Does copper prevent nosocomial transmission of COVID-19?
This letter discusses the preventive efficacy of copper in nosocomial infections by SARS-CoV-2 and makes us question the importance of hand contamination. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2020 Category: Health Management Authors: Claire Coutureau, Christophe de Champs, Madeline Pascard, Lukshe Kanagaratnam, Damien Jolly Tags: Letter to the Editor Source Type: research

The Winter Respiratory Viral Season During the COVID-19 Pandemic
The winter respiratory virus season always poses challenges for long-term care settings; this winter, SARS-CoV-2 will compound the usual viral infection challenges. This special article discusses unique considerations that COVID-19 brings to the health and well-being of residents and staff in nursing homes and other long-term care settings this winter. Specific topics include preventing the spread of respiratory viruses, promoting immunization, and the diagnosis and treatment of suspected respiratory infection. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2020 Category: Health Management Authors: Christine E. Kistler, Robin L.P. Jump, Philip D. Sloane, Sheryl Zimmerman Tags: Special Article Source Type: research

Metformin is associated with Decreased 30-day Mortality among Nursing Home Residents Infected with SARS-CoV2
In nursing home residents infected with SARS-CoV-2, taking metformin was associated with a lower 30-day mortality relative to SARS-CoV-2 infected residents taking no medications for diabetes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 26, 2020 Category: Health Management Authors: Michelle Lally, Philip Tsoukas, Christopher Halladay, Emily O ’Neill, Stefan Gravenstein, James L. Rudolph Tags: Original Studies Source Type: research

Dilemmas with restrictive visiting policies in Dutch nursing homes during the COVID-19 pandemic: a qualitative analysis of an open-ended questionnaire with elderly care physicians
To mitigate the spread of COVID-19, a nationwide restriction for all visitors of residents of long-term care facilities including nursing homes (NHs) was established in the Netherlands. The aim of this study was an exploration of dilemmas experienced by Elderly Care Physicians (ECPs) as a result of the COVID-19 driven restrictive visiting policy. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 23, 2020 Category: Health Management Authors: Eefje M. Sizoo, Annelie A. Monnier, Maryam Bloemen, Cees M.P.M. Hertogh, Martin Smalbrugge Tags: Original Studies Source Type: research

Home Health Staff Perspectives on Infection Prevention and Control: Implications for COVID-19
The role of home healthcare (HHC) services in providing care to vulnerable, often frail individuals with chronic conditions is critical. Effective infection prevention and control (IPC) in HHC is essential to keeping both healthcare workers and patients safe, especially in the event of an emerging infectious disease outbreak. Prior to the COVID-19 pandemic, we explored successes and challenges with IPC from the perspectives of HHC staff. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 23, 2020 Category: Health Management Authors: Monika Pogorzelska-Maziarz, Ashley M. Chastain, Sabrina Mangal, Patricia W. Stone, Jingjing Shang Tags: Original Studies Source Type: research

Safe Interorganizational Health Information Exchange During the COVID-19 Pandemic
Accurate and timely transmission of medical records between skilled nursing facilities and acute care settings has been logistically problematic. Often people are sent to the hospital with a packet of paper records, which is easily misplaced. The COVID-19 pandemic has further magnified this problem by the possibility of viral transmission via fomites. To protect themselves, staff and providers were donning personal protective equipment to review paper records, which was time-consuming and wasteful. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 22, 2020 Category: Health Management Authors: Serena P. Wong, Heather N. Jacobson, Jennifer Massengill, Heidi K. White, Mamata Yanamadala Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Symptom Burden and Unmet Support Needs of Patients With Parkinson's Disease: A Cross-Sectional Study in Asia-Pacific regions
This study aimed to assess the symptom burden and unmet support care needs in people with mild to severe Parkinson's disease. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 22, 2020 Category: Health Management Authors: Jojo Yan Yan Kwok, Tsai-Wei Huang, Jarugool Tretriluxana, Man Auyeung, Pui Hing Chau, Chia-Chin Lin, Helen Yue Lai Chan Tags: Original Study Source Type: research

