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

Validation of the Korean Version of the SARC-F Questionnaire to Assess Sarcopenia: Korean Frailty and Aging Cohort Study
The SARC-F is a simple sarcopenia screening tool comprising 5 assessment items: strength, assistance walking, rising from a chair, climbing stairs, and falls. The present study aimed to examine the validation of the Korean version of SARC-F for elderly individuals residing in communities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 23, 2017 Category: Health Management Authors: Sunyoung Kim, Miji Kim, Chang Won Won Tags: Original Study Source Type: research

Homocysteine, Tryptophan, and Cognition in the Very Old
We thank Gostner et  al for their comments on our article “One-Carbon Metabolism Biomarkers and Cognitive Decline in the Very Old: The Newcastle 85+ Study.”1 In their letter to the Editor, Gostner et al highlight the complexity of the underlying metabolic processes and conclude that “The question arises whethe r the inclusion of tryptophan metabolism measurements would allow better conclusions about relevant biochemical pathways and neurotransmitters in the development of cognitive decline in the elderly than homocysteine and 1-carbon (1-C) metabolism can do because alterations of the latte...
Source: Journal of the American Medical Directors Association - August 23, 2017 Category: Health Management Authors: Nuno Mendon ça, Antoneta Granic, John C. Mathers, Carmen Martin-Ruiz, Keith A. Wesnes, Chris J. Seal, Carol Jagger, Tom R. Hill Tags: Letter to the Editor Source Type: research

Feasibility and Effects of a Physical Activity Program Using Gerontechnology in Assisted Living Communities for Older Adults
This study aimed to assess the feasibility, the acceptability, and the effects of PA intervention using gerontechnology in assisted living communities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 14, 2017 Category: Health Management Authors: Martine Lauz é, Dominic D. Martel, Mylène Aubertin-Leheudre Tags: Original Study Source Type: research

Nutritional Strategies in the Management of Alzheimer Disease: Systematic Review With Network Meta-Analysis
Alzheimer disease (AD) is the major cause of dependency and disability in the elderly. Numerous studies have sought to achieve its prevention and/or management examining a role for modifiable risk factors, such as nutrition. This work aims to investigate the effects of food and/or nutrients in the management of AD at different stages. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 11, 2017 Category: Health Management Authors: Shirley Steffany Mu ñoz Fernández, Terry Ivanauskas, Sandra Maria Lima Ribeiro Tags: Original Study Source Type: research

Influences on Decision-Making Regarding Antipsychotic Prescribing in Nursing Home Residents With Dementia: A Systematic Review and Synthesis of Qualitative Evidence
Antipsychotic prescribing is prevalent in nursing homes for the management of behavioral and psychological symptoms of dementia (BPSD), despite the known risks and limited effectiveness. Many studies have attempted to understand this continuing phenomenon, using qualitative research methods, and have generated varied and sometimes conflicting findings. To date, the totality of this qualitative evidence has not been systematically collated and synthesized. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 11, 2017 Category: Health Management Authors: Kieran A. Walsh, Rebecca Dennehy, Carol Sinnott, John Browne, Stephen Byrne, Jennifer McSharry, Eoin Coughlan, Suzanne Timmons Tags: Review Article Source Type: research

Frailty and Malnutrition: Related and Distinct Syndrome Prevalence and Association among Community-Dwelling Older Adults: Singapore Longitudinal Ageing Studies
The association between frailty and malnutrition is widely noted, but the common and distinct aspects of this relationship are not well understood. We investigated the prevalence of prefrailty/frailty and malnutrition/nutritional risk; their overlapping prevalence; compared their sociodemographic, physical, and mental health risk factors; and assessed their association, independently of other risk factors. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2017 Category: Health Management Authors: Kai Wei, Ma Shwe Zin Nyunt, Qi Gao, Shiou Liang Wee, Tze-Pin Ng Tags: Original Study Source Type: research

