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

There's a Problem With the Problem List: Incongruence of Patient Problem Information Across the Home Care Admission
Illustrate patterns of patient problem information received and documented across the home health care (HHC) admission process and offer practice, policy, and health information technology recommendations to improve information transfer. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: Paulina S. Sockolow, Kathryn H. Bowles, Natasha B. Le, Sheryl Potashnik, Yushi Yang, Carl Pankok, Claire Champion, Ellen J. Bass Tags: Original Study Source Type: research

The Efficacy and Safety of Tube Feeding in Advanced Dementia Patients: A Systemic Review and Meta-Analysis Study
The current study aimed to conduct a systematic review and meta-analysis to explore the efficacy and safety of tube feeding in patients with advanced dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: Yen-Feng Lee, Tien-Wei Hsu, Chih-Sung Liang, Ta-Chuan Yeh, Tien-Yu Chen, Nai-Ching Chen, Che-Sheng Chu Tags: Review Article Source Type: research

Challenges in Tracking and Reporting Antibiotic Use in Long-Term Care
The contemporary long-term care provider and interdisciplinary team are well aware of the recent focus on antibiotic use in their settings. Regulatory changes implemented by Centers for Medicare and Medicaid Services beginning in 2016 have required long-term care settings to look at antibiotic use in a more comprehensive way and to align their programs with the Centers for Disease Control and Prevention's Core Elements for Antibiotic Stewardship for Nursing Homes. As long-term care settings have worked to develop antibiotic stewardship programs over the past several years, there have been many discoveries about the process...
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: H. Edward Davidson, Robin L.P. Jump Tags: Special Article Source Type: research

Oral Health Among Older Adults With Complex Needs Living in the Community and in Aged Residential Care Facilities within New Zealand
To describe the oral health status and dental service use of older adults with complex needs living within the community and aged residential care (ARC) facility settings, and to determine associations between dental service utilization and sociodemographic variables. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 27, 2020 Category: Health Management Authors: Philip J. Schluter, Deborah A. Askew, Victoria A. McKelvey, Hamish A. Jamieson, Martin Lee Tags: Original Study Source Type: research

Prolonged Mechanical Ventilation: A Comparison of Patients Treated at Home Compared With Hospital Long-Term Care
To compare the characteristics of patients treated with invasive prolonged mechanical ventilation (PMV) at home or in hospital long-term care (HLTC), specifically focusing on medical and functional status, caregiver strain, 6-month outcomes, and health maintenance organization (HMO) costs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 25, 2020 Category: Health Management Authors: Jeremy M. Jacobs, Esther-Lee Marcus, Jochanan Stessman Tags: Original Study Source Type: research

Effects of Nutritional Interventions on Nutritional and Functional Outcomes in Geriatric Rehabilitation Patients: A Systematic Review and Meta-Analysis
It has been recognized that nutritional interventions play a role in improving the nutritional and functional status of older persons. This systematic review summarizes the evidence on nutritional and functional outcomes of nutritional interventions alone or in combination with physical exercise in geriatric rehabilitation patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Janneke P. van Wijngaarden, Julia Wojzischke, Claudia van den Berg, Aysun Cetinyurek-Yavuz, Rebecca Diekmann, Yvette C. Luiking, J ürgen M. Bauer Tags: Review Article Source Type: research

What Is Really Needed to Provide Effective, Person-Centered Care for Behavioral Expressions of Dementia? Guidance from The Alzheimer's Association Dementia Care Provider Roundtable
In April, 2019, the Alzheimer's Association Dementia Care Provider Roundtable convened to discuss common challenges faced when implementing person-centered, non-pharmacological practices in long-term care and other settings that provide care and programs for persons living with dementia, and to develop relevant, specific guidance from the perspective of administrative leaders from 23 long-term and community-based care provider organizations (representing home, community-based, and residential care). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Sam Fazio, Sheryl Zimmerman, Patrick J. Doyle, Emily Shubeck, Molly Carpenter, Pauline Coram, Juliet Holt Klinger, Letitia Jackson, Douglas Pace, Beth Kallmyer, Joanne Pike, members of the Alzheimer's Association Dementia Care Provider Roundtable Tags: Special Article Source Type: research

Incorporating Comprehensive Assessment Parameters to Better Characterize and Plan Rehabilitation for Persons with Chronic Obstructive Pulmonary Disease
This study aimed to identify clusters of patients with COPD based on a thorough traits assessment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Ingrid M.L. Augustin, Martijn A. Spruit, Frits M.E. Franssen, Swetlana Gaffron, Frits van Merode, Emiel F.M. Wouters Tags: Original Study Source Type: research

Antihypertensive Deprescribing in Older Adult Veterans at End of Life Admitted to Veteran Affairs Nursing Homes
We examined the incidence and factors associated with antihypertensive deprescribing. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Michelle Vu, Florentina E. Sileanu, Sherrie L. Aspinall, Joshua D. Niznik, Sydney P. Springer, Maria K. Mor, Xinhua Zhao, Mary Ersek, Joseph T. Hanlon, Walid F. Gellad, Loren J. Schleiden, Joshua M. Thorpe, Carolyn T. Thorpe Tags: Original Study Source Type: research

