Journal of the American Medical Directors Association This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

An Integrative Review of the State of POLST Science: What Do We Know and Where Do We Go?
POLST is widely used in the care of seriously ill patients to document decisions made during advance care planning (ACP) conversations as actionable medical orders. We conducted an integrative review of existing research to better understand associations between POLST use and key ACP outcomes as well as to identify directions for future research. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 20, 2024 Category: Health Management Authors: Elizabeth E. Umberfield, Matthew C. Fields, Rachel Lenko, Teryn P. Morgan, Elissa Schuler Adair, Erik K. Fromme, Hillary D. Lum, Alvin H. Moss, Neil S. Wenger, Rebecca L. Sudore, Susan E. Hickman Tags: Review Article Source Type: research

Dynamic Prediction of Post-Acute Care Needs for Hospitalized Medicine Patients
Use patient demographic and clinical characteristics at admission and time-varying in-hospital measures of patient mobility to predict patient post-acute care (PAC) discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 19, 2024 Category: Health Management Authors: Daniel L. Young, Susan M. Hannum, Rebecca Engels, Elizabeth Colantuoni, Lisa Aronson Friedman, Erik H. Hoyer Tags: Original Study Source Type: research

LGBTQ+ Inclusivity Training and Education: A Toolkit for Skilled Nursing Facilities
The objective of this study was to develop the LGBTQ+ Inclusivity Training and Education (LITE) toolkit and to examine the usability and acceptability of the LITE toolkit to health care workers and staff who work within skilled nursing facilities (SNFs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 17, 2024 Category: Health Management Authors: Jennifer T. May, Alexis Domeracki, Glaucia Salgado, Foxx Hart, Perisa Ashar, Melanie Wang, Devon Noonan, Jason Wheeler Tags: Original Study - Brief Report Source Type: research

A Meta-Analysis of Fall Risk in Older Adults With Alzheimer ’s Disease
Falls are the leading cause of injuries in older adults. Although it is well recognized that Alzheimer's disease (AD) increases the fall risk of older adults, the reported fall risk in people with AD varies drastically. The principal purpose of this study was to summarize and synthesize previous studies reporting fall risk –related metrics in people with AD. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 17, 2024 Category: Health Management Authors: Sara Mahmoudzadeh Khalili, Caroline Simpkins, Feng Yang Tags: Review Article Source Type: research

Life-Space of Older Adults After Discharge From Skilled Nursing Facilities
Describe (1) patient or caregiver perceptions of physical function in 30  days after skilled nursing facility (SNF) discharge indicated by Life-Space Assessment (LSA) scores, and (2) patient and caregiver factors associated with LSA scores. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 17, 2024 Category: Health Management Authors: Ayomide Bankole, Ying Zhang, Di Hu, John S. Preisser, Cathleen Col ón-Emeric, Mark Toles Tags: Original Study - Brief Report Source Type: research

Atrial Fibrillation and Dementia: Focus on Shared Pathophysiological Mechanisms and Therapeutic Implications
Atrial fibrillation (AF) and dementia are highly prevalent chronic and debilitating conditions, especially affecting the older population. This review focuses on possible common pathophysiological mechanisms that could explain the association between the 2 conditions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 12, 2024 Category: Health Management Authors: Giovanni Carbone, Erica Ercolano, Leonardo Bencivenga, Maria Emiliana Palaia, Francesco Scognamiglio, Giuseppe Rengo, Grazia Daniela Femminella Tags: Review Article Source Type: research

Predictors and Outcomes of Oral Anticoagulant Deprescribing in Geriatric Inpatients With Atrial Fibrillation: A Retrospective Multicenter Cohort Study
To investigate prevalence and predictors of oral anticoagulant therapy (OAT) deprescribing in older inpatients with atrial fibrillation (AF), and its association with 1-year incidence of major clinical outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 12, 2024 Category: Health Management Authors: Enrico Brunetti, Roberto Presta, Chukwuma Okoye, Claudia Filippini, Silvio Raspo, Gerardo Bruno, Marco Marabotto, Fabio Monzani, Mario Bo Tags: Original Study Source Type: research

Using Exploratory Structural Equation Modeling to Examine Caregiver Distress and Its Contributors
To develop and test the direct and indirect associations between caregiver distress and its many contributing factors and covariates. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 7, 2024 Category: Health Management Authors: Wenshan Li, Douglas G. Manuel, Sarina R. Isenberg, Peter Tanuseputro Tags: Original Study Source Type: research

