Being Treated With Respect and Dignity? —Perceptions of Home Care Service Among Persons With Dementia
The objective of this study was to enhance knowledge of the perceptions of PwDs regarding their treatment with dignity and respect in HCS over time. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 20, 2020 Category: Health Management Authors: Lena Marmst ål Hammar, Moudud Alam, Marie Olsen, Anna Swall, Anne-Marie Boström Tags: Original Study Source Type: research

Factors Associated With Antimicrobial Use in Nursing Home Residents With Advanced Dementia
The objective of this report was to identify facility and resident level characteristics associated with receipt of antimicrobials in this population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 20, 2020 Category: Health Management Authors: Meghan Hendricksen, Daniel Habtemariam, Erika M.C. D'Agata, Susan L. Mitchell Tags: Original Study - Brief Report Source Type: research

Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter?
To examine how immigrant status and family relationships are associated with advance care planning (ACP) engagement and end-of-life (EOL) preference in burial planning among older Chinese Americans, the largest subgroup of Asian Americans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 19, 2020 Category: Health Management Authors: Yaolin Pei, Wei Zhang, Bei Wu Tags: Original Study - Brief Report Source Type: research

Delaying Transition Into Long-Term Care for Persons Living With Dementia: Multispecialty Interprofessional Team Memory Clinics
With COVID-19 highlighting the substantive risks to older adults living in congregated settings, an emphasis should be on supporting persons with dementia to live in the community safely for as long as possible. Primary care-based interventions such as Multispecialty Interprofessional Team (MINT) memory clinics (previously referred to as Primary Care Collaborative Clinics) provide a significant opportunity to support community-dwelling older adults to live at home, delay long-term care placement, and address systemic challenges that impede the delivery of quality dementia care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 19, 2020 Category: Health Management Authors: Linda Lee, Loretta M. Hillier, Tejal Patel, Frank Molnar, Michael Borrie, Jo-Anne Clarke Tags: Letter to the Editor Source Type: research

Problems With Advance Care Planning Processes and Practices in Nursing Homes
Serious concerns exist about advance care planning (ACP) and end-of-life (EOL) care in nursing homes (NHs). NH residents often experience a progressive burden of severe symptoms leading up to death. Aggressive medical care exposes them to iatrogenic complications and poor quality of EOL care,1 concerns magnified by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic, wherein NH residents have taken the brunt of deaths.2 In a prospective, observational study supported by research grants from the Canadian Frailty Network and Research Manitoba and approved by the Research Ethics Boards of all participati...
Source: Journal of the American Medical Directors Association - August 17, 2020 Category: Health Management Authors: Nora Choi, Allan Garland, Clare Ramsey, Jessica Steer, Heather Keller, George Heckman, Vanessa Vucea, Ikdip Bains, Brittany Kroetsch, Patrick Quail, Seema King, Tatiana Oshchepkova, Tatiana Kalashnikova, Veronique Boscart, Michelle Heyer Tags: Research Letter Source Type: research

Predicting Falls in Nursing Homes: A Prospective Multicenter Cohort Study Comparing Fall History, Staff Clinical Judgment, the Care Home Falls Screen, and the Fall Risk Classification Algorithm
To evaluate and compare the predictive accuracy of fall history, staff clinical judgment, the Care Home Falls Screen (CaHFRiS), and the Fall Risk Classification Algorithm (FRiCA). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 16, 2020 Category: Health Management Authors: Ellen Vlaeyen, Joris Poels, Uschi Colemonts, Lien Peeters, Greet Leysens, Kim Delbaere, Eddy Dejaeger, Fabienne Dobbels, Koen Milisen Tags: Original Study Source Type: research

Does Universal Testing for COVID-19 Work for Everyone?
Universal testing for SARS-CoV-2 is only one part of broader infection prevention and control efforts nursing homes must take to reduce the risk of residents developing COVID-19 infections. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 14, 2020 Category: Health Management Authors: Ghinwa Dumyati, Swati Gaur, David A. Nace, Robin L.P. Jump Tags: Controversies in Care Source Type: research

Age, Frailty, and Comorbidity as Prognostic Factors for Short-Term Outcomes in Patients With Coronavirus Disease 2019 in Geriatric Care
To analyze whether frailty and comorbidities are associated with in-hospital mortality and discharge to home in older adults hospitalized for coronavirus disease 2019 (COVID-19). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 13, 2020 Category: Health Management Authors: Sara H ägg, Juulia Jylhävä, Yunzhang Wang, Hong Xu, Carina Metzner, Martin Annetorp, Sara Garcia-Ptacek, Masih Khedri, Anne-Marie Boström, Ahmadul Kadir, Anna Johansson, Miia Kivipelto, Maria Eriksdotter, Tommy Cederholm, Dorota Religa Tags: Original Study Source Type: research