Safe Inter-Organizational Health Information Exchange During the COVID-19 Pandemic
Skilled nursing facility collaborative leadership developed a safe, rapid, user-friendly method of health information transfer between skilled nursing facilities and acute care settings during the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 22, 2020 Category: Health Management Authors: Serena P. Wong, Heather N. Jacobson, Jennifer Massengill, Heidi K. White, Mamata Yanamadala Tags: Pragmatic Innovations Source Type: research

Implementation of an algorithm of cohort classification to prevent the spread of COVID-19 in nursing homes.
Preventing COVID-19 spread in nursing homes is challenging. We suggest an algorithm for patient classification based on basic diagnostic tests, surveillance of symptoms onset and close contact monitoring. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 22, 2020 Category: Health Management Authors: Cristina Gonz ález de Villaumbrosia, Javier Martínez Peromingo, Juan Ortiz Imedio, Teresa Álvarez de Espejo Montiel, Laura García-Puente Suárez, Iván Navas Clemente, Sandra Morales Cubo, Laura Elena Cotano Abad, Yanira Suárez Sánchez, Sonia Torras Tags: Pragmatic Innovations Source Type: research

Incident Impaired Cognitive Function in Sarcopenic Obesity: Data From the National Health and Aging Trends Survey
The prevalence of obesity with sarcopenia is increasing in adults aged ≥65 years. This geriatric syndrome places individuals at risk for synergistic complications that leads to long-term functional decline. We ascertained the relationship between sarcopenic obesity and incident long-term impaired global cognitive function in a representative US population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 21, 2020 Category: Health Management Authors: John A. Batsis, Christian Haudenschild, Robert M. Roth, Tyler L. Gooding, Meredith N. Roderka, Travis Masterson, John Brand, Matthew C. Lohman, Todd A. Mackenzie Tags: Original Study Source Type: research

Nursing Home Residents Face Severe Functional Limitation or Death After Hospitalization for Pneumonia
Pneumonia is a common cause of hospitalization for nursing home residents and has increased as a cause for hospitalization during the COVID-19 pandemic. Risks of hospitalization, including significant functional decline, are important considerations when deciding whether to treat a resident in the nursing home or transfer to a hospital. Little is known about postdischarge functional status, relative to baseline, of nursing home residents hospitalized for pneumonia. We sought to determine the risk of severe functional limitation or death for nursing home residents following hospitalization for treatment of pneumonia. (Sourc...
Source: Journal of the American Medical Directors Association - October 21, 2020 Category: Health Management Authors: Matthew F. Griffith, Cari R. Levy, Toral J. Parikh, Jennifer E. Stevens-Lapsley, Leslie B. Eber, Sing-I T. Palat, Pedro L. Gozalo, Joan M. Teno Tags: Original Study Source Type: research

Substantial Differences in Turnover Intention Between Direct Care Workers in Chinese Hospitals and Long-Term Care Facilities
This study compared turnover intention among DCWs in Chinese hospitals and long-term care facilities (LTCFs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 20, 2020 Category: Health Management Authors: Zhenzhen Zhang, Shuangshuang Wang, Chao Miao, Mingzhu Su, Tao Chen, Nengliang (Aaron) Yao Tags: Original Study - Brief Report Source Type: research

Using Standardized Tools to Characterize Adult Day Program Populations: Implications for Future Research and Clinical Practice
To demonstrate the usefulness of primary data collection using clinician-rated and self-rated standardized measures to describe adult day program (ADP) populations and address programming issues such as identifying members at risk of dropping out. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 17, 2020 Category: Health Management Authors: Laavanya Dharmakulaseelan, Anna Berall, Anna Theresa Santiago, Sandra Gardner, Rosanne Aleong, Beatrise Edelstein, Jurgis Karuza, Catherine Blake, Steve Crawford, Gary Naglie Tags: Original Study Source Type: research

