Basal Metabolic Rate Parameters, Sarcopenia, and Frailty in Older Males
I read the recent article published in this journal by Soysal et  al1 with interest. The authors conducted a cross-sectional study to evaluate the association between the basal metabolic rate (BMR) with several adjustments, frailty, and sarcopenia in 305 older males. Several comprehensive geriatric assessment (CGA) parameters were also used for the analysis, and the predictive ability of BMR parameters was evaluated for detecting sarcopenia, frailty, and CGA status. The adjusted odds ratio (95% confidence interval) of subjects without sarcopenia for higher BMR per body surface area (BSA) was 6.60 (3.52-12.38). (Source...
Source: Journal of the American Medical Directors Association - May 1, 2019 Category: Health Management Authors: Tomoyuki Kawada Tags: Letter to the Editor Source Type: research

Sundown Syndrome in Older Persons: A Scoping Review
To map comprehensive investigations of the sundown syndrome (SS), highlighting its key definition and associated characteristics. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 27, 2019 Category: Health Management Authors: Alexandre C. Boronat, Ana Paula Ferreira-Maia, Yuan-Pang Wang Tags: Review Article Source Type: research

Repeated Cerebrospinal Fluid Removal Procedure in Older Patients With Idiopathic Normal Pressure Hydrocephalus Ineligible for Surgical Treatment?
I read with great interest the article by Rossi et  al in which they illustrate the positive responses obtained with repeated cerebrospinal fluid (CSF) tap procedures in patients with normal pressure hydrocephalus (NPH) who were ineligible for surgical intervention with shunting.1 In the Introduction section, the authors have commented on the rapid loss of the benefits gained with the surgical procedure in NPH patients because of the parallel progression of comorbid conditions.1,2 They have also stated that there are a substantial number of patients who are ineligible for shunting surgery because of their advanced age...
Source: Journal of the American Medical Directors Association - April 27, 2019 Category: Health Management Authors: Halil Onder Tags: Letter to the Editor Source Type: research

Hospital Readmission From Skilled Nursing Facilities (SNFs): Perspectives of Hospital and SNF Providers
Following an acute hospital stay, 1 in 4 Medicare patients is transferred to a skilled nursing facility (SNF).1 Meanwhile, 25% of these patients are readmitted to the hospital within 30  days.2 In addition to the increasing costs, repeated hospitalizations and multiple transitions of care put patients at risk for adverse health outcomes, including decline in physical function, medication errors, and delirium.3,4 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 27, 2019 Category: Health Management Authors: Karl E. Minges, Meredith Campbell Britton, Bennett W. Clark, Gregory M. Ouellet, Beth Hodshon, Sarwat I. Chaudhry Tags: Research Letter Source Type: research

Preventable Hospitalizations Among Nursing Home Residents With Dementia and Behavioral Health Disorders
The objectives of this study were to (1) examine the risk of PAH among residents with ADRD only, BHD only, ADRD and BHD compared to residents with neither and (2) identify associations between individual- and facility-level factors and PAH in these subgroups. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 27, 2019 Category: Health Management Authors: Helena Temkin-Greener, Xi Cen, Michael J. Hasselberg, Yue Li Tags: Original Study Source Type: research

Impact of Glycemic Control on Daily Living Activities Over 1-Year Follow-up in Memory Clinic Patients With Diabetes
Ample evidence suggests that type 2 diabetes mellitus (DM) increases the risk of impairment of activities of daily living (ADL).1 Although the association between poor glycemic control and ADL decline has already been described,2 the impact of excessive glycemic control on ADL has not been elucidated. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 27, 2019 Category: Health Management Authors: Taiki Sugimoto, Rei Ono, Ai Kimura, Naoki Saji, Shumpei Niida, Kenji Toba, Takashi Sakurai Tags: Research Letter Source Type: research

No One Cares When Planes Don't Crash: The Message for Long-term Care
I was recently interviewed for an article on assisted living.i The reporter asked informed questions, and sent me the article after it went to press. Our follow-up e-mail interchange went something like this:Me: Thanks for sending the finished article. It's well-written and engaging, and points out that this is a challenging business where people's welfare is at stake. That said, we also need articles that talk about the many thousands of people who receive good care and have a better quality of life because of it. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2019 Category: Health Management Authors: Arif Nazir, Sheryl Zimmerman, Michele L. Meyer Tags: Editorial Source Type: research

