Missouri Quality Initiative (MOQI) intervention. The MOQI was one of 7 program sites in the US, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services Innovations Center. While the goals of the MOQI for long-stay nursing home residents did not specifically include improvement of the QM scores, it was anticipated that improvement most likely would occur. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 2, 2017 Category: Health Management Authors: Marilyn J. Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Cathy Murray, Charles Crecelius, Bin Ge, Gregory Petroski Tags: Original Study Source Type: research

Person-Centered Care Planning: Preferences Are a Priority
In their accompanying article on assessment of preferences and priorities of both community-dwelling and institutionalized elders, Abbott et  al1 have compiled a practical “best-of” list of important quality-of-life determinants that we clinicians can use in our daily work. The notion of person-centered care has been a welcome guiding principle in general medical practice, and specifically in geriatrics and long-term care, for quite some time. In fact, a PubMed search reveals the notion of person-centered (as differentiated from patient-centered) care first mentioned almost 50 years ago in the nursing...
Source: Journal of the American Medical Directors Association - December 2, 2017 Category: Health Management Authors: Karl E. Steinberg Tags: Editorial Source Type: research

Nursing Home –Hospice Collaboration and End-of-Life Hospitalizations Among Dying Nursing Home Residents
This study examines the relationship between the attributes of NH-hospice collaboration, especially the exclusivity of NH-hospice collaboration (ie, the number of hospice providers in a NH), and EOL hospitalizations among dying NH residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2017 Category: Health Management Authors: Shubing Cai, Susan C. Miller, Pedro L. Gozalo Tags: Original Study Source Type: research

Reliability and Validity of the Care Plan Checklist for Evidence of Person-Centered Approaches for Behavioral and Psychological Symptoms Associated With Dementia
The purpose of this study was to test the reliability and validity of the Care Plan Checklist for Evidence of Person-Centered Approaches for Behavioral and Psychological Symptoms Associated with Dementia (BPSD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2017 Category: Health Management Authors: Barbara Resnick, Elizabeth Galik, Ann Kolanowski, Kimberly Van Haitsma, Jeanette Ellis, Liza Behrens, Nina M. Flanagan, Caroline McDermott Tags: Original Study Source Type: research

APRN-Conducted Medication Reviews for Long-Stay Nursing Home Residents
As part of the Missouri Quality Initiative (MOQI) to reduce hospitalizations for long-stay nursing home residents, this article describes reasons MOQI advanced practice registered nurses (APRNs) recommended medication order changes as part of their medication review process as well as the outcomes of their recommendations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2017 Category: Health Management Authors: Amy Vogelsmeier, Lori Popejoy, Charles Crecelius, Sabrina Orique, Greg Alexander, Marilyn Rantz Tags: Brief Report Source Type: research

Nursing Home –Hospice Collaboration and End-of-Life Hospitalizations Among Dying Nursing Home Residents
This study examines the relationship between the attributes of NH-hospice collaboration, especially the exclusivity of NH-hospice collaboration (ie, the number of hospice providers in a NH), and EOL hospitalizations among dying NH residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2017 Category: Health Management Authors: Shubing Cai, Susan C. Miller, Pedro L. Gozalo Tags: Original Study Source Type: research

Reliability and Validity of the Care Plan Checklist for Evidence of Person-Centered Approaches for Behavioral and Psychological Symptoms Associated With Dementia
The purpose of this study was to test the reliability and validity of the Care Plan Checklist for Evidence of Person-Centered Approaches for Behavioral and Psychological Symptoms Associated with Dementia (BPSD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2017 Category: Health Management Authors: Barbara Resnick, Elizabeth Galik, Ann Kolanowski, Kimberly Van Haitsma, Jeanette Ellis, Liza Behrens, Nina M. Flanagan, Caroline McDermott Tags: Original Study Source Type: research

Platypnea-Orthodeoxia Syndrome Masked by Delirium in an 85-Year-Old Woman
On February 3, 2016, an 85-year-old woman was brought to the emergency department (ED) because of mental confusion and intolerance of the sitting position, which had begun suddenly 2 days before. She had been wheelchair-bound for the past 9 years after a stroke that had left her with mild left-sided hemiparesis but without cognitive impairment. According to her medical records at the ED, she was initially found hypoxemic (SO2  = 75% in room air) and disoriented. She was diagnosed with pneumonia, and because there was major improvement regarding her oxygenation after hydration (SO2 = 94% in room air), she was disc...
Source: Journal of the American Medical Directors Association - November 28, 2017 Category: Health Management Authors: Leonardo A.R. Brito, Fernanda B. Fukushima, Rodrigo Bazan, Danieliso R. Fusco, Edison I.O. Vidal Tags: Letter to the Editor Source Type: research

JAMDA's New Editors-in-Chief Present a Vision for the Journal of Post-Acute and Long-Term Care Medicine
During JAMDA's first 15  years of publication, it was the Journal of the American Medical Directors Association. In 2014, JAMDA was renamed the Journal of Post-Acute and Long-Term Care Medicine, better reflecting the breadth of the long-term care spectrum and the involvement of nurse practitioners, physician assistants, a nd other members of the interdisciplinary care team.1 As the new editors-in-chief of JAMDA, we heartily endorse this evolution to a broader perspective of post-acute and long-term care (PA/LTC) medicine. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2017 Category: Health Management Authors: Sheryl Zimmerman, Philip D. Sloane Tags: Editorial Source Type: research

Redefining Cut-Points for High Symptom Burden of the Global Initiative for Chronic Obstructive Lung Disease Classification in 18,577 Patients With Chronic Obstructive Pulmonary Disease
Patients with chronic obstructive pulmonary disease (COPD) can be classified into groups A/C or B/D based on symptom intensity. Different threshold values for symptom questionnaires can result in misclassification and, in turn, different treatment recommendations. The primary aim was to find the best fitting cut-points for Global initiative for chronic Obstructive Lung Disease (GOLD) symptom measures, with an modified Medical Research Council dyspnea grade of 2 or higher as point of reference. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 21, 2017 Category: Health Management Authors: Dionne E. Smid, Frits M.E. Franssen, Maria Gonik, Marc Miravitlles, Ciro Casanova, Borja G. Cosio, Pilar de Lucas-Ramos, Jose M. Marin, Cristina Martinez, Isabel Mir, Joan B. Soriano, Juan P. de Torres, Alvar Agusti, Nart B. Atalay, Julia Billington, Afro Tags: JAMDA Online Source Type: research

Snoezelen Therapy as an Intervention to Reduce Agitation in Nursing Home Patients With Dementia: A Pilot Study
Nonpharmacologic interventions have been shown to be relatively effective in reducing agitation and improving the quality of life of patients with dementia.1,2 Programs/interventions that have been employed in many long-term care facilities include aromatherapy,3 art therapy,2 exercise therapy,4 –6 music therapy,2 pet therapy, and more.1 Exercise programs in particular have been shown in some studies to be effective in reducing agitation among patients with dementia.4,6,7 One emerging intervention that is not well established or validated, however, is snoezelen therapy. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 21, 2017 Category: Health Management Authors: Scott D. Berkheimer, Chen Qian, Theodore K. Malmstrom Tags: Letter to the Editor Source Type: research