Patient Characteristics Are Not Associated With Documentation of Weight and Heart Failure Related Sign and Symptom Assessment in Skilled Nursing Facilities
This study analyzed the frequency of these monitoring practices in SNFs and explored associated factors at both the patient and SNF level. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 16, 2020 Category: Health Management Authors: Cynthia Morrow, Marcelo Coca Perraillon, Andrea E. Daddato, Blaine P. Reeder, Heidi L. Wald, Catherine Battaglia, Rebecca S. Boxer Tags: Original Studies Source Type: research

Does Psychotropic Drug Prescription Change in Nursing Home Patients the First 6  Months After Admission?
To explore the course of psychotropic drug (PTD) prescription from admission (BL) to 6-month follow-up (6m) in Norwegian nursing homes (NHs). To examine how clinical variables, such as neuropsychiatric symptoms (NPS), cognition, physical health, and NH characteristics at BL are associated with prescription rates at 6 months. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 16, 2020 Category: Health Management Authors: Enrico Callegari, J ūratė Šaltytė Benth, Geir Selbæk, Cato Grønnerød, Sverre Bergh Tags: Original Study Source Type: research

Ethical Considerations during COVID-19: Informed consent cannot be made in advance.
Brief Summary: COVID-19 emphasized the importance of LTC physicians using individualized proposals when a healthcare decision is required, to ensure wanted and beneficial treatment, and proper resource utilization. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 16, 2020 Category: Health Management Authors: Jill Oliver, Paula Chidwick, Pamela Forsyth, Nipa Chauhan, Theresa Nitti, Henry Yu-Hin Siu Tags: Letter to the Editor Source Type: research

Protocol for Telehealth Evaluation and Follow-up of Patients with Chronic Heart Failure during the COVID-19 Pandemic
Summary: Here we present the development and preliminary results of the implementation of the Covid-19-HF score a new clinical tool for the telephonic management and follow-up of chronic heart failure patients during Covid-19 epidemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 16, 2020 Category: Health Management Authors: Francesco Orso, Marta Migliorini, Andrea Herbst, Camilla Ghiara, Simona Virciglio, Viola Camartini, Silvia Tognelli, Giulia Lucarelli, Giacomo Fortini, Alessandra Pratesi, Enrico Mossello, Mauro Di Bari, Niccol ò Marchionni, Andrea Ungar, Samuele Baldass Tags: Pragmatic Innovations Source Type: research

Higher Resource Utilization and Costs in Long-Term Nursing Home Residents With Overactive Bladder: A Retrospective Study of Medicare Beneficiaries
To determine the all-cause health care resource utilization and costs among long-term nursing home (LTNH) residents with and without overactive bladder (OAB). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 15, 2020 Category: Health Management Authors: Sneha Sura, Aki Shiozawa, Daniel Ng, Rajender R. Aparasu Tags: Original Study Source Type: research

Longitudinal Assessment of the Relationships Between Geriatric Conditions and Loneliness
In response to the lack of longitudinal evidence, this study aims to disentangle time sequence and directionality between the severity of geriatric conditions (GCs) and loneliness. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 15, 2020 Category: Health Management Authors: Kexin Yu, Shinyi Wu, Yuri Jang, Chih-Ping Chou, Kathleen H. Wilber, Mar ía P. Aranda, Iris Chi Tags: Original Study Source Type: research

Instrumental Swallowing Assessment in Adults in Residential Aged Care Homes: A Scoping Review
To systematically describe evidence on the use of instrumental swallowing assessment for residents of aged care homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 14, 2020 Category: Health Management Authors: Olga Birchall, Michelle Bennett, Nadine Lawson, Susan M. Cotton, Adam P. Vogel Tags: Review Article Source Type: research

Outcomes of nursing home COVID-19 patients by initial symptoms and comorbidity: Results of universal testing of 1,970 residents
Residents with COVID-19 who were asymptomatic at testing had higher risk of mortality compared to those without COVID-19, even after accounting for comorbidities. Monitoring for rapid change in clinical status is critical. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 14, 2020 Category: Health Management Authors: Olive Tang, Benjamin F. Bigelow, Fatima Sheikh, Matthew Peters, Jonathan M. Zenilman, Richard Bennett, Morgan J. Katz Tags: Original Studies Source Type: research