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

Importance of Social Support Within the Nursing Staff on Agitation in Residents With Dementia
Patient characteristics such as gender and severity of dementia are associated with neuropsychiatric symptoms (NPS) in dementia but insufficiently explain differences in the prevalence of NPS between dementia care units, thereby suggesting environmental influences.1 Physical environmental factors such as perception of privacy, temperature, and number of residents per unit, as well as psychosocial environmental factors such as higher perception of staffing levels, have been associated with NPS.2 –4 However, the associations between NPS and job characteristics of nurses, such as job demands, control, and social support...
Source: Journal of the American Medical Directors Association - April 15, 2019 Category: Health Management Authors: Eva Y.L. Tan, Marjolein E. de Vugt, Sebastian K öhler, Frans R.J. Verhey, Jos M.G.A. Schols Tags: Research Letter Source Type: research

Poor Social Network, Not Living Alone, Is Associated With Incidence of Adverse Health Outcomes in Older Adults
This study aimed to examine whether the interactive effects of living alone and poor social network contribute to adverse health outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 14, 2019 Category: Health Management Authors: Ryota Sakurai, Hisashi Kawai, Hiroyuki Suzuki, Hunkyung Kim, Yutaka Watanabe, Hirohiko Hirano, Kazushige Ihara, Shuichi Obuchi, Yoshinori Fujiwara Tags: Original Studies Source Type: research

Developing a Brief Neuropsychological Battery for Early Diagnosis of Cognitive Impairment
This study investigated whether a small subset of neuropsychological tests can be added on to MoCA to match its performance to that of the FNB in discriminating mild cognitive impairment and dementia (MCI/dementia) from normal cognition. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 12, 2019 Category: Health Management Authors: Tau Ming Liew Tags: Original Study-Brief Report Source Type: research

Research Priorities in Post-acute and Long-term Care: Results of a Stakeholder Needs Assessment
Conduct a needs assessment among post-acute and long-term care (PA-LTC) stakeholder groups to identify (1) research topics of highest priority and (2) perspectives on research, including concerns/barriers to conducting research in the PA-LTC setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 10, 2019 Category: Health Management Authors: Cynthia Drake, Heidi L. Wald, Leslie B. Eber, Joanna I. Trojanowski, Kathryn A. Nearing, Rebecca S. Boxer Tags: Brief Report Source Type: research

Quality of Life and Pain Medication Use in Persons With Advanced Dementia Living in Long-Term Care Facilities
In residents with dementia living in a long-term care facility (LTCF), un(der)treated pain may trigger behavioral disturbances, mood syndromes, and deterioration of physical functioning and self-maintenance. Because these factors can have considerable impact on the quality of life (QoL), this study aimed to (1) compare characteristics of persons with advanced dementia living in LTCFs with and without pain medication; (2) compare QoL in these persons with and without pain, stratified by type of pain medication use; and (3) explore associations between the use of paracetamol and QoL in persons with advanced dementia living i...
Source: Journal of the American Medical Directors Association - April 10, 2019 Category: Health Management Authors: Paulien H. van Dam, Monique A.A. Caljouw, Dagrun D. Sletteb ø, Wilco P. Achterberg, Bettina S. Husebo Tags: Original Study Source Type: research

A Prospective Cohort Study on the Effects of Geriatric Rehabilitation Following Acute Exacerbations of COPD
Older patients with chronic obstructive pulmonary disease (COPD), hospitalized for an acute exacerbation, often do not receive recommended post-acute pulmonary rehabilitation. This underuse might be related to the impaired clinical and functional status of these patients, who are more likely to present with frailty, comorbidities, and disability. Having developed and implemented a geriatric rehabilitation program for these patients (GR_COPD), the primary aim of this study was to investigate the effectiveness of this program. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 10, 2019 Category: Health Management Authors: El éonore F. van Dam van Isselt, Monica van Eijk, Nan van Geloven, Karin H. Groenewegen-Sipkema, Jan-Willem K. van den Berg, Cécile M.A. Nieuwenhuys, Niels H. Chavannes, Wilco P. Achterberg Tags: Original Study Source Type: research