Preventing Fractures in Long-Term Care: Translating Recommendations to Clinical Practice
This article describes the use of the Knowledge-to Action framework to guide the development and application of research evidence on fracture prevention in older adults. Knowledge translation activities highlighted fractures as a significant source of morbidity in LTC, significant gaps in fracture risk assessment and treatment, and barriers and facilitators to guideline implementation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 13, 2020 Category: Health Management Authors: Alexandra Papaioannou, George Ioannidis, Caitlin McArthur, Loretta M. Hillier, Sid Feldman, Lora Giangregorio, Susan Jaglal, Ravi Jain, Mary-Lou Van der Horst, Jonathan Adachi Tags: Special Article Source Type: research

Time to Strategically Position Nursing Homes to Effectively Manage Emerging Infections
In response to the coronavirus disease 2019 (COVID-19) pandemic, United States nursing homes (NHs) implemented protocols to protect NH residents from contracting the virus. However, protocol implementation and effectiveness varied across regions. The restrictions included in these protocols, such as halting visitation and communal activities, resulted in NH resident isolation and disruption of many programs designed to promote healthy aging. Prior to the COVID-19 pandemic, NHs had already been struggling with high acuity, limited resources, and a uniquely high risk for emerging infections. (Source: Journal of the American ...
Source: Journal of the American Medical Directors Association - August 13, 2020 Category: Health Management Authors: Bindu Mayi, Nicole Cook, Naushira Pandya Tags: Letter to the Editor Source Type: research

Age, frailty and comorbidity as prognostic factors for short-term outcomes in patients with COVID-19 in geriatric care
Age, frailty and comorbidities are associated with in-hospital mortality and a decreased probability to be discharged to home in geriatric COVID-19 patients from a large hospital in Stockholm, Sweden. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 13, 2020 Category: Health Management Authors: Sara H ägg, Juulia Jylhävä, Yunzhang Wang, Hong Xu, Carina Metzner, Martin Annetorp, Sara Garcia-Ptacek, Masih Khedri, Anne-Marie Boström, Ahmadul Kadir, Anna Johansson, Miia Kivipelto, Maria Eriksdotter, Tommy Cederholm, Dorota Religa Tags: Original Studies Source Type: research

Local Oral Pilocarpine Drops for Relieving Xerostomia (Dry Mouth) in elderly: A Pilot Study
Xerostomia is the feeling of dry mouth, a symptom frequently occurring in older people. Xerostomia is associated with alterations in the quality and quantity of saliva and leads to functional alterations such as halitosis, burning sensations, altered taste perception, malnutrition, and difficulties with chewing. As a result, xerostomia can have disabling social consequences and reduces quality of life.1 Xerostomia increases with age because of a decrease in the acinar cells of salivary glands and is a common side effect of chronic drug treatment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 11, 2020 Category: Health Management Authors: Maurice Theunissen, Shanly Rideaux-Seferina, Fabienne J. Magdelijns, Daisy J.A. Janssen, Marieke H.J. van den Beuken-van Everdingen Tags: Research Letters Source Type: research

Shortages of Staff in Nursing Homes During the COVID-19 Pandemic: What are the Driving Factors?
This study examines the prevalence and factors associated with shortages of NH staff during the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2020 Category: Health Management Authors: Huiwen Xu, Orna Intrator, John R. Bowblis Tags: COVID-19 Source Type: research

Post-Acute and Long-Term Care Patients Account for a Disproportionately High Number of Adverse Events in the Emergency Department
We describe all-cause harm among patients from PA/LTC settings seen in the ED. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2020 Category: Health Management Authors: Richard T. Griffey, Ryan M. Schneider, Lee Adler, Alexandre Todorov Tags: Original Study Source Type: research

Shortages of Staff in Nursing Homes During COVID-19 Pandemic: What Are the Driving Factors?
Brief Summary: Staff shortages in nursing homes are mainly driven by COVID-19 factors, such as resident and staff with COVID-19, as well as PPE supply. Most nursing home and market factors, and Medicaid reimbursement rate were insignificant. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 10, 2020 Category: Health Management Authors: Huiwen Xu, Orna Intrator, John R. Bowblis Tags: Original Studies Source Type: research

