Association Between Sodium Excretion and Cardiovascular Disease and Mortality in the Elderly: A Cohort Study
The objective of this study was to evaluate the correlation between sodium intake and cardiovascular events and mortality in an elderly population, taking into account frailty status. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 14, 2017 Category: Health Management Authors: Diana Lelli, Raffaele Antonelli-Incalzi, Stefania Bandinelli, Luigi Ferrucci, Claudio Pedone Tags: Original Study Source Type: research

Preliminary Evidence of a Positive Effect of Occupational Therapy in Patients With Delirium Superimposed on Dementia
It has been reported that delirium superimposed on dementia strongly predicts worse outcomes in older rehabilitation inpatients.1 The nonpharmacologic approach is the first step for delirium prevention and treatment.2 Previous studies suggest that early psycho-cognitive and motor activation, performed by a multidisciplinary team, may reduce delirium duration and, consequently, future disability.3 In addition, 2 studies of critically ill patients have shown that occupational therapy (OT) reduces the duration of delirium and improves the functional status at hospital discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 14, 2017 Category: Health Management Authors: Christian Pozzi, Elena Lucchi, Alessandro Lanzoni, Simona Gentile, Marco Trabucchi, Giuseppe Bellelli, Alessandro Morandi Tags: Letter to the Editor Source Type: research

Association of Antidementia Drugs and Mortality in Community-Dwelling Frail Older Patients With Dementia: The Role of Mortality Risk Assessment
To evaluate whether treatment with antidementia drugs is associated with reduced mortality in older patients with different mortality risk at baseline. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2017 Category: Health Management Authors: Alberto Pilotto, Maria Cristina Polidori, Nicola Veronese, Francesco Panza, Rosa Arboretti Giancristofaro, Andrea Pilotto, Julia Daragjati, Eleonora Carrozzo, Camilla Prete, Pietro Gallina, Alessandro Padovani, Stefania Maggi, Multidimensional Prognostic Tags: Original Study Source Type: research

Erratum
The authors request a correction to one of the author names on their article: Dent E, Lien C, Lim WS, et  al. The Asia-Pacific Clinical Practice Guidelines for the Management of Frailty. J Am Med Dir Assoc 2017;18:564-575. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2017 Category: Health Management Tags: Erratum Source Type: research

Hearing the Voice of the Resident in Long-Term Care Facilities —An Internationally Based Approach to Assessing Quality of Life
This article reports on the international development effort, describing measures relative to privacy, food, security, comfort, autonomy, respect, staff responsiveness, relationships with staff, friendships, and activities. First, we evaluated these items individually and then combined them in summary scales. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 10, 2017 Category: Health Management Authors: John N. Morris, Anja Declercq, John P. Hirdes, Harriet Finne-Soveri, Brant E. Fries, Mary L. James, Leon Geffen, Vahe Kehyayan, Kai Saks, Katarzyna Szczerbi ńska, Eva Topinkova Tags: Original Study Source Type: research

Dysphagia in Nursing Homes —Results From the NutritionDay Project
Dysphagia is a major healthcare problem as it increases the risk of malnutrition, dehydration, aspiration pneumonia, and death. The aims of this analysis of data from nursing homes (NHs) worldwide were to examine prevalence rates of dysphagia, to identify characteristics of residents with dysphagia, and to describe which type of nutrition residents with dysphagia receive. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 10, 2017 Category: Health Management Authors: Melanie Streicher, Rainer Wirth, Karin Schindler, Cornel Christian Sieber, Michael Hiesmayr, Dorothee Volkert Tags: Original Study Source Type: research

Prestroke Mobility and Dementia as Predictors of Stroke Outcomes in Patients Over 65  Years of Age: A Cohort Study From The Swedish Dementia and Stroke Registries
To explore the association between prestroke mobility dependency and dementia on functioning and mortality outcomes after stroke in patients>65  years of age. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 6, 2017 Category: Health Management Authors: Sara Garcia-Ptacek, Beatriz Contreras Escamez, Eva Zupanic, Dorota Religa, Lena von Koch, Kristina Johnell, Mia von Euler, Ingemar K åreholt, Maria Eriksdotter Tags: Original Study Source Type: research