Pain Management in the Last 6  Months of Life: Predictors of Opioid and Non-Opioid Use
When it comes to pain, nursing home care falls short. The experience of pain negatively impacts life quality and function, especially for residents with multiple chronic comorbidities. The proportion of residents with pain is high, with estimates ranging from 45%1 to 65%.2 Because the experience of pain is primarily subjective, clinicians rely on patients' self-report to direct pain management strategies. Yet, in a nursing home, many residents have dementia and are unable to communicate pain. It is not surprising that pain in the nursing home is both high and under-recognized. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 10, 2019 Category: Health Management Authors: Tammy L. Marshall, Joann P. Reinhardt Tags: Research Letter Source Type: research

Discontinuation of Antihypertensive Therapy and Dementia Incidence in the United Kingdom
Van Dalen et  al1 have reported that antihypertensive therapy withdrawal in older people living in communities may increase dementia risk. In their interesting and clinically relevant study, they investigated approximately 1500 patients, 5.5% of whom discontinued antihypertensive therapy during the study. Disco ntinuation of antihypertensive medication was associated with a 1.8-2.2 higher incidence of dementia (hazard ratio from 1.8 to 2.2 depending on the covariables included in the model). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 10, 2019 Category: Health Management Authors: Karel Kostev, Jens Bohlken Tags: Letter to the Editor Source Type: research

Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults
Oral health is known to be associated with general health, but longitudinal relationships between oral health and general health indicators have not yet been fully explored in international research. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 8, 2019 Category: Health Management Authors: Johanna de Almeida Mello, Trung Dung Tran, Stefanie Krausch-Hofmann, Brigette Meehan, Hein van Hout, Luke Turcotte, Henriette G. van der Roest, Vjenka Garms-Homolov á, Pálmi Jónsson, Graziano Onder, Harriet Finne-Soveri, Jan De Lepeleire, Dominique Dec Tags: Original Study Source Type: research

Multimorbidity and Health-Related Quality of Life in Old Age: Role of Functional Dependence and Depressive Symptoms
To examine the associations of multimorbidity patterns with health-related quality of life (HRQL) in rural-dwelling older adults in China, and to explore to what extent their associations were mediated by functional dependence and depressive symptoms. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 8, 2019 Category: Health Management Authors: Rui She, Zhongrui Yan, Hui Jiang, Davide L. Vetrano, Joseph T.F. Lau, Chengxuan Qiu Tags: Original Study Source Type: research

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The Authors wish to make a correction to their article published in JAMDA (https://doi.org/10.1016/j.jamda.2018.09.036) “Improving Nursing Home Residents' Oral Hygiene: Results of a Cluster Randomized Intervention Trial”. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 7, 2019 Category: Health Management Tags: Erratum Source Type: research

Do-Not-Resuscitate and Do-Not-Hospitalize Orders in Nursing Homes: Who Gets Them and Do They Make a Difference?
To describe the rate of do-not-resuscitate (DNR) and do-not-hospitalize (DNH) orders among residents newly admitted into long-term care homes. We also assessed the association between DNR and DNH orders with hospital admissions, deaths in hospital, and survival. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 7, 2019 Category: Health Management Authors: Peter Tanuseputro, Amy Hsu, Mathieu Chalifoux, Robert Talarico, Daniel Kobewka, Mary Scott, Kwadwo Kyeremanteng, Giulia Perri Tags: Original Study Source Type: research

Effect of Clinical Care Pathways on Quality of Life and Physical Function After Fragility Fracture: A Meta-analysis
To evaluate the effect of clinical care pathways (CCPs) on health-related quality of life (HRQoL) and physical function following fragility fracture and identify the specific characteristics of CCPs that are associated with improved outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 7, 2019 Category: Health Management Authors: Jason Talevski, Kerrie M. Sanders, Gustavo Duque, Catherine Connaughton, Alison Beauchamp, Darci Green, Lynne Millar, Sharon L. Brennan-Olsen Tags: Review Article Source Type: research

One Way Out? A Multistate Transition Model of Outcomes After Nursing Home Admission
To understand how the odds of both adverse and positive transitions vary over the course of episodes of care in nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 3, 2019 Category: Health Management Authors: John P. Hirdes, George A. Heckman, Anne Morinville, Andrew Costa, Micaela Jantzi, Jonathen Chen, Paul C. H ébert Tags: Original Study Source Type: research