Direct Medical Costs of Dementia With Lewy Bodies by Disease Complexity
There is currently no accurate profile of the economic burden of dementia with Lewy bodies (DLB), particularly any examination of the direct medical costs of DLB by the number of affected clinical domains. Understanding how trends in the use of healthcare resources evolve as DLB progresses presents opportunities for the development of earlier and more appropriate interventions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2020 Category: Health Management Authors: Robert Espinosa, Matthew Davis, Scott Johnson, Stephanie Cline, Daniel Weintraub Tags: Original Study Source Type: research

Cumulative and Incremental Value of Sarcopenia Components on Predicting Adverse Outcomes
To examine the incremental value of sarcopenia components, following the diagnosis algorithm of the Asian consensus, on predicting adverse outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 4, 2020 Category: Health Management Authors: Freddy M.H. Lam, Yi Su, Zhi-Hui Lu, Ruby Yu, Jason C.S. Leung, Timothy C.Y. Kwok Tags: Original Study Source Type: research

Effect of Various Exercises on Intrinsic Capacity in Older Adults With Subjective Cognitive Concerns
This study aimed to clarify the effects of physical activity on intrinsic capacity among community-dwelling older adults with subjective memory concerns. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 4, 2020 Category: Health Management Authors: Chi Hsien Huang, Hiroyuki Umegaki, Taeko Makino, Kazuki Uemura, Takahiro Hayashi, Tomoharu Kitada, Aiko Inoue, Hiroyuki Shimada, Masafumi Kuzuya Tags: Original Study Source Type: research

Sarcopenia Definitions and Outcomes Consortium (SDOC) Criteria Are Strongly Associated With Malnutrition, Depression, Falls, and Fractures in High-Risk Older Persons
We examined the association between SDOC criteria and important health status indicators in high-risk older persons. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 4, 2020 Category: Health Management Authors: Ben Kirk, Jesse Zanker, Ebrahim Bani Hassan, Stefanie Bird, Sharon Brennan-Olsen, Gustavo Duque Tags: Original Study Source Type: research

Muscle Density, but Not Size, Correlates Well With Muscle Strength and Physical Performance
There is increasing evidence that muscle volume and mass are poor predictors of muscle strength and physical performance. Other assessments of muscle quality such as skeletal muscle density measured by computed tomography (CT) may be more important. The aim of this study was to explore associations of muscle size and density with handgrip strength (HGS) and the Timed Up and Go test (TUG). We also hypothesized that the strength of these associations would depend on the specific muscle of muscle group, namely trunk, hip, and mid-thigh muscles. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 4, 2020 Category: Health Management Authors: Ling Wang, Lu Yin, Yue Zhao, Yongbin Su, Wei Sun, Shuo Chen, Yandong Liu, Minghui Yang, Aihong Yu, Giuseppe Guglielmi, Glen M. Blake, Xiaoguang Cheng, Xinbao Wu, Annegreet G. Veldhuis-Vlug, Klaus Engelke Tags: Original Study Source Type: research

Antipsychotic Drugs and Hip Fracture: Associations Before and After the Initiation of Treatment
To study the association between antipsychotic drug treatment and hip fracture, before and after the initiation of treatment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 3, 2020 Category: Health Management Authors: Jon Br ännström, Hugo Lövheim, Yngve Gustafson, Peter Nordström Tags: Original Study Source Type: research

Advance Directive Completion and Its Associated Factors Among Older Chinese Americans
To examine the factors of advance directive (AD) completion among older Chinese Americans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 3, 2020 Category: Health Management Authors: Kaipeng Wang, Yanqin Liu, Fei Sun, Dexia Kong, Lin Jiang, Bei Wu Tags: Original Study - Brief Report Source Type: research

The Relationship Between Dementia Subtypes and Nutritional Parameters in Older Adults
There are a few studies showing how nutritional parameters are affected according to dementia subtypes. The aim of this study was to compare the parameters characterizing nutritional status and micronutrient levels according to different dementia subtypes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 3, 2020 Category: Health Management Authors: Pinar Soysal, Ozge Dokuzlar, Neziha Erken, Fatma Sena Dost G ünay, Ahmet Turan Isik Tags: Original Study Source Type: research