Functional Outcomes, Subsequent Healthcare Utilization, and Mortality of Stroke Postacute Care Patients in Taiwan: A Nationwide Propensity Score-matched Study
To evaluate the benefits of the national stroke postacute care (PAC) program on clinical outcomes and subsequent healthcare utilization. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2017 Category: Health Management Authors: Li-Ning Peng, Wan-Hsuan Lu, Chih-Kuang Liang, Ming-Yueh Chou, Chih-Ping Chung, Shu-Ling Tsai, Zhi-Jun Chen, Fei-Yuan Hsiao, Liang-Kung Chen, Taiwan Stroke Postacute Care (PAC) Study Group Tags: Original Study Source Type: research

Effects of Timing of Whey Protein Intake on Appetite and Energy Intake in Healthy Older Men
Protein-rich supplements are used widely to prevent and manage malnutrition in older adults. We previously showed that 30  g whey protein ingestion, 3 hours before a buffet meal, suppressed energy intake in young, but not in older men. Information about the impact of the timing of ingestion of protein drinks on the suppression of energy intake in older adults is lacking. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2017 Category: Health Management Authors: Caroline Giezenaar, Zo é Coudert, Abdul Baqeri, Caroline Jensen, Trygve Hausken, Michael Horowitz, Ian Chapman, Stijn Soenen Tags: Original Study Source Type: research

Frailty Status in Older Adults Is Related to Alterations in Indoleamine 2,3-Dioxygenase 1 and Guanosine Triphosphate Cyclohydrolase I  Enzymatic Pathways
Frailty is a multidimensional syndrome correlated to the loss of homeostasis and increased vulnerability to stressors, which is associated with increase in the risk of disability, comorbidity, hospitalization, and death in the elderly. It is based on the interplay of physiological, psychological, social, and environmental factors. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 8, 2017 Category: Health Management Authors: Diego Marcos-P érez, María Sánchez-Flores, Ana Maseda, Laura Lorenzo-López, José C. Millán-Calenti, Barbara Strasser, Johanna M. Gostner, Dietmar Fuchs, Eduardo Pásaro, Vanessa Valdiglesias, Blanca Laffon Tags: Original Study Source Type: research

Cost-Effectiveness of a Proactive Primary Care Program for Frail Older People: A Cluster-Randomized Controlled Trial
A proactive integrated approach has shown to preserve daily functioning among older people in the community. The aim is to determine the cost-effectiveness of a proactive integrated primary care program. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 8, 2017 Category: Health Management Authors: Nienke Bleijenberg, Irene Drubbel, Rabin EJ. Neslo, Marieke J. Schuurmans, Valerie H. ten Dam, Mattijs E. Numans, G. Ardine de Wit, Niek J. de Wit Tags: Original Studies Source Type: research

Antibiotic Stewardship Programs in Nursing Homes: A Systematic Review
Antibiotic stewardship programs (ASPs) are coordinated interventions promoting the appropriate use of antibiotics to improve patient outcomes and reduce microbial resistance. These programs are now mandated in nursing homes (NHs) but it is unclear if these programs improve resident outcomes. This systematic review evaluated the current evidence regarding outcomes of ASPs in the NH. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 7, 2017 Category: Health Management Authors: Diana Feldstein, Philip D. Sloane, Cynthia Feltner Tags: Review Article Source Type: research

Association Between Frailty and Cognitive Impairment: Cross-Sectional Data From Toulouse Frailty Day Hospital
A consensus panel, based on epidemiologic evidence, argued that physical frailty is often associated with cognitive impairment, possibly because of common underlying pathophysiological mechanisms. The concepts of cognitive frailty and motoric cognitive risk were recently proposed in literature and may represent a prodromal stage for neurodegenerative diseases. The purpose of this study was to analyze the relationship between cognition and the components of the physical phenotype of frailty. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 7, 2017 Category: Health Management Authors: Bertrand Foug ère, Matthieu Daumas, Matthieu Lilamand, Sandrine Sourdet, Julien Delrieu, Bruno Vellas, Gabor Abellan van Kan Tags: Original Study Source Type: research

