Policy to Reduce Antipsychotic Use and Hospitalization of Nursing Home Residents With Dementia
The objective of this study is to examine changes in hospitalizations for NH long-stay residents with ADRD after the launch of the National Partnership. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 8, 2020 Category: Health Management Authors: Sijiu Wang, Helena Temkin-Greener, Yeates Conwell, Shubing Cai Tags: Original Study Source Type: research

Addressing rehabilitation needs during a pandemic: solutions to reduce burden on acute and post-acute care
During a pandemic, Physical Therapy (PT) is key to address isolation-related functional declines to reduce unnecessary hospitalizations. Public health awareness, telehealth, and safe models of in-person care can enhance PT access. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 7, 2020 Category: Health Management Authors: Allison M. Gustavson, Margaret K. Danilovich, Rachel Lessem, Jason R. Falvey Tags: Letter to the Editor Source Type: research

Temperature in Nursing Home Residents Systematically Tested for SARS-CoV-2
Older nursing home residents with SARS-CoV-2 increase temperature beginning 1 week prior to testing. The increase in temperature does not meet fever threshold of 38.0 °C. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 7, 2020 Category: Health Management Authors: James L. Rudolph, Christopher W. Halladay, Malisa Barber, Kevin McCongehy, Vince Mor, Aman Nanda, Stefan Gravenstein Tags: Original Studies Source Type: research

Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study
Outcomes of frail older adults hospitalized for COVID-19, particularly long-term care residents, remain unclear. In this retrospective cohort, frailty predicted mortality independently of age or established biomarkers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 7, 2020 Category: Health Management Authors: Robert De Smet, Bea Mellaerts, Hannelore Vandewinckele, Peter Lybeert, Eric Frans, Sara Ombelet, Wim Lemahieu, Rolf Symons, Erwin Ho, Johan Frans, Annick Smismans, Micha ël R. Laurent Tags: Original Study - Brief Report Source Type: research

Number of Pregnancies and Trajectory of Frailty Index: English  Longitudinal Study of Ageing
The objective of this study was to examine trajectories of Frailty Index over time according to the number of pregnancies. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 6, 2020 Category: Health Management Authors: Gotaro Kojima, Kohei Ogawa, Steve Iliffe, Yu Taniguchi, Kate Walters Tags: Original Study Source Type: research

Skilled Nursing Facility Characteristics Associated With Financially Motivated Therapy and Relation to Quality
In October 2019, the Centers for Medicare& Medicaid Services (CMS) implemented a new payment model for skilled nursing facilities (SNFs) that eliminated financial incentives to provide high-intensity therapy. Yet high-intensity therapy in SNFs has been linked to better quality outcomes, potentially putting patients at risk if clinically indicated therapy is reduced under the new payment model. A metric to help differentiate between financially motivated vs clinically indicated therapy in SNFs is thresholding: the percentage of patients receiving therapy within 10  minutes of reimbursement thresholds. (Source: Jour...
Source: Journal of the American Medical Directors Association - June 5, 2020 Category: Health Management Authors: Rachel A. Prusynski, Bianca K. Frogner, Arati D. Dahal, Susan M. Skillman, Tracy M. Mroz Tags: Original Study Source Type: research

COVID-19 Impact in Community Care —A Perspective on Older Persons With Dementia in Singapore
The health and care of our vulnerable older persons with dementia (PWDs) have been inadvertently compromised by general measures taken to protect our community. On April 3, 2020, the Singapore government enforced social distancing measures and compulsory mask-wearing.1 The Silver Generation Office reinforced these measures to cognitively impaired older people with home visits.2 An ongoing initiative, “Support for Persons Living With Dementia Over the COVID-19 Period (SPOC-19),” organized by the Alzheimer's Disease Association (ADA) and the Agency for Integrated Care, provides memos to appeal for waiver of monet...
Source: Journal of the American Medical Directors Association - June 4, 2020 Category: Health Management Authors: Nydia C. Rais, Lydia Au, Melanie Tan Tags: Letter to the Editor Source Type: research

Reducing Social Isolation of Seniors during COVID-19 through Medical Student Telephone Contact
During COVID-19 quarantine, M1 students phoned seniors,in LTCFs, to conduct social histories and reduce social isolation with results showing bi-directional benefit to both students/seniors and a feasible pragmatic intervention. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 4, 2020 Category: Health Management Authors: Emma E. Office, Marissa S. Rodenstein, Tazim S. Merchant, Tricia Rae Pendergrast, Lee A. Lindquist Tags: Pragmatic Innovations Source Type: research

COVID-19 Impact in Community Care – A Perspective on Older Persons with Dementia in Singapore.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 4, 2020 Category: Health Management Authors: Nydia C. Rais, Lydia Au, Melanie Tan Tags: Letter to the Editor Source Type: research