Total Physical Activity, Exercise Intensity, and Walking Speed as Predictors of All-Cause and Cause-Specific Mortality Over 7  Years in Older Men: The Concord Health and Aging in Men Project
The study aimed to examine the contemporaneous temporal association between changes in total physical activity, sports intensity, muscle strengthening exercise, and walking speed as predictors of all-cause, cardiovascular, cancer and other cause-specific mortality in older men. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 6, 2017 Category: Health Management Authors: Benjumin Hsu, Dafna Merom, Fiona M. Blyth, Vasi Naganathan, Vasant Hirani, David G. Le Couteur, Markus J. Seibel, Louise M. Waite, David J. Handelsman, Robert G. Cumming Tags: Original Study Source Type: research

Using Evidence to Guide the Diagnosis and Management of People With Dementia
By far the most important risk factor for the development of dementia is age itself, with the risk of dementia doubling every 5  years, extending into the ninth decade of life.1 Until recently, dementia was thought to be predominantly a problem of more developed countries because of their greater proportion of older people. Many European and Scandinavian countries have already experienced considerable population aging becau se of increased longevity and falling fertility rates. For example, in 2016 in the United Kingdom, 18% were over the age of 65 years and 2.4% over the age of 85 years. (Source: Journal of...
Source: Journal of the American Medical Directors Association - September 30, 2017 Category: Health Management Authors: Leon Flicker Tags: Editorial Source Type: research

Association between Caregiver Role and Short- and Long-Term Functional Recovery after Hip Fracture: A Prospective Study
After a hip fracture, 50% of senior patients are left with permanent functional decline and 30% lose their autonomy. The aim of this prospective study was to evaluate whether seniors who are in a caregiver role have better functional recovery after hip fracture compared with noncaregivers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2017 Category: Health Management Authors: Marlis Nardi, Karina Fischer, Bess Dawson-Hughes, Endel J. Orav, Otto W. Meyer, Ursina Meyer, Sacha Beck, Hans-Peter Simmen, Hans-Christoph Pape, Andreas Egli, Walter C. Willett, Robert Theiler, Heike A. Bischoff-Ferrari Tags: Original Study Source Type: research

Quality Hospice Care in Adult Family Homes: Barriers and Facilitators
In this study, we sought to identify processes that facilitated the provision of quality hospice care to seriously ill residents of adult family homes and their family members. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2017 Category: Health Management Authors: Karla T. Washington, George Demiris, Debra Parker Oliver, Gemille Purnell, Paul Tatum Tags: Original Study Source Type: research

The Multidomain Nature of Malnutrition in Older Persons
“Will you still feed me when I'm 64?”The Beatles (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2017 Category: Health Management Authors: Ligia J. Dominguez, Mario Barbagallo Tags: Editorial Source Type: research

Homecare Robots to Improve Health and Well-Being in Mild Cognitive Impairment and Early Stage Dementia: Results From  a Scoping Study
This scoping study is the first step of a multiphase, international project aimed at designing a homecare robot that can provide functional support, track physical and psychological well-being, and deliver therapeutic intervention specifically for individuals with mild cognitive impairment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2017 Category: Health Management Authors: Margot Darragh, Ho Seok Ahn, Bruce MacDonald, Amy Liang, Kathryn Peri, Ngaire Kerse, Elizabeth Broadbent Tags: Brief Report Source Type: research

Impact of Contextual Factors on Interventions to Reduce Acute Care Transfers II Implementation and Hospital Readmission Rates
Identify contextual and implementation factors impacting the effectiveness of an organizational-level intervention to reduce preventable hospital readmissions from affiliated skilled nursing facilities (SNFs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 26, 2017 Category: Health Management Authors: Kimberly J. Rask, Jennifer Hodge, Linda Kluge Tags: Original Study Source Type: research

Sex Differences in the Circumstances Leading to Falls: Evidence From Real-Life Falls Captured on Video in Long-Term Care
In this study, analyzed real-life falls captured on video to compare scenarios leading to falls between men and women in 2 long-term care (LTC) facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 26, 2017 Category: Health Management Authors: Yijian Yang, Kimberley S. van Schooten, Joanie Sims-Gould, Heather A. McKay, Fabio Feldman, Stephen N. Robinovitch Tags: Original Study Source Type: research

