Gender Differences in Trajectories of Lower Extremity Function in Older Adults: Findings From the International Mobility in Aging Study
We examined the  lower extremity function trajectories of older men and women over 4 years and baseline predictors of these trajectories. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 30, 2019 Category: Health Management Authors: Tamer Ahmed, Simon D. French, Emmanuelle Belanger, Ricardo Oliveira Guerra, Maria Victoria Zunzunegui, Mohammad Auais Tags: Original Study Source Type: research

Dementia Caf és as a Community Resource for Persons With Early-Stage Cognitive Disorders: A Nationwide Survey in Japan
The objective of the present study was to examine effective ways to manage dementia cafés through an overview of dementia cafés in Japan and an analysis of the factors related to their effective ness on attendees. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 30, 2019 Category: Health Management Authors: Hajime Takechi, Tomoyuki Yabuki, Masahiko Takahashi, Hisao Osada, Shinji Kato Tags: Original Study Source Type: research

Adherence to “No Transfer to Hospital” Advance Directives Among Nursing Home Residents
This study aims to estimate the prevalence of, and adherence to, “no transfer to hospital” ADs in LTC, and to explore the circumstances leading to transfers against previously expressed directives. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 26, 2019 Category: Health Management Authors: Leah Nemiroff, Emily Gard Marshall, Jan L. Jensen, Barry Clarke, Melissa K. Andrew Tags: Original Study Source Type: research

End-of-Life Decision Making for People Who Died of Dementia: A Mortality Follow-Back Study Comparing 1998, 2007, and 2013 in Flanders, Belgium
Declining cognitive abilities in people with dementia (PwD) complicate communication and decision making,1 particularly at end of life. These circumstances lead to insecurity among physicians about end-of-life decisions (ELDs) and preferences of PwD. ELDs entail a range of medical decisions with potential life-shortening effects that can be categorized into 3 types: (1) withholding or withdrawing potentially life-prolonging treatment; (2) alleviating pain or symptoms pharmaceutically, in large enough doses to hasten death as a potential side effect; and (3) administration, prescription, or supply of drugs to end life at th...
Source: Journal of the American Medical Directors Association - May 26, 2019 Category: Health Management Authors: Annelien E. Wendrich-van Dael, Lara Pivodic, Joachim Cohen, Luc Deliens, Lieve Van den Block, Kenneth Chambaere Tags: Research Letter Source Type: research

Dementia Care Across a Tertiary Care Health System: What Exists Now and What Needs to Change
This study explored the process of care for persons living with dementia (PLWDs) in various care settings across a tertiary care system and considers challenges and opportunities for change. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 26, 2019 Category: Health Management Authors: Amanda Leggett, Cathleen Connell, Leslie Dubin, Ruth Dunkle, Kenneth M. Langa, Donovan T. Maust, J. Scott Roberts, Beth Spencer, Helen C. Kales Tags: Original Study Source Type: research

Erratum
The Authors wish to make a correction to their article published in JAMDA (https://doi.org/10.1016/j.jamda.2017.11.002) “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”. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 26, 2019 Category: Health Management Source Type: research

A “Hospital-Day-1” Model to Predict the Risk of Discharge to a Skilled Nursing Facility
To derive and validate a model to predict a patient's probability of skilled nursing facility (SNF) discharge using data available from day 1 of hospitalization. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 25, 2019 Category: Health Management Authors: Andrew S. Oseran, Daniel E. Lage, Michael C. Jernigan, Joshua P. Metlay, Sachin J. Shah Tags: Original Study Source Type: research

A Crystal Ball to Aid Hospital Discharge Planning
As per Benjamin Franklin, “By failing to prepare, you are preparing to fail.” Who would have thought that words spoken more than 200 years ago would so aptly apply today to the situation when patients transition after hospitalization? Indeed, instead of properly preparing for a patient's discharge through comprehensive, timely discharge planning, hospitals often initiate these moves hastily, resulting in preventable adverse outcomes such as medication errors and unnecessary rehospitalizations. The failure of quality discharge planning becomes increasingly important as hospitals and nursing homes are held a...
Source: Journal of the American Medical Directors Association - May 25, 2019 Category: Health Management Authors: Richard G. Stefanacci, Philip D. Sloane, Sheryl Zimmerman Tags: Editorial Source Type: research