Changes in Older People's Activities During the Coronavirus Disease 2019 Pandemic in Japan
The rapid spread of the coronavirus disease 2019 (COVID-19) pandemic has led state and local leaders to introduce social/physical distancing and self-isolation. Aggregated mobility data collected by private companies have been available to help understand the impact of such measures on population mobility patterns.1 However, because the older population is not likely to be represented in such data, partly because of their technology adaptation issues,2,3 we may not know how older adults have reacted to these community/policy messages. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 2, 2020 Category: Health Management Authors: Yukari Yamada, Tomoe Uchida, Mari Ogino, Tatsuyoshi Ikenoue, Takayuki Shiose, Shingo Fukuma Tags: COVID-19 Source Type: research

Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the COVID-19 Pandemic
During the first few months of the COVID-19 pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to outweigh the potential benefits associated with preventing COVID-19 infections. Many residents have sustained severe and potentially irreversible physical, functional, cognitive, and mental health declines. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 2, 2020 Category: Health Management Authors: Nathan M. Stall, Jennie Johnstone, Allison J. McGeer, Misha Dhuper, Julie Dunning, Samir K. Sinha Tags: Special Article Source Type: research

Changes in older people's activities during the Covid-19 pandemic in Japan
Behaviors of older adults, the population most vulnerable to Covid-19, may be one of keys in tacking the virus as a country, though it is not usually covered in a mobility big data. Our unique IoT data shows older adults have considerably decreased their social and physical activities in response to social distancing messages from community. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 2, 2020 Category: Health Management Authors: Yukari Yamada, Tomoe Uchida, Mari Ogino, Tatsuyoshi Ikenoue, Takayuki Shiose, Shingo Fukuma Tags: Research Letters Source Type: research

Dementia in People from Ethnic Minority Backgrounds: Disability, Functioning, and Pharmacotherapy at the Time of Diagnosis
Increasingly, older populations in the United Kingdom and other well-resourced settings are ethnically diverse. Despite a concern that the prevalence of dementia is expected to rise, very little is known about the association of ethnicity and dementia among aging older adults. The current study aimed to compare ethnic group differences in symptom profile, functioning and pharmacotherapy at dementia diagnosis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 1, 2020 Category: Health Management Authors: Konstantinos Tsamakis, Romayne Gadelrab, Mimi Wilson, Anne M. Bonnici-Mallia, Labib Hussain, Gayan Perera, Emmanouil Rizos, Jayati Das-Munshi, Robert Stewart, Christoph Mueller Tags: Original Study Source Type: research

A Successful Diabetes Management Model of Care in Long-Term Care Facilities
The management of diabetes in long-term care (LTC) facilities requires facility staff to perform most self-care activities on the behalf of the residents. A practical model of care to improve diabetes management was developed and implemented at 6 LTC facilities in the Northeast United States between 2009 and 2012. The components of the program included (1) developing an individualized education curriculum and educating LTC interdisciplinary staff; (2) educating patients and caregivers; and (3) developing a clinical care algorithm. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 1, 2020 Category: Health Management Authors: Medha N. Munshi, Sarah Sy, Joyce Lekarcyk, Elaine Sullivan Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Quality of Post-Acute Care in Skilled Nursing Facilities That Disproportionately Serve Hispanics With Dementia
As the number of Hispanics with dementia continues to increase, greater use of post-acute care in nursing home settings will be required. Little is known about the quality of skilled nursing facilities (SNFs) that disproportionately serve Hispanic patients with dementia and whether the quality of SNF care varies by the concentration of Medicare Advantage (MA) patients with dementia admitted to these SNFs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 2020 Category: Health Management Authors: Maricruz Rivera-Hernandez, Chanee D. Fabius, Shekinah Fashaw, Brian Downer, Amit Kumar, Orestis A. Panagiotou, Gary Epstein-Lubow Tags: Original Study Source Type: research

Comment on Asian Working Group on Sarcopenia's Updated Consensus Recommendations: Emphasis on Anterior Thigh Muscle Mass
We have read with great interest the recently published consensus update of Asian Working Group for Sarcopenia about the diagnosis and treatment of sarcopenia.1 We congratulate them for defining their diagnostic algorithm. Although we agree on selecting less stringent cut-off values for physical performance tests [ie, ≥12 seconds for chair stand test (CST) and (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 2020 Category: Health Management Authors: Murat Kara, Ay şe Merve Ata, Bayram Kaymak, Levent Özçakar Tags: Letter to the Editor Source Type: research