Modeling the Association Between Home Care Service Use and Entry Into Residential Aged Care: A Cohort Study Using Routinely Collected Data
To examine home care service-related and person-based factors associated with time to entry into permanent residential aged care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 23, 2017 Category: Health Management Authors: Mikaela Jorgensen, Joyce Siette, Andrew Georgiou, Andrew Warland, Johanna Westbrook Tags: Original Study Source Type: research

Leadership for Addressing Aging in America: The Health and Aging Policy Fellowship
The Health and Aging Policy Fellows Program funded by The John A. Hartford Foundation and Atlantic Philanthropies trains future leaders to influence healthcare policy, systems, and program development in aging. Following a rigorous residential training in Washington, DC, Fellows establish placements of up to 1  year in the executive, legislative, or judicial branch of government, at a federal agency, state or community agency or committee, or with a nongovernmental organization. The 2016–2017 Fellows' activities represent a broad scope of work, including contributions to national and local policy prior ities exp...
Source: Journal of the American Medical Directors Association - September 22, 2017 Category: Health Management Authors: Pamela Z. Cacchione, Gary Epstein-Lubow, Amanda Borer, Peter Curran, Annette DeVito Dabbs, Julia Dreissen, Brian Kaskie, Fazal Khan, Madeline Naegle, Anne Ordway, Lynn F. Reinke, Gary Stein, Turner West, Katie Wright, Sharon K. Inouye Tags: Special Article Source Type: research

Frailty Fantasia
“Fantasia – noun – a thing that is composed of a mixture of different forms or styles” (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 22, 2017 Category: Health Management Authors: John E. Morley Tags: Editorial Source Type: research

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

The Relationship Between the Dietary Inflammatory Index and Incident Frailty: A Longitudinal Cohort Study
Inflammation is key risk factor for several conditions in the elderly. However, the relationship between inflammation and frailty is still unclear. We investigated whether higher dietary inflammatory index (DII) scores were associated with higher incidence of frailty in a cohort of North Americans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 21, 2017 Category: Health Management Authors: Nitin Shivappa, Brendon Stubbs, James R. H ébert, Matteo Cesari, Patricia Schofield, Pinar Soysal, Stefania Maggi, Nicola Veronese Tags: Original Study Source Type: research

Template for an Antibiotic Stewardship Policy for Post-Acute and  Long-Term Care Settings
In response to a rising concern for multidrug resistance and Clostridium difficile infections, the Centers for Medicare and Medicaid services (CMS) will require all long-term care (LTC) facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in LTC facilities, mostly in academic- or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA —The Society for Post-Acute and Long-Term Care Medicine, has develope...
Source: Journal of the American Medical Directors Association - September 18, 2017 Category: Health Management Authors: Robin L.P. Jump, Swati Gaur, Morgan J. Katz, Christopher J. Crnich, Ghinwa Dumyati, Muhammad S. Ashraf, Elizabeth Frentzel, Steven J. Schweon, Philip Sloane, David Nace, Infection Advisory Committee for AMDA —The Society of Post-Acute and Long-Term Care Tags: Special Article Source Type: research

Consensus Approaches to Identify Incident Dementia in Cohort Studies: Systematic Review and Approach in the Successful Aging after Elective Surgery Study
To survey the current methods used to ascertain dementia and mild cognitive impairment (MCI) in longitudinal cohort studies, to categorize differences in approaches and to identify key components of expert panel methodology in current use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 16, 2017 Category: Health Management Authors: Eyal Y. Kimchi, Tammy T. Hshieh, Ray Guo, Bonnie Wong, Margaret O'Connor, Edward R. Marcantonio, Eran D. Metzger, Jason Strauss, Steven E. Arnold, Sharon K. Inouye, Tamara G. Fong Tags: Review Article Source Type: research

Validity and Responsiveness of the FRAIL Scale in Middle-Aged Women
To assess the validity and responsiveness of the FRAIL scale in middle-aged women, who are a group at high risk of developing frailty. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 16, 2017 Category: Health Management Authors: Maja Susanto, Ruth E. Hubbard, Paul A. Gardiner Tags: Original Study Source Type: research

Erratum
The Journal of the American Medical Directors Association (JAMDA) apologizes for errors in the affiliations list underneath the author names in the following article. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 14, 2017 Category: Health Management Tags: Erratum Source Type: research