Use of a Robotic Seal as a Therapeutic Tool to Improve Dementia Symptoms: A Cluster-Randomized Controlled Trial
To test the effects of individual, nonfacilitated sessions with PARO (version 9), when compared against a look-alike plush toy and usual care, on the emotional and behavioral symptoms of dementia for people living in long-term care facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 2, 2017 Category: Health Management Authors: Wendy Moyle, Cindy J. Jones, Jenny E. Murfield, Lukman Thalib, Elizabeth R.A. Beattie, David K.H. Shum, Siobhan T. O'Dwyer, M. Cindy Mervin, Brian M. Draper Tags: Original Study Source Type: research

The FORTA (Fit fOR The Aged) App as a Clinical Tool to Optimize Complex Medications in Older People
Older people are the main recipients of medications in many regions of the world, and their population is rapidly growing. Numerous studies have shown that drug treatment is frequently inappropriate in this age group, and adverse drugs reactions pose an essential threat to them. Major reasons are the lack of evidence for most medications and the presence of multimorbidity resulting in polypharmacy.1 Unfortunately, pure negative lists (eg, the US Beers list) were clinically largely ineffective2 to address this problem; the FORTA classification (A: Absolutely; B: Beneficial; C: Careful; D: Don't) was developed as an implicit...
Source: Journal of the American Medical Directors Association - August 2, 2017 Category: Health Management Authors: Farhad Pazan, Martin Wehling Tags: Letter to the Editor Source Type: research

Determinants of Potentially Inappropriate Medication Use in Long-Term and Acute Care Settings: A Systematic Review
Potentially inappropriate medications (PIMs) are widely used in institutionalized older adults, yet the key determinants that drive their use are incompletely characterized. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 2017 Category: Health Management Authors: Stephanie K. Nothelle, Ritu Sharma, Allison H. Oakes, Madeline Jackson, Jodi B. Segal Tags: Review Article Source Type: research

The Nursing Home Pneumonia Risk Index: A Simple, Valid MDS-Based Method of Identifying 6-Month Risk for Pneumonia and  Mortality
Pneumonia is the leading infectious cause of hospitalization and death for nursing home (NH) residents; however, diagnosis is often delayed because classic signs of infection are not present. We sought to identify NH residents at high risk for pneumonia, to identify persons to target for more intensive surveillance and preventive measures. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 2017 Category: Health Management Authors: Philip D. Sloane, Sheryl Zimmerman, Kimberly Ward, David Reed, John S. Preisser, David J. Weber Tags: Brief Report Source Type: research

Successfully Reducing Hospitalizations of Nursing Home Residents: Results of the Missouri Quality Initiative
The goals of the Missouri Quality Initiative (MOQI) for long-stay nursing home residents were to reduce the frequency of avoidable hospital admissions and readmissions, improve resident health outcomes, improve the process of transitioning between inpatient hospitals and nursing facilities, and reduce overall healthcare spending without restricting access to care or choice of providers. The MOQI was one of 7 program sites in the United States, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services (CMS) Innovations Center. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2017 Category: Health Management Authors: Marilyn J. Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Charles Crecelius, Bin Ge, Gregory Petroski Tags: Original Study Source Type: research

Lifestyle Approaches for People With Intellectual Disabilities: A  Systematic Multiple Case Analysis
Health care organizations supporting individuals with intellectual disabilities (IDs) carry out a range of interventions to support and improve a healthy lifestyle. However, it is difficult to implement an active and healthy lifestyle into daily support. The presence of numerous intervention components, multiple levels of influence, and the explicit use of theory are factors that are considered to be essential for implementation in practice. A comprehensive written lifestyle policy provides for sustainability of a lifestyle approach. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2017 Category: Health Management Authors: Henderika Annegien Steenbergen, Cees P. Van der Schans, Ruud Van Wijck, Johan De Jong, Aly Waninge Tags: Original Study Source Type: research