A Novel Fortified Dairy Product and Sarcopenia Measures in Sarcopenic Older Adults: A Double-Blind Randomized Controlled Trial
To evaluate the efficacy of daily consumption of fortified yogurt with beta-Hydroxy beta-Methyl Butyrate (HMB) and vitamins D and C on measures of sarcopenia, inflammation, and quality of life in sarcopenic older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 13, 2020 Category: Health Management Authors: Nasrin Nasimi, Zahra Sohrabi, Mohammad Hossein Dabbaghmanesh, Mohammad Hadi Eskandari, Alireza Bedeltavana, Mandana Famouri, Pedram Talezadeh Tags: Original Study Source Type: research

Sedatives and Sedation at the End of Life in Nursing Homes: A Retrospective Multicenter Cohort Study
There is scarce information about sedation in nursing homes at the end of life. We aimed to assess (1) the use of sedatives generally and “sedatives with continuous effect,” based on objective operational criteria, within the last week of life in nursing homes and (2) factors associated with this treatment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 9, 2020 Category: Health Management Authors: Eva Schildmann, Sophie Meesters, Bettina Gr üne, Anna Bolzani, Basel Habboub, Alina Hermann, Constanze Remi, Claudia Bausewein Tags: Original Study Source Type: research

Association of Social Behaviors With Community Discharge in Patients with Total Hip and Knee Replacement
Understand the association between social determinants of health and community discharge after elective total joint arthroplasty. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 8, 2020 Category: Health Management Authors: Kevin T. Pritchard, Ickpyo Hong, James S. Goodwin, Jordan R. Westra, Yong-Fang Kuo, Kenneth J. Ottenbacher Tags: Original Study Source Type: research

Prevalence of Vision Loss and Associations With Age-Related Eye Diseases Among Nursing Home Residents Aged ≥65 Years
To examine data from Delaware nursing homes to determine prevalence of age-related eye diseases (AREDs), vision impairment, and blindness and to compare the findings with the results of 11 US investigations of vision and eye health in nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 8, 2020 Category: Health Management Authors: William A. Monaco, John E. Crews, Anh Thy H. Nguyen, Areeb Arif Tags: Original Study Source Type: research

Rapid assessment at hospital admission of mortality risk from COVID-19: the role of functional status
Brief summary Functional status, assessed through the Barthel index, is an independent risk factor for death in patients hospitalized by COVID-19. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 8, 2020 Category: Health Management Authors: Olga Laosa, Laura Pedraza, Alejandro Álvarez-Bustos, Jose A. Carnicero, Fernando Rodriguez-Artalejo, Leocadio Rodriguez-Mañas Tags: Original Study - Brief Report Source Type: research

Recommendations for Welcoming Back Nursing Home Visitors during the COVID-19 Pandemic: Results of a Delphi Panel
Summary: Strict visitor protocols across nursing homes are indicating a detrimental effect on resident well-being. Using a modified Delphi process, experts converged on guidance statements to allow visitors back safely. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 6, 2020 Category: Health Management Authors: Christian Bergman, Nathan M. Stall, Daniel Haimowitz, Louise Aronson, Joanne Lynn, Karl Steinberg, Michael Wasserman Tags: Original Studies Source Type: research

Factors Associated With 30-Day Rehospitalization and Mortality in Older Patients After a Pneumonia Admission
Short-term rehospitalization and mortality are common events in older patients after a pneumonia admission, yet little knowledge exists on how to identify the patients at risk of these events. This knowledge is needed to ensure that health care attention is given to those with the highest needs. We therefore aimed to identify factors of importance for short-term rehospitalization and mortality in older patients after admission for pneumonia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 5, 2020 Category: Health Management Authors: Susanne B. Graversen, Henrik S. Pedersen, Annelli Sandbaek, Catherine H. Foss, Anette R. Ribe Tags: Original Study Source Type: research