Conceptualizing a Dynamic Fall Risk Model Including Intrinsic Risks and Exposures
Falls are a major cause of injury and disability in older people, leading to serious health and social consequences including fractures, poor quality of life, loss of independence, and institutionalization. To design and provide adequate prevention measures, accurate understanding and identification of person's individual fall risk is important. However, to date, the performance of fall risk models is weak compared with models estimating, for example, cardiovascular risk. This deficiency may result from 2 factors. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 12, 2017 Category: Health Management Authors: Jochen Klenk, Clemens Becker, Pierpaolo Palumbo, Lars Schwickert, Kilan Rapp, Jorunn L. Helbostad, Chris Todd, Stephen R. Lord, Ngaire Kerse Tags: Special Article Source Type: research

Frailty, Polypharmacy, and Health Outcomes in Older Adults: The  Frailty and Dependence in Albacete Study
To investigate if polypharmacy modifies the association between frailty and health outcomes in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 9, 2017 Category: Health Management Authors: Bonaga Beatriz, Pedro M. S ánchez-Jurado, Marta Martínez-Reig, Gabriel Ariza, Leocadio Rodríguez-Mañas, Danijela Gnjidic, Tránsito Salvador, Pedro Abizanda Tags: Original Study Source Type: research

Baseline Association of Motoric Cognitive Risk Syndrome With Sustained Attention, Memory, and Global Cognition
Slow gait has been shown to be a good predictor of declining cognitive function in healthy older adults. Motoric cognitive risk (MCR) syndrome is a new construct incorporating slow gait and subjective cognitive complaints in individuals without dementia who have preserved activities of daily living. This analysis investigated the prevalence of MCR and factors associated with MCR in a nationally representative population. In addition, cross-sectional associations between MCR and cognitive domains, an relationship yet to be fully elucidated in literature, was investigated. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 9, 2017 Category: Health Management Authors: Fiachra J. Maguire, Isabelle Killane, Andrew P. Creagh, Orna Donoghue, Rose Anne Kenny, Richard B. Reilly Tags: Original Study Source Type: research

Effects of Legal Access to Cannabis on Scheduled II –V Drug Prescriptions
Co-prescribing of scheduled drugs is endemic in the United Sates, increasing health risks to patients and the burden on healthcare systems. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 9, 2017 Category: Health Management Authors: Sarah S. Stith, Jacob M. Vigil, Ian Marshall Adams, Anthony P. Reeve Tags: Original Study Source Type: research

Prevalence of Preventive Cardiovascular Medication Use In Nursing Home Residents. Room for Deprescribing? The SHELTER Study
In nursing home (NH) residents with a very short life expectancy, the benefits of preventive cardiovascular medication maintenance are questionable. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 1, 2017 Category: Health Management Authors: Alireza Malek Makan, Hein van Hout, Graziano Onder, Harriet Finne-Soveri, Henri ëtte van der Roest, Rob van Marum Tags: Original Study Source Type: research

Associations of Neuropsychiatric Symptoms and Antidepressant Prescription with Survival in Alzheimer Disease
Depression is associated with increased mortality in community samples. The use of antidepressant medication may also increase mortality, however, it is still unclear whether taking antidepressants before or after a diagnosis of dementia influences survival. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2017 Category: Health Management Authors: Christoph Mueller, Jonathan Huntley, Brendon Stubbs, Andrew Sommerlad, Andr é F. Carvalho, Gayan Perera, Robert Stewart, Nicola Veronese Tags: Original Study Source Type: research

FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture Patients
There are limited screening tools to predict adverse postoperative outcomes for the geriatric surgical fracture population. Frailty is increasingly recognized as a risk assessment to capture complexity. The goal of this study was to use a short screening tool, the FRAIL scale, to categorize the level of frailty of older adults admitted with a fracture to determine the association of each frailty category with postoperative and 30-day outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2017 Category: Health Management Authors: Lauren Jan Gleason, Emily A. Benton, M. Loreto Alvarez-Nebreda, Michael J. Weaver, Mitchel B. Harris, Houman Javedan Tags: Original Study Source Type: research