Inaccuracy of Self-Completed COPD Assessment Test by Older Patients Leads to Underestimation of Disease Severity
Chronic obstructive pulmonary disease (COPD), a life-threatening condition, represents a considerable public health and socioeconomic challenge.1 Symptoms of this long-lasting respiratory disease can significantly impair patients' daily physical activities, reduce quality of life, and lead to excessive health care overuse.1,2 Modified Medical Research Council dyspnea scale is a basic tool for determining symptoms of dyspnea in COPD patients.3 However, because COPD subjects suffer from complex symptomatology, COPD Assessment Test (CAT), a validated patient-completed questionnaire, is now globally recommended as the first ch...
Source: Journal of the American Medical Directors Association - April 2, 2019 Category: Health Management Authors: Vladimir Koblizek, Vladimir Zindr, Ondrej Zindr, Stanislav Holub, Anna Hrazdirova, Jana Kocianova, Michal Svoboda, Petr Dulicek Tags: Research Letter Source Type: research

Copper for the Prevention of Outbreaks of Health Care –Associated Infections in a Long-term Care Facility for Older Adults
We aimed to study the efficacy of copper as an antimicrobial agent by comparing incidence rates during outbreaks in areas equipped vs not equipped with copper surfaces in a long-term facility for dependent older adults (nursing home). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 2, 2019 Category: Health Management Authors: Sarah Zerbib, Lydie Vallet, Ana ëlle Muggeo, Christophe de Champs, Annick Lefebvre, Damien Jolly, Lukshe Kanagaratnam Tags: Original Study Source Type: research

Scalability of an IT Intervention to Prevent Pressure Ulcers in Nursing Homes
Pressure ulcers pose an important quality-of-care challenge in nursing homes, with serious consequences for residents' health. We assessed the scalability of the On-Time Pressure Ulcer Prevention (On-Time) intervention strategy, developed by the Agency for Healthcare Research& Quality, in nursing homes nationwide. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 2, 2019 Category: Health Management Authors: Clare Davidson, Sai Loganathan, Lauren Bishop, Laurie Imhof, Linda Bergofsky, William Spector, R. Tamara Konetzka Tags: Original Study Source Type: research

Frailty and Somatic Comorbidity in Older Patients With Medically Unexplained Symptoms
To examine the level of frailty and somatic comorbidity in older patients with medically unexplained symptoms (MUS) and compare this to patients with medically explained symptoms (MES). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 2, 2019 Category: Health Management Authors: Matheus H.L. Arts, Carolien E.M. Benraad, Denise Hanssen, Peter Hilderink, Linda de Jonge, Paul Naarding, Peter Lucassen, Richard C. Oude Voshaar Tags: Original Study Source Type: research

Frailty Should Not Be a Justification for Not Prescribing Anticoagulation in Older Patients With Atrial Fibrillation
We have read with great interest the article by Alagiakrishnan et  al1 and we fully agree with their conclusion advising physicians to be aware of the association of atrial fibrillation (AF) with numerous geriatric syndromes.1 AF is the most common cardiac rhythm disorder in older adults. In subjects aged>75  years, AF has been associated with a worse prognosis compared to younger patients, with higher mortality and greater adverse cardiac events rate.2 Frailty is a biological state of increased vulnerability to health stressors that is also closely related to the ageing process. (Source: Journal of the Americ...
Source: Journal of the American Medical Directors Association - April 2, 2019 Category: Health Management Authors: Francesc Formiga, Alejandra Gull ón, Carmen Suárez-Fernández Tags: Letter to the Editor Source Type: research

Predicting First-Time Injurious Falls in Older Men and Women Living in the Community: Development of the First Injurious Fall Screening Tool
The aim of this study was to create a screening tool to predict first-time injurious falls in community-living older men and women. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 2, 2019 Category: Health Management Authors: Stina Ek, Debora Rizzuto, Amaia Calder ón-Larrañaga, Erika Franzén, Weili Xu, Anna-Karin Welmer Tags: Original Study Source Type: research

Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study
Discharge to skilled nursing facilities (SNFs) is common in patients with heart failure (HF). It is unknown whether the transition from SNF to home is risky for these patients. Our objective was to study outcomes for the 30  days after discharge from SNF to home among Medicare patients hospitalized with HF who had subsequent SNF stays of 30 days or less. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 31, 2019 Category: Health Management Authors: Himali Weerahandi, Li Li, Haikun Bao, Jeph Herrin, Kumar Dharmarajan, Joseph S. Ross, Kunhee Lucy Kim, Simon Jones, Leora I. Horwitz Tags: Post-acute Care and Rehabilitation Source Type: research

The Relationship Between Quality of Care, Physical Therapy, and Occupational Therapy Staffing Levels in Nursing Homes in 4  Years' Follow-up
To understand physical therapy (PT) and occupational therapy (OT) staffing levels in nursing homes and to examine their relationship with quality of care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 31, 2019 Category: Health Management Authors: Ian Livingstone, Jennifer Hefele, Pamela Nadash, Dan Barch, Natalie Leland Tags: Post-acute Care and Rehabilitation Source Type: research

Geriatric Rehabilitation —State of the Art and Future Priorities
The worldwide ageing revolution has put rehabilitation for older patients high on the agenda of both health care policy and research. Two major policies in many developing countries, ageing in place and reducing hospital stay, which particularly impact frail older persons, have stimulated the search for appropriate and cost-effective use of rehabilitation resources. This will require identifying patients who are most likely to benefit from geriatric rehabilitation, and selecting the most appropriate rehabilitation or post-acute setting for each patient. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 31, 2019 Category: Health Management Authors: Wilco P. Achterberg, Ian D. Cameron, J ürgen M. Bauer, Jos M. Schols Tags: Post-acute Care and Rehabilitation Source Type: research

Post-acute Care: Current State and Future Directions
We are witnessing rapid changes in the US health system in response to the growing elder population. Value-based care, population health, regulatory reform for skilled nursing facilities, and the growth of community-based options like hospital at home and home-based primary care are being emphasized across the country. Other countries too are facing an expanding older adult population in need of innovative solutions, including subacute services for optimal health. AMDA is positioned to lead as we grapple with the challenges of an aging population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 31, 2019 Category: Health Management Authors: Heidi K. White Tags: Post-acute Care and Rehabilitation Source Type: research

The Changing Landscape of Post-acute and Rehabilitative Care
Virtually every society worldwide is seeing a growth in the number and proportion of older persons in its population. As growth occurs, medical care resources must be increasingly dedicated to prevention, detection, and management of chronic diseases such as congestive heart failure, and to problems of aging such as frailty and multimorbidity. As part of this process, after-hospital care has become an increasingly important component of health care systems and health care costs. At least 5 key forces have been at play: (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 31, 2019 Category: Health Management Authors: Philip D. Sloane, Paul R. Katz, Sheryl Zimmerman Tags: Post-acute Care and Rehabilitation Source Type: research

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

Association of Race and Poverty With Mortality Among Nursing Home Residents on Maintenance Dialysis
We examined whether race/ethnicity, ZIP code –level, and individual-level indicators of poverty relate to mortality of NH residents on dialysis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 27, 2019 Category: Health Management Authors: Robert Nee, John S. Thurlow, Keith C. Norris, Christina Yuan, Maura A. Watson, Lawrence Y. Agodoa, Kevin C. Abbott Tags: Original Study Source Type: research

Increasing Prevalence of Orthostatic Hypotension as a Cause of Syncope With Advancing Age and Multimorbidity
During recent years, syncope studies have included an increasing  number of older subjects with multimorbidity.1–4 Moreover, increasing awareness of pathophysiology today allows a more accurate differential diagnosis of this condition.5 Yet how syncope etiology changes with advancing age and increasing multimorbidity is still unclear. The present paper thus ai med at comparing and discussing the results of 3 multicentre studies, and analysing how syncope etiology changes with age and the presence of chronic conditions, with a specific focus on dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 25, 2019 Category: Health Management Authors: Alice Ceccofiglio, Chiara Mussi, Martina Rafanelli, Giulia Rivasi, Mario Bo, Enrico Mossello, Anna Maria Martone, Pasquale Abete, Andrea Ungar Tags: Editorial Source Type: research