Physician Visits at the Nursing Home: Does More Mean Better Care?
The quality of care in the nursing home setting has attracted significant attention in recent years, especially when it comes to end-of-life care. In particular, there is a nexus between clinical burden, organizational context, and the quality of care in the nursing home.1 In broad terms, organizational context can be categorized into 2 domains: systemwide processes and human behavioral factors. The systemwide processes are often multi-pronged and complex, and it is often difficult, if not impossible, to attribute the benefits of any individual process within the system. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 25, 2019 Category: Health Management Authors: Roger Y. Wong, Paul R. Katz Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 25, 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 - May 25, 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 - May 25, 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 - May 25, 2019 Category: Health Management Source Type: research

Sarcopenia According to the Revised European Consensus on Definition and Diagnosis (EWGSOP2) Criteria Predicts Hospitalizations and Long-Term Mortality in Rehabilitation Patients With Stable Chronic Obstructive Pulmonary Disease
Sarcopenia has been classically defined as the loss of skeletal muscle mass and function that occurs with advancing age. According to the original definition of the European Working Group of Sarcopenia in Older People (EWGSOP),1 diagnosis of sarcopenia required documentation of both low muscle mass and either low muscle strength or low performance. In the recently updated definition (EWGSOP-2), sarcopenia must be suspected in presence of low muscle strength and confirmed by documentation of reduced muscle mass. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 23, 2019 Category: Health Management Authors: Vanesa D ávalos-Yerovi, Ester Marco, Dolores Sánchez-Rodríguez, Anna Guillen-Solà, Xavier Duran, Eva M. Pascual, Josep M. Muniesa, Ferran Escalada, Esther Duarte Tags: Research Letter Source Type: research

Physical Exercise Improves Function in Acutely Hospitalized Older Patients: Secondary Analysis of a Randomized Clinical Trial
To evaluate the effects of an exercise intervention on physical function, maximal muscle strength, and muscle power in very old hospitalized patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 23, 2019 Category: Health Management Authors: Mikel L. S áez de Asteasu, Nicolás Martínez-Velilla, Fabricio Zambom-Ferraresi, Álvaro Casas-Herrero, Alejandro Lucía, Arkaitz Galbete, Mikel Izquierdo Tags: Original Study Source Type: research

Hypertension Management in the Very Old
In 2017, the American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for treatment of hypertension were published.1 Since then, much controversy continues to exist around whether and to what extent they should and should not be applied to older persons, including nursing home residents, with multiple comorbidities, frailty, and relatively short life expectancy. This has led to persistence of the philosophy among many physicians that the dangers of intensive blood pressure treatment in older persons outweigh the benefits in most, if not all, persons age 75  years and older. (Source: Journal of ...
Source: Journal of the American Medical Directors Association - May 23, 2019 Category: Health Management Authors: Wilbert S. Aronow Tags: Editorial Source Type: research

Visit-to-Visit Blood Pressure Variability and Progression of White Matter Hyperintensities Among Older People With Hypertension
Visit-to-visit blood pressure (BP) variability is a risk factor for cardiovascular disease and cognitive decline. Our aim was to assess the association between visit-to-visit BP variability and progression of white matter hyperintensities (WMH). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 23, 2019 Category: Health Management Authors: Tessa van Middelaar, Edo Richard, Eric P. Moll van Charante, Willem A. van Gool, Jan-Willem van Dalen Tags: Original Study - Brief Report Source Type: research