Basis for Sarcopenia Screening With the SARC-CalF in Nursing Homes
Sarcopenia is a major health problem of the older population. The European Working Group on Sarcopenia in Older People (EWGSOP) developed diagnostic criteria for diagnosis of sarcopenia that require assessing muscle mass and strength or physical performance. Recently, however, a rapid screening method SARC-CalF was developed. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2017 Category: Health Management Authors: Felicita Urzi, Bo štjan Šimunič, Elena Buzan Tags: Original Study Source Type: research

Beyond the Neuropsychiatric Horizon: Assessing the Risk of Sudden Unexpected Death in Parkinson Disease
We read with interest the elegant research article written by Trang et  al1 who evaluated the mortality rate in elderly and very elderly (>85  years of age) patients with Parkinson's disease (PD) in nursing homes with and without antipsychotic drugs. Given the dearth of published data about the potential risk of sudden death in individuals with PD who use antipsychotic drugs, we applaud Trang et al for pursuing this topic,1 but we also find it necessary to address some points concerning their interesting results. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2017 Category: Health Management Authors: Fulvio Alexandre Scorza, Ary Gadelha, Henrique B. Ferraz, Josef Finsterer, Rodrigo A. Bressan Tags: Letter to the Editor Source Type: research

Use of the Spanish Version of the Rapid Geriatric Assessment in  Mexican Patients in Long-Term Care
We report our experience with the use of a Spanish version of the rapid geriatric assessment of 30 patients in 2 long-term care institutions in Mexico City by a group of healthcare students without prior experience in geriatric medicine. The Spanish version of the rapid geriatric assessment is a very easy tool to administer that can provide overall good results for identifying frailty, sarcopenia, anorexia, weight loss, and cognitive impairment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2017 Category: Health Management Authors: Jorge Alberto Mena-Madrazo, Beatriz E. Mariscal-Martinez, Mariana Leon-Quintero, Stephanie M. Lupercio Macias Tags: Long-Term Care Around the Globe Source Type: research

Drug Use and Mortality in Parkinson Disease
In this study investigating the potential harm of antipsychotic in a population of very old nursing home residents suffering from PD, we did not find any significant as sociation between antipsychotic use and mortality among these patients. In contrast, age and chronic pulmonary disease were the main factors associated with mortality, as well as arterial hypertension in very old patients with PD (≥85 years of age). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 30, 2017 Category: Health Management Authors: Agn ès Sommet, Maryse Lapeyre-Mestre Tags: Letter to the Editor Source Type: research

What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence
The prevalence of fecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of what is effective in the reduction and management of FI in care homes. Using realist synthesis, 6 potential program theories of what should work were identified. These addressed clinician-led support, assessment, and review; the contribution of teaching and support for care home staff on how to reduce and manage FI; addressing the causes and prevention of constipation; how cognitive and physical capacity of the resident affects outcomes; how the potential for recovery, reduction, and management of FI ...
Source: Journal of the American Medical Directors Association - August 29, 2017 Category: Health Management Authors: Marina Buswell, Claire Goodman, Brenda Roe, Bridget Russell, Christine Norton, Rowan Harwood, Mandy Fader, Danielle Harari, Vari M. Drennan, Jo Rycroft Malone, Michelle Madden, Frances Bunn Tags: Review Article Source Type: research

Responsiveness of the full-length and short form of The Older Persons and Informal Caregivers Survey
To capture the wide-reaching effects of whole person care, patient-reported outcomes in older populations require a multidimensional approach. However, in time-constrained healthcare settings, a brief instrument is essential. The Older Persons and Informal Caregivers Survey Minimum Data Set (TOPICS-MDS, topics-mds.eu) was developed in The Netherlands to measure relevant outcomes in health and well-being of older persons and informal caregivers.1 To facilitate evaluation studies, a full-length TOPICS-Composite Endpoint (TOPICS-CEP)2 and a score derived from the TOPICS-Short Form (TOPICS-SF; submitted for publication) were d...
Source: Journal of the American Medical Directors Association - August 29, 2017 Category: Health Management Authors: Jennifer E. Lutomski, Angelina M.M. Santoso, Cynthia S. Hofman, Marcel G.M. Olde Rikkert, Ren é J.F. Melis Tags: Letter to the Editor Source Type: research