Physical Activity and Exercise for Older People During and After the Coronavirus Disease 2019 Pandemic: A Path to Recovery
The current Coronavirus Disease 2019 (COVID-19) pandemic has disproportionately impacted older people. The most immediately obvious impact is the devastatingly high mortality rate; 80% of reported mortalities in the United States are in people over the age of 65,  and case-fatality increases with age.1 Countries around the world have implemented a range of “lock down”’ and “‘social distancing” strategies to limit the spread of COVID-19, which have undoubtedly been essential in “flattening the curve” in many countries. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2020 Category: Health Management Authors: Catherine M. Said, Frances Batchelor, Gustavo Duque Tags: Editorial Source Type: research

COVID-19 Preparedness in US Home Health Care Agencies
In the United States, home health agencies (HHAs) provide essential services for patients recovering from post-acute care and older adults who are aging in place. During the COVID-19 pandemic, HHAs may face additional challenges caring for these vulnerable patients. Our objective was to explore COVID-19 preparedness of US HHAs and compare results by urban/rural location. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2020 Category: Health Management Authors: Jingjing Shang, Ashley M. Chastain, Uduwanage Gayani E. Perera, Denise D. Quigley, Caroline J. Fu, Andrew W. Dick, Monika Pogorzelska-Maziarz, Patricia W. Stone Tags: Original Study - Brief Report Source Type: research

A Structured Tool for Communication and Care Planning in the Era of the COVID-19 Pandemic
We present an advance care communication& planning tool for long-term care residents with COVID-19 infection that supports shared decision making between the clinician, resident and their family. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2020 Category: Health Management Authors: Swati Gaur, Naushira Pandya, Ghinwa Dumyati, David A. Nace, Kaylesh Pandya, Robin L.P. Jump Tags: Pragmatic Innovations Source Type: research

Physical activity and exercise for older people during and after the COVID-19 pandemic: A path to recovery
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2020 Category: Health Management Authors: Catherine M. Said, Frances Batchelor, Gustavo Duque Source Type: research

COVID-19 Preparedness in U.S. Home Healthcare Agencies
This survey of U.S. home health agencies identified specific challenges that agencies are having, as well as mitigating strategies they are using, while providing care to patients in their homes during the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2020 Category: Health Management Authors: Jingjing Shang, Ashley M. Chastain, Uduwanage Gayani E. Perera, Denise D. Quigley, Caroline J. Fu, Andrew W. Dick, Monika Pogorzelska-Maziarz, Patricia W. Stone Tags: Original Study - Brief Report Source Type: research

Development and Validation of a Nomogram for Predicting the 6-Year Risk of Cognitive Impairment Among Chinese Older Adults
Although some people with mild cognitive impairment may not suffer from dementia lifelong, about 5% of them will progress to dementia within 1  year in community settings. However, a general tool for predicting the risk of cognitive impairment was not adequately studied among older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 2, 2020 Category: Health Management Authors: Jinhui Zhou, Yuebin Lv, Chen Mao, Jun Duan, Xiang Gao, Jiaonan Wang, Zhaoxue Yin, Wanying Shi, Jiesi Luo, Qi Kang, Xiaochang Zhang, Yuan Wei, Virginia Byers Kraus, Xiaoming Shi Tags: Original Study Source Type: research

The Trend of Aggressive Treatments in End-of-Life Care for Older People With Dementia After a Policy Change in Taiwan
We evaluated the trend of end-of-life healthcare utilization and life-sustaining interventions for older adults with dementia 3 to 4  years after the change in hospice policy. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 1, 2020 Category: Health Management Authors: Ying Hsin Hsu, Ming Yueh Chou, Hsiu-Min Chen, Wei-Cheng Cheng, Che Sheng Chu, Yu-Chun Wang, Chiao-Lin Hsu, Chih-Kuang Liang, Ching-Chih Lee, Yu Te Lin Tags: Original Study Source Type: research

Policy Recommendations Regarding Skilled Nursing Facility Management of Coronavirus 19 (COVID-19): Lessons from New York State
To provide policy recommendations for managing Coronavirus 19 (COVID-19) in skilled nursing facilities, a group of certified medical directors from several facilities in New York state with experience managing the disease used e-mail, phone, and video conferencing to develop consensus recommendations. The resulting document provides recommendations on screening, protection of staff, screening of residents, management of Coronavirus 19 positive and presumed positive cases, communication during an outbreak, management of admissions and readmissions, and providing emotional support for staff. (Source: Journal of the American ...
Source: Journal of the American Medical Directors Association - May 31, 2020 Category: Health Management Authors: Paula E. Lester, Timothy Holahan, David Siskind, Elaine Healy Tags: Special Article Source Type: research

Health Outcomes of Immigrants in Nursing Homes: A Population-Based Retrospective Cohort Study in Ontario, Canada
Older adults account for a significant portion of Canadian immigrants, yet characteristics and health outcomes of older immigrants in nursing homes have not been studied. We aimed to describe the prevalence of immigrants living in nursing homes, their characteristics, and their hospitalization and mortality rates compared to long-term residents in the first year of entry to nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 2020 Category: Health Management Authors: Ahwon Jeong, Julie Lapenskie, Robert Talarico, Amy T. Hsu, Peter Tanuseputro Tags: Original Study Source Type: research