The Prevalence, Incidence, and Correlates of Fecal Incontinence Among Older People Residing in Care Homes: A Systematic Review
Older people resident in care homes often rely on staff for support relating to their activities of daily living, including intimate care such as continence care. Managing fecal incontinence can be challenging for both residents and care staff. We conducted this review to describe the prevalence, incidence, and correlates of fecal incontinence among care home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 21, 2019 Category: Health Management Authors: Massirfufulay Kpehe Musa, Susan Saga, Lene Elisabeth Blekken, Ruth Harris, Claire Goodman, Christine Norton Tags: Review Article Source Type: research

Clinical Implications of Potentially Inappropriate Prescribing According to STOPP/START Version 2 Criteria in Older Polymorbid Patients Discharged From Geriatric and Internal Medicine Wards: A  Prospective Observational Multicenter Study
To evaluate whether STOPP/START v2 potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) are associated with 6-month mortality and unplanned hospitalization in hospital-discharged older patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2019 Category: Health Management Authors: Enrico Brunetti, Maria L. Aurucci, Edoardo Boietti, Maddalena Gibello, Matteo Sappa, Yolanda Falcone, Giorgetta Cappa, Mario Bo Tags: Original Study Source Type: research

Predicting Cognitive and Functional Trajectories in People With Late-Onset Dementia: 2 Population-Based Studies
Previous studies have shown large heterogeneity in the progression of dementia, both within and between patients. This heterogeneity offers an opportunity to limit the global and individual burden of dementia through the identification of factors associated with slow disease progression in dementia. We explored the heterogeneity in dementia progression to detect disease, patient, and social context factors related to slow progression. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2019 Category: Health Management Authors: Miriam L. Haaksma, Debora Rizzuto, Jeannie-Marie S. Leoutsakos, Alessandra Marengoni, Edwin C.K. Tan, Marcel G.M. Olde Rikkert, Laura Fratiglioni, Ren é J.F. Melis, Amaia Calderón-Larrañaga Tags: Original Studies Source Type: research

Impact of Cognitive, Functional, Behavioral Disorders, and Caregiver Burden on the Risk of Nursing Home Placement
To estimate the attributable fraction of nursing home placement associated with cognitive impairment, neuropsychiatric symptoms, behavioral disorders, functional limitations, and caregiver burden. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2019 Category: Health Management Authors: Marine Dufournet, Virginie Dauphinot, Claire Moutet, Mathieu Verdurand, Floriane Delphin-Combe, Pierre Krolak-Salmon, MEMORA group Tags: Original Study Source Type: research

Relationship Between Nutritional Status and Insomnia Severity in  Older Adults
Both insomnia and malnutrition are quite common and can cause similar negative consequences, such as falls, depression, and cognitive impairment in older adults, but there is no study investigating the relationship between the 2. The aims were to investigate relationships between insomnia/insomnia severity and Mini Nutritional Assessment (MNA) score and serum nutrient levels. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2019 Category: Health Management Authors: Pinar Soysal, Lee Smith, Ozge Dokuzlar, Ahmet Turan Isik Tags: Original Study Source Type: research

Athletic “Oldest-Old”: Alive and Kicking
On October 13, 2018, an 86-year-old Japanese man named Hiromu Inada, finished the Ironman Triathlon World Championship (Hawaii) in 16  hours 54 minutes. The Ironman triathlon is the paradigm of grueling endurance races, with its 2.4-mile swim, 112-mile cycle, and 26.2-mile marathon all rolled into 1 event held under extreme heat, humidity, and wind conditions. And yet this is just 1 of the many feats accomplished worldwide by th e so-called oldest-old (those aged ≥85 years) in both endurance and more “power”-oriented sports (Figure 1). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2019 Category: Health Management Authors: Pedro L. Valenzuela, Adri án Castillo García, Javier S. Morales, Alejandro Santos-Lozano, Alejandro Lucia Tags: Editorial Source Type: research