Cross-Cultural Adaptation and Validation of the FRAIL Scale in Chinese Community-Dwelling Older Adults
To cross-culturally adapt and test the FRAIL scale in Chinese community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2017 Category: Health Management Authors: Lijuan Dong, Xiaoxia Qiao, Xiaoyu Tian, Na Liu, Yaru Jin, Huaxin Si, Cuili Wang Tags: Original Study Source Type: research

Prediction of the Incidence of Falls and Deaths Among Elderly Nursing Home Residents: The SENIOR Study
The objective of this study was to evaluate, among nursing home residents, the extent to which the various operational definitions of frailty predict mortality and falls at 1  year. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2017 Category: Health Management Authors: Fanny Buckinx, Jean-Louis Croisier, Jean-Yves Reginster, C éline Lenaerts, Théo Brunois, Xavier Rygaert, Jean Petermans, Olivier Bruyère Tags: Original Study Source Type: research

Heterogeneity of Different Tools for Detecting the Prevalence of Frailty in Nursing Homes: Feasibility and Meaning of Different Approaches
The identification of frail individuals has been recognized as a priority for the effective implementation of healthy aging strategies. Only a limited number of studies have examined frailty in nursing homes, and there is a big heterogeneity in the methods used. The primary objective of this study was to determine the prevalence and feasibility of different frailty screening tools in nursing homes as well as its relationship with multimorbidity and disability. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2017 Category: Health Management Authors: N. Mart ínez-Velilla, Pablo Aldaz Herce, Álvaro. Casas Herrero, Marta Gutiérrez-Valencia, Mikel López Sáez de Asteasu, Alberto Sola Mateos, Ana Conde Zubillaga, Berta Ibáñez Beroiz, Arkaitz Galbete Jiménez, Mikel Izquierdo Tags: Original Study Source Type: research

Antipsychotics and Cerebrovascular Accidents: Taking or Not the  Risk?
Antipsychotics are widely and increasingly prescribed drugs. Initially introduced for schizophrenia, they are now used for a variety of diseases such as psychotic and affective disorders, personality and anxiety disorders. In recent years, they have been utilized for the treatment of agitation in elderly patients who show cognitive disturbances. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 26, 2017 Category: Health Management Authors: Leonardo Pantoni Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 26, 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 - July 26, 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 - July 26, 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 - July 26, 2017 Category: Health Management Source Type: research

Recall Tests Are Effective to Detect Mild Cognitive Impairment: A Systematic Review and Meta-analysis of 108 Diagnostic Studies
Mild cognitive impairment (MCI) is a prevalent symptom associated with the increased risk of dementia. There are many cognitive tests available for detection of MCI, and investigation of the diagnostic performance of the tests is deemed necessary. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2017 Category: Health Management Authors: Kelvin K.F. Tsoi, Joyce Y.C. Chan, Hoyee W. Hirai, Adrian Wong, Vincent C.T. Mok, Linda C.W. Lam, Timothy C.Y. Kwok, Samuel Y.S. Wong Tags: Original Study Source Type: research

Does Person-Centered Care Improve Residents' Satisfaction With Nursing Home Quality?
This study examines whether PCC practices promote satisfaction with QOL and quality of care and services (QOC and QOS) among nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2017 Category: Health Management Authors: Judith L. Poey, Linda Hermer, Laci Cornelison, Migette L. Kaup, Patrick Drake, Robyn I. Stone, Gayle Doll Tags: Original Study Source Type: research