Asian Working Group for Sarcopenia Response to the Emphasis on Anterior Thigh Muscle Mass in Sarcopenia Diagnosis
We thank you for the opportunity to respond to the issues raised in the letter by Kara et  al and thank them for their valuable comments on the Asian Working Group for Sarcopenia (AWGS) consensus for sarcopenia diagnosis. Before responding to the comments, we want to address some consensus of AWGS: (1) AWGS wants to make evidence-based recommendations, so only published studies in Asian countries were included; (2) AWGS defined sarcopenia as an age-related condition, so recommendations were limited to people older than 60 or 65 years old; and (3) younger people with sarcopenia were recommended to search for poten...
Source: Journal of the American Medical Directors Association - July 29, 2020 Category: Health Management Authors: Liang-Kung Chen, Jean Woo, Hidenori Arai Tags: Letter to the Editor Source Type: research

Drug Burden Index and Cognitive and Physical Function in Aged Care Residents: A Longitudinal Study
Anticholinergic/antimuscarinic and sedative medications (eg, benzodiazepines) have been found to be associated with poorer cognitive and physical function and mobility impairment in older age. However, previous studies were mostly conducted among community-dwelling older individuals and had often a cross-sectional design. Accordingly, our aim was to examine longitudinal associations between cumulative exposure to anticholinergic and sedative medications and cognitive and physical function among residents from aged care homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 2020 Category: Health Management Authors: Hans Wouters, Sarah N. Hilmer, Jos Twisk, Martina Teichert, Helene G. Van Der Meer, Hein P.J. Van Hout, Katja Taxis Tags: Original Study Source Type: research

The Post-Acute and Long-Term Care Crisis in the Aftermath of COVID-19: A Dutch Perspective
We read with great interest the article by Laxton et  al about solving the COVID-19 crisis in post-acute and long-term care.1 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 2020 Category: Health Management Authors: Bart Spaetgens, Steffie H. Brouns, Jos M.G.A. Schols Tags: Letter to the Editor Source Type: research

Innovation Through Regulation: COVID-19 and the Evolving Utility of Telemedicine
A year ago, a group of AMDA leaders spent the day on Capitol Hill advocating for policy changes related to post-acute and long-term care (PALTC) telemedicine. A main point of discussion was the need to revise the regulations governing payment for telemedicine visits in a way that would make it more feasible for PALTC clinicians working with facilities to use telemedicine tools to care for residents. Medicare payment for telemedicine physician visits has largely been to support rural nursing homes and limited to no more frequently than monthly regardless of medical necessity. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 2020 Category: Health Management Authors: Suzanne M. Gillespie, Steven M. Handler, Alex Bardakh Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 29, 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 - July 29, 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 - July 29, 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 - July 29, 2020 Category: Health Management Source Type: research

Prognostic Value of Lung Ultrasonography in Older Nursing Home Residents Affected by COVID-19
Lung ultrasonographic (LUS) imaging may play an important role in the management of patients with COVID-19 –associated lung injury, particularly in some special populations. However, data regarding the prognostic role of the LUS in nursing home residents, one of the populations most affected by COVID-19, are not still available. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Nicola Veronese, Luca Gino Sbrogi ò, Roberto Valle, Laura Marin, Elena Boscolo Fiore, Andrea Tiozzo Tags: Original Study - Brief Report Source Type: research

COVID-19 and Nursing Home Residents' Rights
Prior to 1987, nursing home residents had no explicit rights. It was the Nursing Home Reform Act that brought a bill of rights for residents out of recognition of the steep power imbalance between residents and staff,1 and the development of learned helplessness by those who live in such settings.2 Born from a time when nursing homes residents were subject to physical restraints and sedation, these rights sought to give residents greater control over daily routines and social interactions.2 Could COVID-19 be sending residents' rights back to those times? (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Nancy Kusmaul Tags: Letter to the Editor Source Type: research

Promoting Osteoporosis Best Practices: A New Electronic Medical Record Tool
We examined usage and collected usability feedback from 37 physicians. A medical record review was used to assess tool usage over a 6-month period after which all participants completed a survey to assess their perceptions of the tool. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Clare Tazzeo, Janet M. Pritchard, Alexandra Papaioannou, Jonathan D. Adachi Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Unmet and Unimportant Preferences Among Nursing Home Residents: What Are Key Resident and Facility Factors?
This study aims to (1) identify the prevalence of unmet preferences and unimportant preferences, and (2) examine their associations with resident and facility-level characteristics. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Yinfei Duan, Tetyana P. Shippee, Weiwen Ng, Odichinma Akosionu, Mark Woodhouse, Haitao Chu, Jasjit S. Ahluwalia, Joseph E. Gaugler, Beth A. Virning, John R. Bowblis Tags: Original Study - Brief Report Source Type: research