Nonpharmacologic Management of Orthostatic Hypotension in Older People: A Systematic Review. The SENATOR ONTOP Series
Nonpharmacologic therapies are often recommended as a first-line treatment for orthostatic hypotension (OH). However, the true effect of nonpharmacologic therapy remains unclear, particularly in the older population. We undertook a systematic review evaluating the efficacy of nonpharmacologic interventions in older people with OH to provide evidence-based recommendations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2019 Category: Health Management Authors: Selvarani Subbarayan, Phyo K. Myint, Kathryn R. Martin, Iosief Abraha, Sirjana Devkota, Denis O'Mahony, Alfonso J. Cruz-Jentoft, Antonio Cherubini, Roy L. Soiza Tags: Review Article Source Type: research

Treatment of Hypertension in People With Dementia: A Multicenter Prospective Observational Cohort Study
To describe the treatment of hypertension in people with dementia and collate evidence on adverse health events whilst on treatment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2019 Category: Health Management Authors: Tomas J. Welsh, Adam L. Gordon, John R.F. Gladman Tags: Original Study Source Type: research

Outbreak of Human Metapneumovirus in a Nursing Home: A Clinical Perspective
To describe a human metapneumovirus (hMPV) outbreak occurring in a nursing home for older adults and to identify the risk factors associated with the clinical infection. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 13, 2019 Category: Health Management Authors: Damien Seynaeve, Brigitte Augusseau-Rivi ère, Pascal Couturier, Christine Morel-Baccard, Caroline Landelle, Jean-Luc Bosson, Gaëtan Gavazzi, Marie-Reine Mallaret Tags: Original Study Source Type: research

Skilled Nursing Facility Utilization Management in a Risk-Sharing Environment in the Community
Post-acute care (PAC) has been one of the fastest-growing segments of Medicare spending in the past 2  decades.1 More than 40% of all Medicare fee-for-service beneficiaries who were discharged from hospitals received PAC.2 Skilled nursing facility (SNF) care expenses rose from $12 billion in 2001 to $29 billion in 2013 at an average of 7.6% annual growth.3 Furthermore, PAC utilization determines ho spitals' per-beneficiary cost of care. High per-beneficiary cost hospitals spend approximately $2200 more than low-cost hospitals annually, with PAC being a large driver for the difference. (Source: Journal of the American ...
Source: Journal of the American Medical Directors Association - May 8, 2019 Category: Health Management Authors: Ziad Alfarah, Mark Walker, Robin Hynds, Derek Bourgoine, Pracha P. Eamranond Tags: Letter to the Editor Source Type: research

Experiences of Ambulatory Care for Frail, Older People and Their Carers During Acute Illness: A Qualitative, Ethnographic Study
Increased age is associated with increased emergency department attendance and emergency hospital admissions,1 but there is evidence that the acute hospital environment is unsuited to older people with frailty.2 –5 There are policy imperatives to increase the acute care delivered outside traditional hospital settings.6 For some patients, acute care can be delivered on an ambulatory basis,7 but the impact on them is uncertain. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 8, 2019 Category: Health Management Authors: Margaret Glogowska, Helen Cramer, Sarah Pendlebury, Sarah Purdy, Daniel Lasserson Tags: Research Letter Source Type: research

Experienced Quality of Post-Acute and Long-Term Care From the Care Recipient's Perspective –A Conceptual Framework
This article aims to conceptualize experienced quality of post-acute and long-term care for older people as perceived by care recipients. An iterative literature review and consultations with stakeholders led to the development of the INDividually Experienced QUAlity of Long-term care (INDEXQUAL) framework. INDEXQUAL presents the process of an individual care experience consisting of a pre (expectations), during (experiences), and post (assessment) phase. Expectations are formed prior to an experience by personal needs, past experiences, and word-of-mouth. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 8, 2019 Category: Health Management Authors: Katya Y.J. Sion, Roy Haex, Hilde Verbeek, Sandra M.G. Zwakhalen, Gaby Odekerken-Schr öder, Jos M.G.A. Schols, Jan P.H. Hamers Tags: Special Article Source Type: research