JAMDA Maintains Excellent Impact Factor
Over the past decade, JAMDA has had strong growth in its impact factor (Figure  1). In 2016, it was ranked fourth among all journals in geriatrics and gerontology with an impact factor of 5.775 (Table 1). It also had a 5-year impact factor of 5.449 and an immediacy index of 1.381. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 29, 2017 Category: Health Management Authors: John E. Morley Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 29, 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 - August 29, 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 - August 29, 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 - August 29, 2017 Category: Health Management Source Type: research

Homocysteine Biochemistry and Cognitive Decline in the Elderly
Mendon ça et al1 present data obtained from the large prospective longitudinal Newcastle 85+ study. In this very old study population, a possible association was investigated between 1-carbon metabolism biomarkers (vitamins folate and B12, and homocysteine), and cognitive impairment assessed by the Stan dardized Mini-Mental State Examination and the attention-specific cognition with the Cognitive Drug Research System at baseline and at several years of follow-up. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 26, 2017 Category: Health Management Authors: Johanna Gostner, Barbara Sperner-Unterweger, Dietmar Fuchs Tags: Letter to the Editor Source Type: research

Factors Associated With the Trend of Physical and Chemical Restraint Use Among Long-Term Care Facility Residents in Hong Kong: Data From an 11-Year Observational Study
Negative effects of restraint use have been well-documented. However, the prevalence of restraints use has been high in long-term care facilities in Hong Kong compared with other countries and this goes against the basic principles of ethical and compassionate care for older people. The present study aimed to review the change in the prevalence of physical and chemical restraint use in long-term care facilities (LTCFs) over a period of 11  years in Hong Kong and to identify the major factors associated with their use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 23, 2017 Category: Health Management Authors: Kuen Lam, Joseph S.K. Kwan, Chi Wai Kwan, Alice M.L. Chong, Claudia K.Y. Lai, Vivian W.Q. Lou, Angela Y.M. Leung, Justina Y.W. Liu, Xue Bai, Iris Chi Tags: Original Study Source Type: research

Important Care and Activity Preferences in a Nationally Representative Sample of Nursing Home Residents
Person-centered care (PCC), which considers nursing home resident preferences in care delivery, has been linked to important outcomes such as improved quality of life, resident satisfaction with care, and mood and reduced behavioral symptoms for residents with dementia. Delivery of PCC fundamentally relies on knowledge of resident preferences. The Minimum Data Set (MDS) 3.0 Preference Assessment Tool (PAT) is a standardized, abbreviated assessment that facilitates systematic examination of preferences from a population of nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 23, 2017 Category: Health Management Authors: Tonya J. Roberts, Andrea Gilmore-Bykovskyi, Maichou Lor, Daniel Liebzeit, Christopher J. Crnich, Debra Saliba Tags: Original Study Source Type: research

Use of an Exercise Technology in Post-Acute Care of a Skilled Nursing Facility: A Feasibility Study
Use of exercise technologies has benefits for community-dwelling older adults in terms of improved gait and balance. But research on the feasibility of use of exercise technologies in various geriatric health care settings is lacking. Hence, the current study examined the feasibility of implementing an exercise technology intended to augment rehabilitation in patients receiving post-acute care (PAC) in a skilled nursing facility (SNF). We focused on 3 indicators of feasibility: extent of usage (including predictors of more intense use), patients' acceptability of the technology, and limited efficacy. (Source: Journal of th...
Source: Journal of the American Medical Directors Association - August 23, 2017 Category: Health Management Authors: Verena R. Cimarolli, Joann P. Reinhardt, Jillian Minahan, Orah Burack, Channing Thomas, Regina Melly Tags: Original Study Source Type: research

Cognitive Frailty: Far From Clinical and Research Adoption
The concept of cognitive frailty was originally proposed to describe a clinical condition characterized by the occurrence of both physical frailty and cognitive impairment, in the absence of overt dementia diagnosis.1 Its conception was motivated by the attempt to delineate an entity in which the impairment of cognitive functioning is not primarily sustained by neurologic diseases and/or neurodegeneration, but fundamentally driven by a decline in the physical domain of the individual. Thus, the underlying rationale for such novel framework was the need of tentatively improving the discrimination of risk profiles among the ...
Source: Journal of the American Medical Directors Association - August 23, 2017 Category: Health Management Authors: Marco Canevelli, Matteo Cesari Tags: Editorial Source Type: research