Burnout and Associated Factors Amongst Healthcare Workers in Singapore during the COVID-19 pandemic
Article summary: Around 75% of healthcare workers experience burnout during the COVID-19 pandemic. Factors associated with lower burnout include good safety culture and training, shorter shifts and a low Hospital Anxiety and Depression score. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 4, 2020 Category: Health Management Authors: Benjamin YQ. Tan, Kanneganti Abhiram, Lucas JH. Lim, Melanie Tan, Ying Xian Chua, Lifeng Tan, Ching Hui Sia, Max Denning, Ee Teng Goh, Sanjay Purkayastha, James Kinross, Kang Sim, Yiong Huak Chan, Shirley Ooi Tags: Original Studies Source Type: research

Estimates of Geriatric Delirium Frequency in Noncardiac Surgeries and Its Evaluation Across the Years: A Systematic Review and Meta-analysis
Delirium is an acute neuropsychiatric syndrome associated with poor outcomes. Older adults undergoing surgery have a higher risk of manifesting perioperative delirium, particularly those having associated comorbidities. It remains unclear whether delirium frequency varies across surgical settings and if it has remained stable across the years. We conducted a systematic review to (1) determine the overall frequency of delirium in older people undergoing noncardiac surgery; (2) explore factors explaining the variability of the estimates; and (3) determine the changing of the estimates over the past 2  decades. (Source: ...
Source: Journal of the American Medical Directors Association - September 29, 2020 Category: Health Management Authors: Ana Rita Silva, Patr ícia Regueira, Elisabete Albuquerque, Inês Baldeiras, Ana Luísa Cardoso, Isabel Santana, Joaquim Cerejeira Tags: Review Article Source Type: research

Cognitive Function Improvements Mediate Exercise Intervention Effects on Physical Performance in Acutely Hospitalized Older Adults
An individualized, multicomponent exercise program is effective to reverse the functional and cognitive decline that frequently occur during acute care hospitalization in older patients. The aim was to determine whether improvements in cognition mediate improvements in physical function in acutely hospitalized older patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 29, 2020 Category: Health Management Authors: Mikel L. S áez de Asteasu, Nicolás Martínez-Velilla, Fabricio Zambom-Ferraresi, Robinson Ramírez-Vélez, Antonio García-Hermoso, Mikel Izquierdo Tags: Original Study Source Type: research

Relationship of Frailty Markers and Socioeconomic Status to Incidence of Depressive Symptoms in a Community Cohort
This study aimed to examine the relationship between frailty markers and socioeconomic status (SES) to incidence of depressive symptoms using a nationally representative sample of middle-age and older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 29, 2020 Category: Health Management Authors: Ying Lian, Li Yang, Mei Gao, Cun-Xian Jia Tags: Original Study Source Type: research

Developments in the Market for Assisted Living: Residential Care Availability in 2017
Describe how the availability of assisted living (AL) and dementia-specific AL vary across counties and correlate with demographic and socioeconomic characteristics. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 28, 2020 Category: Health Management Authors: Portia Y. Cornell, Wenhan Zhang, Lindsey Smith, Shekinah Fashaw, Kali S. Thomas Tags: Original Study - Brief Report Source Type: research

Diagnostic Sensitivity of Nasopharyngeal RT-PCR in a Long-Term Care Home Outbreak
Since its emergence in late 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has rapidly spread across the world with unprecedented impacts globally. The mainstay of diagnosis remains reverse-transcriptase polymerase chain reaction (RT-PCR); however, uncertainty remains about the sensitivity of these tests, as was recently outlined by Woloshin et  al.1 Only 1 study has used a clinical gold standard to determine a sensitivity of only 66%.2 As a result, many have adopted policies of serial testing, even in low- to moderate-risk patients, potentially leading to delays in care. (Source: Journal of the Am...
Source: Journal of the American Medical Directors Association - September 28, 2020 Category: Health Management Authors: Dylan Kain, Elizabeth McCreight, Tony Mazzulli, Jonathan B. Gubbay, Elizabeth Rea, Jennie Johnstone Tags: Research Letter Source Type: research