Long-Term Mortality and Prognostic Factors in Aspiration Pneumonia
Aspiration pneumonia is a leading cause of death among older patients; however, little is known about the long-term mortality in aspiration pneumonia. The purpose of this study was to evaluate long-term mortality and its associated factors in patients with aspiration pneumonia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 8, 2019 Category: Health Management Authors: Hee-Young Yoon, Sung Shine Shim, Soo Jung Kim, Jin Hwa Lee, Jung Hyun Chang, Su Hwan Lee, Yon Ju Ryu Tags: Original Study Source Type: research

Effects of the FIT-HIP Intervention for Fear of Falling After Hip Fracture: A Cluster-Randomized Controlled Trial in Geriatric Rehabilitation
Fear of falling (FoF) is common after hip fracture and can impede functional recovery because of activity restriction. The Fear of falling InTervention in HIP fracture geriatric rehabilitation (FIT-HIP intervention) was designed to target FoF and consequently to improve mobility. The aim of this study was to evaluate the effect of the FIT-HIP intervention in patients with FoF in geriatric rehabilitation (GR) after hip fracture. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 7, 2019 Category: Health Management Authors: Maaike N. Scheffers-Barnhoorn, Monica van Eijk, Jolanda C.M. van Haastregt, Jos M.G.A. Schols, Romke van Balen, Nan van Geloven, Gertrudis I.J.M. Kempen, Wilco P. Achterberg Tags: Original Study Source Type: research

Relation Between Genetic Factors and Frailty in Older Adults
Frailty is a geriatric syndrome that identifies individuals at higher risk of disability, institutionalization, and death. We previously reported that frailty is related to oxidative stress and cognitive impairment-related biomarkers. The aim of this study was to determine whether frailty is associated with genetic variants. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 7, 2019 Category: Health Management Authors: Marta Ingl és, Cristina Mas-Bargues, Lucia Gimeno-Mallench, Raquel Cruz-Guerrero, Francisco J. García-García, Juan Gambini, Consuelo Borrás, Leocadio Rodríguez-Mañas, Jose Viña Tags: Original Study Source Type: research

Prevalence and Impact of Functional and Psychosocial Problems in Hospitalized Adults: A Prospective Cohort Study
Underpinning standards for delivering comprehensive care in hospital is the need to identify issues contributing to patient complexity and risk of harm. The study aimed to investigate the prevalence of functional and psychosocial problems in hospitalized adults, to compare prevalence rates across age groups, and to assess their impact on discharge outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 7, 2019 Category: Health Management Authors: Nancye M. Peel, Yvonne C. Hornby-Turner, Amanda Henderson, Ruth E. Hubbard, Leonard C. Gray Tags: Original Study Source Type: research

Dietary Protein Intake and Falls in Older People: Longitudinal Analyses From the Osteoarthritis Initiative
Literature regarding dietary protein intake and risk of falls is limited to a few studies with relatively small sample sizes and short follow-ups, which have reported contrasting findings. Thus, we investigated whether dietary protein intake is associated with risk of falls in a large cohort of North American adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 7, 2019 Category: Health Management Authors: Nicola Veronese, Pinar Soysal, Brendon Stubbs, Stefania Maggi, Sarah E. Jackson, Jacopo Demurtas, Stefano Celotto, Ai Koyanagi, Francesco Bolzetta, Lee Smith Tags: Original Study Source Type: research

Reducing Avoidable Facility Transfers (RAFT): Outcomes of a Team Model to Minimize Unwarranted Emergency Care at Skilled Nursing Facilities
We describe a provider-focused care model to reduce unwarranted or unwanted acute health care utilization. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 5, 2019 Category: Health Management Authors: Daniel S. Stadler, Brant J. Oliver, Jennifer G. Raymond, George F. Routzhan, Ellen A. Flaherty, James E. Stahl, John A. Batsis, Stephen J. Bartels Tags: Original Study Source Type: research