Management of Fecal Incontinence in Older People With Dementia Resident in Care Homes: A Realist Synthesis —The FINCH Study
Many nursing homes provide continuing care and support for older people with dementia.1 Care home residents may have three or more health conditions, with an estimated 80% in the United Kingdom having dementia without a confirmed or documented diagnosis, up to a third of whom may be at an advanced stage.2,3 In this editorial the term care home is used and includes registered homes providing nursing, social, and/or continuing aged care. Advanced dementia is variably defined but usually includes complete loss of memory and recognition, severe dependency for activities of daily living (such as bathing, dressing, toileting, an...
Source: Journal of the American Medical Directors Association - July 21, 2017 Category: Health Management Authors: Brenda Roe, Claire Goodman, Bridget Russell, Marina Buswell, Christine Norton, Danielle Harari, Rowan Harwood, Jo Rycroft Malone, Vari M. Drennan, Mandy Fader, Michelle Maden, Frances Bunn Tags: Editorial Source Type: research

Efficacy and Safety of Citalopram Compared to Atypical Antipsychotics on Agitation in Nursing Home Residents With Alzheimer Dementia
To assess efficacy and safety of citalopram compared to quetiapine and olanzapine for the treatment of agitation in patients with Alzheimer disease (AD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 21, 2017 Category: Health Management Authors: Giovanni Viscogliosi, Iulia Maria Chiriac, Evaristo Ettorre Tags: Brief Report Source Type: research

Association Between Sarcopenia and Mild Cognitive Impairment Using the Japanese Version of the SARC-F in Elderly Patients With Diabetes
The purpose of this study was to investigate the association between sarcopenia and mild cognitive impairment (MCI) in elderly patients with diabetes using the Japanese version of the simple 5-item questionnaire (SARC-F-J). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 21, 2017 Category: Health Management Authors: Satoshi Ida, Mari Nakai, Sho Ito, Yuki Ishihara, Kanako Imataka, Akihiro Uchida, Kou Monguchi, Ryutaro Kaneko, Ryoko Fujiwara, Hiroka Takahashi, Kazuya Murata Tags: Original Study Source Type: research

Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents: Results of the LPZ Study
This study aimed to assess the associations between oral health problems ([artificial] teeth problems, chewing problems, and xerostomia) and malnutrition in residents of somatic and psychogeriatric wards in Dutch nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 18, 2017 Category: Health Management Authors: Vivi ënne A.L. Huppertz, Gert-Jan van der Putten, Ruud J.G. Halfens, Jos M.G.A. Schols, Lisette C.P.G.M. de Groot Tags: Original Study Source Type: research

The Association of Depressive Symptoms With Rates of Acute Exacerbations in Patients With COPD: Results From a 3-year Longitudinal Follow-up of the ECLIPSE Cohort
Depression increases disability and health care utilization in older patients with chronic obstructive pulmonary disease (COPD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 18, 2017 Category: Health Management Authors: Abebaw Mengistu Yohannes, Hana M ülerová, Kim Lavoie, Jorgen Vestbo, Steve I. Rennard, Emile Wouters, Nicola A. Hanania Tags: Original Study Source Type: research

Medication Use and Its Potential Impact on the Oral Health Status of  Nursing Home Residents in Flanders (Belgium)
Polypharmacy is considered the most important etiologic factor of hyposalivation, which in turn can initiate oral health problems. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 18, 2017 Category: Health Management Authors: Barbara Janssens, Mirko Petrovic, Wolfgang Jacquet, Jos M.G.A. Schols, Jacques Vanobbergen, Luc De Visschere Tags: Original Study Source Type: research

Caring for a Person With Dementia on the Margins of Long-Term Care: A Perspective on Burden From 8 European Countries
To explore associations between carer burden and characteristics of (1) the informal carer, (2) the person with dementia, and (3) the care support network in 8 European countries. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 18, 2017 Category: Health Management Authors: Caroline Sutcliffe, Clarissa Giebel, Michel Bleijlevens, Connie Lethin, Minna Stolt, Kai Saks, Maria E. Soto, Gabriele Meyer, Adelaida Zabalegui, Helen Chester, David Challis, RightTimePlaceCare Consortium Tags: Original Study Source Type: research