Factors That Predict 1-Year Incident Hip and Non-Hip Fractures for Home Care Recipients: A Linked-Data Retrospective Cohort Study
The purpose of our study was to identify factors that predict 1-year incident hip and major osteoporotic non-hip fractures (ie, wrist, spine, pelvis, humerus) for home care recipients while accounting for the competing risk of death. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 28, 2020 Category: Health Management Authors: Caitlin McArthur, George Ioannidis, Micaela Jantzi, Loretta Hillier, Jonathan D. Adachi, Lora Giangregorio, John Hirdes, Alexandra Papaioannou Tags: Original Study Source Type: research

Nursing Home and Market Factors and Risk-Adjusted Hospitalization Rates Among Urban, Micropolitan, and Rural Nursing Homes
This study examines the relationships between rurality, NH, and market characteristics and NH quarterly risk-adjusted hospitalization rates of long-stay residents over 10 quarters (2011 Q2-2013 Q3). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 28, 2020 Category: Health Management Authors: Huiwen Xu, John R. Bowblis, Thomas V. Caprio, Yue Li, Orna Intrator Tags: Original Study Source Type: research

Evaluating perspectives of relatives of nursing home residents on the nursing home visiting restrictions during the COVID-19 crisis: a Dutch cross-sectional survey study
Nursing home residents and their relatives are affected by visiting restrictions. Experienced needs for more context specific information, communication options and safety protocols should be addressed in national health policy. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 28, 2020 Category: Health Management Authors: Joost D. Wammes, Daisy Kolk, Judith H. van den Besselaar, Janet L. MacNeil- Vroomen, Bianca M. Buurman- van Es, Marjon van Rijn Tags: Original Studies Source Type: research

Older Adults Post-Incarceration: Restructuring Long-Term Services and Supports in the Time of COVID-19
LTSS for older adults are crucial post-incarceration. A combination of public-private partnerships, utilization of health trainees, and unique approaches to informal caregiver support could help older adults following prison. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 27, 2020 Category: Health Management Authors: Nathan A. Boucher, Courtney H. Van Houtven, Walter D. Dawson Tags: Review Article Source Type: research

Physicians and Family Caregivers: Two Perspectives of Physicians' Roles in Long-Term Care
We explored the roles of attending physicians of long-term care (LTC) residents in supporting their family caregivers (FCGs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 25, 2020 Category: Health Management Authors: Jasneet Parmar, Sharon Anderson, Lesley Charles, Cecelia Marion, Karenn Chan, Suzette Br émault-Phillips, Douglas Faulder, Peter George J. Tian, Gurparampreet Sidhu, Anwar Haq Tags: Original Study Source Type: research

Omissions of Care in Nursing Homes: A Uniform Definition for Research and Quality Improvement
Omission of care in US nursing homes can lead to increased risk for harm or adverse outcomes, decreased quality of life for residents, and increased healthcare expenditures. However, scholars and policymakers in long-term care have taken varying approaches to defining omissions of care, which makes efforts to prevent them challenging. Subject matter experts and a broad range of nursing home stakeholders participated in iterative rounds of engagement to identify key concepts and aspects of omissions of care and develop a consensus-based definition that is clear, meaningful, and actionable for nursing homes. (Source: Journal...
Source: Journal of the American Medical Directors Association - September 25, 2020 Category: Health Management Authors: Rikki Mangrum, Mark D. Stewart, David R. Gifford, Yael Harris, Aaron M. Ogletree, Linda Bergofsky, Deborah Perfetto Tags: Controversies in Care Source Type: research

Impact of Physical Activity and Nutrition on Dementia: A Growing Consensus
It is well known that the quality of one's home environment has profound effects on health.1 Home hygiene and sanitation, food storage and preparation practices, waste disposal, animal care, air circulation, secondhand smoke, and proximity to sources of pollutants such as factories have all been demonstrated to affect physical and psychological health.2,3 As a case in point, consider the not uncommon situation of an impoverished 87-year-old woman living in a dilapidated dwelling. Days of dirty dishes are piled in the sink; indoor trash cans are overflowing; a can of open beans is sitting on the counter; the dog is infested...
Source: Journal of the American Medical Directors Association - September 25, 2020 Category: Health Management Authors: Nicola Veronese, Lee Smith, Philip D. Sloane, Sheryl Zimmerman Tags: Exercise and Nutrition in Persons with Dementia Source Type: research