Identifying Gaps in the Care of Hospitalized Patients with Dementia: A National Survey of Health Care Professionals
Persons with Alzheimer's disease and related dementias (ADRD) currently account for 3.2 million hospital admissions per year, and their hospitalizations often lead to delirium, lasting functional and cognitive deterioration, institutionalization, increased resource consumption, caregiver distress, and premature death.1 –3 Yet, there are currently no national data on the use of dementia-friendly practices in the hospital setting and the perceived ability of health care professionals to address the needs of hospitalized persons with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Liron Sinvani, Kayla Finuf, Jungen Yi, Renee Pekmezaris, Gisele Wolf-Klein, Marie Boltz Tags: Research Letters Source Type: research

Perceived Quality of Care Transitions between Hospital and the Home in People with Stroke
To explore the perceived quality of care transitions from hospital to the home with referral to subsequent rehabilitation in the home, and factors associated with low perceived quality, in people with stroke. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Sebastian Lindblom, Maria Flink, Christina Sj östrand, Ann-Charlotte Laska, Lena von Koch, Charlotte Ytterberg Tags: Original Study Source Type: research

Prognostic value of lung ultrasound in older nursing home residents affected by covid-19
Lung ultrasound (LUS) imaging may play an important role in the management of patients with COVID-19 –associated lung injury, particularly in some special populations. However data regarding the prognostic role of the LUS in nursing home residents, one of the most affected populations by COVID-19, are not still available. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Nicola Veronese, Luca Gino Sbrogi ò, Roberto Valle, Laura Marin, Elena Boscolo Fiore, Andrea Tiozzo Tags: Original Study - Brief Report Source Type: research

COVID-19 and Nursing Home Residents ’ Rights
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 28, 2020 Category: Health Management Authors: Nancy Kusmaul Tags: Letter to the Editor Source Type: research

General and Disease-Specific Health Indicator Changes Associated with Inpatient Rehabilitation
Rehabilitation plays a vital role in the mitigation and improvement of functional limitations associated with aging and chronic conditions. Moderating factors such as sex, age, the medical diagnosis, and rehabilitation timing for admission status, as well as the expected change related to inpatient rehabilitation, are examined to provide a valid basis for the routine assessment of the quality of medical outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: Vincent Grote, Alexandra Unger, Elke B öttcher, Michael Muntean, Henry Puff, Wolfgang Marktl, Erich Mur, Werner Kullich, Sandra Holasek, Peter Hofmann, Helmut K. Lackner, Nandu Goswami, Maximilian Moser Tags: Original Study Source Type: research

Role of a Clinical Ethics Committee in Residential Aged Long-Term Care Settings: A Systematic Review
To conduct a systematic review of literature examining the establishment and operation of clinical ethical committees (CECs) in long-term care (LTC). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: Alice L. Holmes, Lyndal Bugeja, Joseph E. Ibrahim Tags: Review Article Source Type: research

End-of-Life Care among Nursing Home Residents with Dementia Varies by Nursing Home and Market Characteristics
Nursing homes (NHs) are critical end-of-life (EOL) care settings for 70% of Americans dying with Alzheimer's disease/related dementias (ADRD). Whether EOL care/outcomes vary by NH/market characteristics for this population is unknown but essential information for improving NH EOL care/outcomes. Our objectives were to examine variations in EOL care/outcomes among decedents with ADRD and identify associations with NH/market characteristics. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: Jessica Orth, Yue Li, Adam Simning, Sheryl Zimmerman, Helena Temkin-Greener Tags: Original Study Source Type: research

Antidepressant Use and Progression of Mild to Moderate Alzheimer's Disease: Results from the European ICTUS Cohort
Neuropsychiatric symptoms (NPS) are a core and troubling feature among patients with Alzheimer disease (AD). Because of growing safety warnings against antipsychotics, the use of antidepressants (ATD) in AD has increased extensively. We investigated the potential long-term associations between ATD exposure and functional and cognitive progression in patients with mild to moderate AD. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: Anne-Bahia Abdeljalil, Ad élaïde de Mauléon, Marion Baziard, Bruno Vellas, Maryse Lapeyre-Mestre, Maria Soto Tags: Original Study Source Type: research