Evaluating the Influence of Social Factors on Aged Residential Care Admission in a National Home Care Assessment Database of Older Adults
Evaluate the influence of social factors on admission to aged residential care (ARC) facilities using a national comprehensive geriatric assessment database in New Zealand. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 25, 2019 Category: Health Management Authors: Hamish Jamieson, Rebecca Abey-Nesbit, Ulrich Bergler, Sally Keeling, Philip J. Schluter, Richard Scrase, Cameron Lacey Tags: Original Study Source Type: research

Symptom Clusters of Neuropsychiatric Symptoms in Mild Cognitive Impairment and Their Comparative Risks of Dementia: A Cohort Study of 8530 Older Persons
This study sought to provide confirmatory evidence on the comparative risk of dementia across the various NPS in MCI. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 25, 2019 Category: Health Management Authors: Tau Ming Liew Tags: Original Study - Brief Report Source Type: research

Medicaid Long-term Care Policies and Rates of Nursing Home Successful Discharge to Community
This study explores the relationship of state Medicaid long-term care policies and successful discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 24, 2019 Category: Health Management Authors: Huiwen Xu, Orna Intrator Tags: Original Study Source Type: research

The Impact of Long-Term Care Ombudsman Presence on Nursing Home Survey Deficiencies
Each year states are required to survey nursing homes (NHs), including issuing deficiency citations when regulatory standards are not met. These deficiency citations can have substantial consequences for NHs. Because it is imperative that the survey process is conducted consistently across facilities, this study aims to determine whether deficiency outcomes vary with the presence of a long-term care ombudsman at the survey. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 24, 2019 Category: Health Management Authors: Diane E. Berish, Josh Bornstein, John R. Bowblis Tags: Original Study Source Type: research

Pharmacotherapy Research Priorities in Older Adults With Cardiovascular Disease in Nursing Homes, Assisted Living, and Home Care: Report From a Satellite Symposium of the ACC, AGS, NIA Workshop
Long-term care (LTC) services include a broad range of health, personal care, and supportive services provided at home (health agencies, hospice, or community providers) (HC), assisted living (AL) communities, and nursing facilities (NF).1 Although the population of adults>85  years is increasing, the number of NF residents (1.4 million) will remain flat. In the future, a significant proportion of LTC for older adults will be HC. Evidence regarding strategies to optimize pharmacotherapeutic outcomes and medication safety across the LTC spectrum is scarce, creating a str ong research need. (Source: Journal of the Am...
Source: Journal of the American Medical Directors Association - March 24, 2019 Category: Health Management Authors: Barbara J. Zarowitz, David A. Nace, Nicole Brandt, Janice B. Schwartz Tags: Letter to the Editor Source Type: research

The Difficulty With Studying Challenging Behavior
The behavior of people with dementia has been a focus of both research and dementia care for decades, particularly behavior that is considered “challenging.” As we will discuss below, this challenging behavior has appeared difficult to demarcate and define, resulting in many approaches and views about what it comprises, which consequently has resulted in many different measurement instruments. The striking consequence is that the field now has been provided with a pool of research results that are hard to interpret and combine into knowledge that really moves it forward. (Source: Journal of the American Medical...
Source: Journal of the American Medical Directors Association - March 21, 2019 Category: Health Management Authors: Debby L. Gerritsen, Martin Smalbrugge, Annelies E. Veldwijk-Rouwenhorst, Roland Wetzels, Sytse U. Zuidema, Raymond T.C.M. Koopmans Tags: Editorial Source Type: research

Factors Associated With Pain Assessment for Nursing Home Residents: A Systematic Review and Meta-Synthesis
The burden of pain in nursing home residents is substantial; unfortunately, many times it goes undiagnosed and is inadequately treated. To improve identification of pain in this population, we aimed to review and synthesize findings from qualitative studies that report primary barriers and facilitators to pain assessment in nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 21, 2019 Category: Health Management Authors: Jennifer A. Knopp-Sihota, Kennedy L. Dirk, Geoffrey S. Rachor Tags: Review Article Source Type: research

The Optimal Short Version of Montreal Cognitive Assessment in Diagnosing Mild Cognitive Impairment and Dementia
This study evaluated the comparative performance of the short variants in identifying mild cognitive impairment or dementia (MCI/dementia). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 21, 2019 Category: Health Management Authors: Tau Ming Liew Tags: Original Study - Brief Report Source Type: research