The Effect of Adherence to the Mediterranean Diet on Late-Life Cognitive Disorders: A Systematic Review
Although some results are conflicting, numerous investigations have demonstrated that the Mediterranean Diet (MedDiet) has positive effects on brain health. This review intends to provide an update on the scientific evidence regarding the effects of adherence to the MedDiet on late-life cognitive disorders. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 25, 2020 Category: Health Management Authors: Federica Limongi, Paola Siviero, Agnieszka Bozanic, Marianna Noale, Nicola Veronese, Stefania Maggi Tags: Exercise and Nutrition in Persons with Dementia Source Type: research

Physical Activity and Exercise in Mild Cognitive Impairment and Dementia: An Umbrella Review of Intervention and Observational Studies
The aim of this umbrella review was to determine the effect of physical activity/exercise on improving cognitive and noncognitive outcomes in people with MCI (mild cognitive impairment) and dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 25, 2020 Category: Health Management Authors: Jacopo Demurtas, Daniel Schoene, Gabriel Torbahn, Alessandra Marengoni, Giulia Grande, Liye Zou, Mirko Petrovic, Stefania Maggi, Matteo Cesari, Sarah Lamb, Pinar Soysal, Wolfgang Kemmler, Cornel Sieber, Christoph Mueller, Susan D. Shenkin, Lukas Schwingsh Tags: Exercise and Nutrition in Persons with Dementia Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 25, 2020 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 25, 2020 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 25, 2020 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 25, 2020 Category: Health Management Source Type: research

Association Between Sleep Disturbances and Frailty: Evidence From a Population-Based Study
To explore the association between both self-reported quality and quantity sleep characteristics and frailty status in a large non –sex-specific population of older individuals in Greece. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 24, 2020 Category: Health Management Authors: Vassilis Balomenos, Eva Ntanasi, Costas A. Anastasiou, Socrates Charisis, Georgios Velonakis, Efstratios Karavasilis, Angeliki Tsapanou, Mary Yannakoulia, Mary H. Kosmidis, Efthimios Dardiotis, Georgios Hadjigeorgiou, Paraskevi Sakka, Nikolaos Scarmeas Tags: Original Study Source Type: research

Use of alcohol in long term care settings: a comparative analysis of personal choice, public health advice and the law
Alcohol is one of the most widely available psychoactive substances globally. Many accept the risks associated with alcohol consumption for reasons such as social engagement and feelings of pleasure. Alcohol consumption in a nursing home (NH) setting highlights the moral and logistical challenges of balancing the need for a safe living and working environment with the dignity of risk (DoR) and personal autonomy of residents.This analysis explores public health, human rights, and legal frameworks in their approach to a NH resident's choice to drink alcohol. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 23, 2020 Category: Health Management Authors: Amelia Grossi, Alice Holmes, Joseph E. Ibrahim Tags: Controversies in Care Source Type: research

Determinant for the Use of Alcohol in Long-Term Care Settings: A Comparative Analysis of Personal Choice, Public Health Advice, and the Law
Alcohol is one of the most widely available psychoactive substances globally. Many accept the risks associated with alcohol consumption for reasons such as social engagement and feelings of pleasure. Alcohol consumption in a nursing home (NH) setting highlights the moral and logistical challenges of balancing the need for a safe living and working environment with the dignity of risk (DoR) and personal autonomy of residents.This analysis explores public health, human rights, and legal frameworks in their approach to a NH resident's choice to drink alcohol. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 22, 2020 Category: Health Management Authors: Amelia Grossi, Alice Holmes, Joseph E. Ibrahim Tags: Controversies in Care Source Type: research