A National Survey on Point of Care Ultrasonography Use Among Veterans Affairs Clinicians in Home Care and Skilled Nursing Facilities
Older adults who are homebound and those in skilled nursing facilities (SNFs) often have limited access to point of care imaging to inform clinical decision making. Point-of-care ultrasonography (POCUS) can help span this gap by augmenting the physical examination to aid in diagnosis and triaging. Although training in POCUS for medical trainees is becoming more common and may focus on settings such as the emergency department, intensive care unit, and inpatient care, little is known about POCUS training among practicing clinicians who work outside of these settings. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2024 Category: Health Management Authors: Shivani K. Jindal, Truelian Lee, Arushi Agrawal, Lindsay Demers, Andrea Wershof Schwartz Tags: Original Study - Brief Report Source Type: research

Comparison of the Incidence of Functional Disability Correlated With Social Participation Among Older Adults in Japan
This study aimed to investigate the comparison in the incidence of functional disability. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2024 Category: Health Management Authors: Ryota Watanabe, Taishi Tsuji, Kazushige Ide, Masashige Saito, Tomohiro Shinozaki, Shosuke Satake, Katsunori Kondo Tags: Original Study Source Type: research

Examining the Association Between Frailty and Antibody Neutralization of SARS-CoV-2: A Multisite Retrospective Cohort Study
Despite high vaccination rates, older adults are most susceptible to COVID-19 and severe disease.1 It is estimated that neutralizing antibodies provide protective immunity against symptomatic SARS-CoV-2 infection in young, healthy adults.2 Frailty is a potential modifier of vaccine immunogenicity and protective immunity in older adults.3 Prior studies with relatively small cohorts have provided mixed evidence regarding the association of frailty and SARS-CoV-2 neutralizing antibodies, with some observing frail older adults have poorer humoral immune responses to vaccinations, whereas others report no impact of frailty. (So...
Source: Journal of the American Medical Directors Association - February 5, 2024 Category: Health Management Authors: Zain Pasat, Jessica A. Breznik, Ahmad Rahim, Ali Zhang, Jann Ang, Tara Kajaks, Matthew S. Miller, Dawn M.E. Bowdish, Andrew P. Costa Tags: Research Letters Source Type: research

Patient Priorities Care Increases Long-Term Service and Support Use: Propensity Match Cohort Study
This study examined the impact of the PPC approach on long-term service and support (LTSS) use among veterans. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2024 Category: Health Management Authors: Rafael Samper-Ternent, Javad Razjouyan, Lilian Dindo, Jaime Halaszynski, Jennifer Silva, Terri Fried, Aanand D. Naik Tags: Original Study Source Type: research

Change in Provider Specialty Was Associated With Less Fluoroquinolone Use at a Veterans Affairs Long-Term Care Setting
In July 2021, as part of a planned multiyear broad and long-term organizational realignment, the general medicine service assumed continuous care of residents at a Community Living Center (CLC), which are nursing homes within the Veterans Affairs (VA) health care system. We hypothesized that practitioners accustomed to caring for patients in acute care would be more likely to prescribe antibiotics to long-term care residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2024 Category: Health Management Authors: Taissa A. Bej, Brigid M. Wilson, Nadim El Chakhtoura, Federico Perez, Robin L.P. Jump Tags: Original Study - Brief Report Source Type: research

Bridging Hospital and Nursing Home: Collaboration for Smoother Transitions and Reduced Hospitalizations
The exigencies of managing acutely ill residents within nursing homes have led to an increase in ambulance conveyances to the emergency department. This is further compounded by a shortage of adequately trained nursing staff and on-site physicians available around the clock. An acute regional hospital, strategically located in the epicenter of nursing home facilities in Singapore, encountered this challenge on its inception in 2018 within the northeast region. In response, the institution initiated a collaboration, EAGLEcareACT (Enhancing Advance Care Planning, Geriatrics, and End-of-Life Care Acute Care Team), aimed at re...
Source: Journal of the American Medical Directors Association - February 1, 2024 Category: Health Management Authors: Chong Yau Ong, Jieru Lai, Deanna Wai Ching Lee, Jean Mui Hua Lee Tags: Pragmatic Innovations Source Type: research

Antipsychotics in Perspective: Past, Present, and Future (Article 2 of 3)
The history of antipsychotics in nursing homes is one piece of a much larger, more complex puzzle. In many ways, it reflects the virtues and limitations of the entire health care system and those who provide care. None of the issues related to the use of antipsychotics are specific to these medications or to nursing homes. After decades of effort to reduce unwarranted antipsychotics use, the current situation is still a work in progress. Many widely held assumptions and standard narratives, such as those about behavior, the place of medications in person-centered care, and the causes of inappropriate medication use are onl...
Source: Journal of the American Medical Directors Association - February 1, 2024 Category: Health Management Authors: Steven Levenson Tags: Editorial Source Type: research