Tears of Sorrow: Forgotten or Abandoned
He looked at me with bloodshot eyes. It looked like as if he had been crying. He told me as soon as he saw me in a deep voice, “We will be flying back this afternoon.” His voice was mellow but was filled with sorrow. I could tell that he was trying very hard to stop his tears. He was visiting from another state with his wife to see his dying mother. His mother, Ms G.S., was my patient for the past 1 year. She was 73  years old and had been in the nursing home for the last 4 years. She had a longstanding history of bipolar disorder and psychosis for which she had multiple admissions to variou...
Source: Journal of the American Medical Directors Association - July 18, 2017 Category: Health Management Authors: Fatima Sheikh Tags: Letter to the Editor Source Type: research

Randomized Trial of Intelligent Sensor System for Early Illness Alerts in Senior Housing
Measure the clinical effectiveness and cost effectiveness of using sensor data from an environmentally embedded sensor system for early illness recognition. This sensor system has demonstrated in pilot studies to detect changes in function and in chronic diseases or acute illnesses on average 10 days to 2 weeks before usual assessment methods or self-reports of illness. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 12, 2017 Category: Health Management Authors: Marilyn Rantz, Lorraine J. Phillips, Colleen Galambos, Kari Lane, Gregory L. Alexander, Laurel Despins, Richelle J. Koopman, Marjorie Skubic, Lanis Hicks, Steven Miller, Andy Craver, Bradford H. Harris, Chelsea B. Deroche Tags: Original Study Source Type: research

Conversion and Reversion Rates in Japanese Older People With Mild Cognitive Impairment
Approximately 25% of individuals who are diagnosed with amnestic mild cognitive impairment (aMCI) revert to normal cognition (NC) rather than progressing to Alzheimer disease (AD). However, the prevalence of progression and reversion among older people in Asia remains unclear. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 12, 2017 Category: Health Management Authors: Hiroyuki Shimada, Hyuma Makizako, Takehiko Doi, SungChul Lee, Sangyoon Lee Tags: Original Study Source Type: research

Minerals and Sarcopenia; The Role of Calcium, Iron, Magnesium, Phosphorus, Potassium, Selenium, Sodium, and Zinc on Muscle Mass, Muscle Strength, and Physical Performance in Older Adults: A  Systematic Review
Minerals may contribute to prevent and treat sarcopenia, the age-related loss of muscle mass, muscle strength, and physical performance. So far, there is no comprehensive review on the impact of minerals on sarcopenia outcomes. The aim of this systematic review is to evaluate the role of calcium, iron, magnesium, phosphorus, potassium, selenium, sodium, and zinc on muscle mass, muscle strength, and physical performance in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 12, 2017 Category: Health Management Authors: Carliene van Dronkelaar, Aafke van Velzen, Maya Abdelrazek, Anouk van der Steen, Peter J.M. Weijs, Michael Tieland Tags: Review Article Source Type: research

Mortality in Evacuating Nursing Home Residents
We read with interest the review by Willoughby et  al examining mortality in nursing home residents following emergency evacuation.1 We recently reviewed interventions and facility attributes that affect outcomes of nursing home residents whose facilities experience a natural or manmade disaster.2 Like that of Willoughby, our review concluded that when nursing homes evacuate for a disaster, their residents suffer adverse health effects, including increased mortality, more frequent hospitalization, and functional decline. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 12, 2017 Category: Health Management Authors: J. Rush Pierce, Theresa A. West Tags: Letter to the Editor Source Type: research

Erratum
Regarding the July, 2017 article, Kim J, Choi Y, Shin J, et  al. Incidence of Pressure Ulcers During Home and Institutional Care Among Long-Term Care Insurance Beneficiaries With Dementia Using the Korean Elderly Cohort. J Am Med Dir Assoc 2017;18:638.e1-638.e5. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 7, 2017 Category: Health Management Tags: Erratum Source Type: research