Home First! Identification of Hospitalized Patients for Home-Based Models of Care
To determine the proportion of hospitalized inpatients suitable for an acute and subacute home-based inpatient bed substitutive service, to examine the ability of treating teams to identify suitable patients for this service, and to examine potential barriers toward inpatients receiving home-based care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Seok M. Lim, Louis Island, Adam Horsburgh, Andrea B. Maier Tags: Original Study Source Type: research

Clustering of Behavioral Changes and Their Associations With Cognitive Decline in Older Adults
To examine (1) the clustering of reduced falls-efficacy, social withdrawal, and physical activity withdrawal in Irish adults aged 50  years and older, and (2) the concurrent and prospective associations of these clustered behaviors with cognitive decline. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Geeske Peeters, Roman Romero-Ortuno, Brian Lawlor, Rose Anne Kenny, Joanna McHugh Power Tags: Original Study Source Type: research

Direct Admission from the Emergency Department to a Subacute Care Ward: An Alternative to Acute Hospitalization
In recent years, subacute care units (SCUs) have emerged as alternatives to acute hospitalization for selected emergency department (ED) patients who might benefit from a short period of inpatient stay within a less acute setting. We developed a new protocol to directly admit selected older patients from our acute hospital's (AH) ED to the SCU of a partner community hospital, making use of our ED's short-stay ward as a transit area to overcome administrative, financial, and clinical barriers. The new protocol has removed the need for intervening stays of longer than 24  hours at our AH, reduced overall length of stay ...
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Seng Hock Ang, Barbara Helen Rosario, Ko Yen Ivan Ngeow, Xin Yu Koh, Seruwati Abdul Hamid, Foo Chin Loi, Jia Hui Xu, Subramaniam Nagasayi, Stephen Paul Wilkinson, Hsiang Peng Adrian Lee, Wai Leng Chow, Yuan Xin Christine Chen, Thulasi Chandran, Tsung Chie Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Getting to Complete and Accurate Medication Lists During the Transition to Home Health Care
Characterize the work that home health care (HHC) admission nurses complete as part of the medication reconciliation tasks, explore the impact of shared electronic medication data (interoperability) from the referral source on medication reconciliation, and highlight opportunities to enhance medication reconciliation with respect to transition in care to HHC agencies. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Claire Champion, Paulina S. Sockolow, Kathryn H. Bowles, Sheryl Potashnik, Yushi Yang, Carl Pankok, Natasha Le, Elease McLaurin, Ellen J. Bass Tags: Original Study Source Type: research

Characteristics of Patients with Late-Stage Parkinsonism who are Nursing Home Residents Compared with those Living at Home
To determine clinical characteristics and treatment complications of patients with late-stage Parkinsonism living in nursing homes compared with those living at home. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Alice Hosking, Adrianus A.L.J. Hommel, Stefan Lorenzl, Miguel Coelho, Joaquim J. Ferreira, Wassilios G. Meissner, Per Odin, Bas R. Bloem, Richard Dodel, Anette Schrag, Care of Late Stage Parkinsonism (CLaSP) Consortium Tags: Original Study Source Type: research

Social Isolation and Loneliness as Risk Factors for Grip Strength Decline Among Older Women and Men in China
The purpose of this study was to examine the relationships of social isolation and loneliness, both individually and simultaneously, on changes in grip strength among Chinese older adults and whether these relations vary by gender. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 24, 2020 Category: Health Management Authors: Bin Yu, Andrew Steptoe, Kaijun Niu, Xiaohua Jia Tags: Original Study Source Type: research

Effects of a Humanoid Companion Robot on Dementia Symptoms and Caregiver Distress for Residents in Long-Term Care
To test the effects of deploying a humanoid companion robot (Kabochan) in comparison with usual care for long-term care facilities ’ residents with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 22, 2020 Category: Health Management Authors: Ke Chen, Vivian Wei-qun Lou, Kelvin Cheng-kian Tan, Man-yi Wai, Lai-lok Chan Tags: Original Study - Brief Report Source Type: research

Factors Associated with Step Numbers in Acutely Hospitalized Older Adults: The Hospital-Activities of Daily Living Study
To determine the number of steps taken by older patients in hospital and 1  week after discharge; to identify factors associated with step numbers after discharge; and to examine the association between functional decline and step numbers after discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 22, 2020 Category: Health Management Authors: Daisy Kolk, Jesse J. Aarden, Janet L. MacNeil-Vroomen, Lucienne A. Reichardt, Rosanne van Seben, Marike van der Schaaf, Martin van der Esch, Jos W.R. Twisk, Jos A. Bosch, Bianca M. Buurman, Raoul H.H. Engelbert, Hospital-ADL Study Group Tags: Original Study Source Type: research

‘New Normal’ in Covid-19 Era: A Nursing Perspective from Thailand
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 21, 2020 Category: Health Management Authors: Joko Gunawan, Yupin Aungsuroch, Colleen Marzilli Tags: Letter to the Editor Source Type: research

Anticholinergic Burden Measures Predict Older People's Physical Function and Quality of Life: A Systematic Review
This systematic review (PROSPERO CRD42019115918) compared the evidence behind anticholinergic burden (ACB) measures and their ability to predict changes in older people's physical function and quality of life. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 20, 2020 Category: Health Management Authors: Carrie Stewart, Kaisa Yrjana, Mitrysha Kishor, Roy L. Soiza, Martin Taylor-Rowan, Terence J. Quinn, Yoon K. Loke, Phyo Kyaw Myint Tags: Review Article Source Type: research