Reducing the Tension Between Patient Safety and Trainee Autonomy
Maintaining quality of care and improving patient safety is a constant challenge in out-of-hospital settings like nursing homes1 and general practices,2 and can be even more challenging when care is provided by trainees during residency training. On one hand, trainees need sufficient supervision because they are more prone to making mistakes3; on the other hand, trainees need opportunities for working autonomously, to prepare them for unsupervised practice.4 Supervision means balancing these interests. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 3, 2019 Category: Health Management Authors: Nelleke Noeverman-Poel, Martine C. de Bruijne, Nynke van Dijk, Cees M.P.M. Hertogh, Martin Smalbrugge, Esther Helmich Tags: Research Letter Source Type: research

Determinants of Post-acute Care Costs in Acutely Hospitalized Older Adults: The Hospital-ADL Study
After hospitalization, many older adults need post-acute care, including rehabilitation or home care. However, post-acute care expenses can be as high as the costs for the initial hospitalization. Detailed information on monthly post-acute health care expenditures and the characteristics of patients that make up for a large share of these expenditures is scarce. We aimed to calculate costs in acutely hospitalized older patients and identify patient characteristics that are associated with high post-acute care costs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 1, 2019 Category: Health Management Authors: Marthe E. Ribbink, Rosanne van Seben, Lucienne A. Reichardt, Jesse J. Aarden, Marike van der Schaaf, Martin van der Esch, Raoul H.H. Engelbert, Jos W.R. Twisk, Jos. A. Bosch, Janet L. MacNeil Vroomen, Bianca M. Buurman, Hospital-ADL study group Tags: Original Study Source Type: research

Priority Setting in Improving Hospital Care for Older Patients Using Clinical Decision Support
Despite rising attention and successful interventions, the quality of hospital care for older people remains suboptimal in some areas.1 Health care professionals need to adopt a specific approach for older patients that takes into account the patients' vulnerability to adverse events, as well as individual preferences.1,2 Geriatric knowledge needed for this adoption is described in guidelines. However, implementation into daily practice is complex. Clinical Decision Support Systems (CDSSs) can support implementation of guidelines and improve quality of care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 1, 2019 Category: Health Management Authors: Birgit A. Damoiseaux-Volman, Stephanie Medlock, Kim J. Ploegmakers, Fatma Karapinar- Çarkit, C.T. Paul Krediet, Sophia E. de Rooij, A. Margot Lagaay, Mike J.L. Peters, Joanna E. Klopotowska, Rob J. van Marum, Oscar J. de Vries, Johannes A. Romijn, Nathal Tags: Research Letter Source Type: research

Preparing Long-Term Care Staff to Meet the Needs of Aging Persons With Serious Mental Illness
Individuals with serious mental illness (SMI; schizophrenia spectrum disorders and affective psychoses) are increasingly aging into older adulthood and are overrepresented in residential long-term care settings. The present study aimed to examine the preparedness of staff in these settings to care for individuals with SMI. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 1, 2019 Category: Health Management Authors: Anjana Muralidharan, Whitney L. Mills, Denise R. Evans, Daryl Fujii, Victor Molinari Tags: Special Article Source Type: research

Response to the Comment on “Decreased Basal Metabolic Rate Can Be an Objective Marker for Sarcopenia and Frailty in Older Males”
In this study, we showed that a lower basal metabolic rate (BMR) was associated with a higher prevalence of sarcopenia and frailty and that BMR/BSA (body surface area) might be an indicator fo r screening the 2 geriatric syndromes in older males. The multiple linear regression analysis was used to predict BMR parameters after adjustment for age, hypertension, and diabetes as independent variables, but comprehensive geriatric assessment (CGA) parameters were not used simultaneously for the analysis as the author mentioned. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 1, 2019 Category: Health Management Authors: Pinar Soysal, Esra Ates Bulut, Idil Yavuz, Ahmet Turan Isik Tags: Letter to the Editor Source Type: research

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