Individualized Medication Management in Ontario Long-Term Care Clinical Impact on Management of Depression, Pain, and Dementia
Assess the potential benefits of identifying drug-gene interactions in nursing home (NH) residents on multiple medications. Reduce the use of high-risk medications for residents with reduced drug metabolism. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 2020 Category: Health Management Authors: Ruslan Dorfman, Zana London, Mark Metias, Boyko Kabakchiev, Gouri Mukerjee, Andrea Moser Tags: Original Study Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 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 - May 31, 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 - May 31, 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 - May 31, 2020 Category: Health Management Source Type: research

The Increasingly Global Nature of Research in Aging
As the world's population ages and services for older persons occupy an increasing share of governmental resources, it has become increasingly urgent to understand and address the needs of this growing demographic.1 Of particular interest are older persons who require post-acute and long-term care, because they epitomize the challenges of caring for an aging society —functional loss, social isolation, geriatric syndromes, multimorbidity, most intense use of health services, highest risk of morbidity and mortality, and maximum likelihood of both benefit and harm from health care. (Source: Journal of the American Medic...
Source: Journal of the American Medical Directors Association - May 31, 2020 Category: Health Management Authors: Philip D. Sloane, Sheryl Zimmerman Tags: Editorial Source Type: research

Policy Recommendations regarding Skilled Nursing Facility Management of COVID-19: Lessons From New York State
To provide policy recommendations for managing COVID-19 in Skilled Nursing Facilities (SNFs), a group of certified medical directors from several facilities in New York state with experience managing the disease used email, phone, and video conferencing to develop consensus recommendations. The resulting document provides recommendations on screening, and protection of staff, screening of residents, management of COVID-19 positive and presumed positive cases, communication during an outbreak, management of admissions and readmissions, and providing emotional support for staff. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 2020 Category: Health Management Authors: Paula E. Lester, Timothy Holahan, David Siskind, Elaine Healy Tags: Special Article Source Type: research

A Canadian Cohort Study to Evaluate the Outcomes Associated with a Multicenter Initiative to Reduce Antipsychotic Use in Long-Term Care Homes
To evaluate the impact of a multicenter intervention to reduce potentially inappropriate antipsychotic use in Canadian nursing homes at the individual and facility levels. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 30, 2020 Category: Health Management Authors: John P. Hirdes, Jennifer Major, Selma Didic, Christine Quinn, Lori Mitchell, Jonathan Chen, Micaela Jantzi, Kaye Phillips Tags: Original Study Source Type: research

Maintaining Zero Coronavirus Disease 2019 Infection Among Long-Term Care Facility Residents in Hong Kong
During the novel coronavirus disease 2019 (COVID-19) pandemic, older adults are a particularly vulnerable group with higher mortality.1 In long-term care facilities (LTCFs), the risk of serious outbreaks is great given a higher prevalence of dementia and potential poor resident compliance with infection control measures such as hand hygiene and wearing of surgical masks.2,3 Transmission from infected healthcare workers in LCTFs have led to disastrous outbreaks.2 Hong Kong recorded its first confirmed case of COVID-19 on January 23, 2020. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 28, 2020 Category: Health Management Authors: Yat-Fung Shea, Ho Yeung Lam, Jacqueline Kwan Yuk Yuen, Ka Chun Adrian Cheng, Tuen Ching Chan, Wing Yee Winnie Mok, Ka Chun Patrick Chiu, Ka Hay James Luk, Hon Wai Felix Chan, Community Geriatrics Assessment Team of Hong Kong West Cluster Tags: Research Letter Source Type: research

Maintaining zero COVID-19 infection among long term care facility residents in Hong Kong
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 28, 2020 Category: Health Management Authors: Yat-Fung Shea, Ho Yeung Lam, Jacqueline Kwan Yuk Yuen, Ka Chun Adrian Cheng, Tuen Ching Chan, Wing Yee Winnie Mok, Ka Chun Patrick Chiu, Ka Hay James Luk, Hon Wai Felix Chan Tags: Research Letters Source Type: research

Asymptomatic Spread of COVID-19 in 97 Patients at a Skilled Nursing Facility
This point-prevalence investigation of all residents at a single nursing home found a 54% infection rate in this reportedly asymptomatic population. Prior to testing no confirmed or suspected cases had been reported. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 28, 2020 Category: Health Management Authors: Scott A. Goldberg, Charles T. Pu, Ryan W. Thompson, Eden Mark, Thomas D. Sequist, David C. Grabowski Tags: Research Letters Source Type: research

Effect of Sit-to-Stand Exercises Combined With Protein-Rich Oral Supplementation in Older Persons: The Older Person's Exercise and Nutrition Study
Nursing home (NH) residents are often undernourished and physically inactive, which contributes to sarcopenia and frailty. The Older Person's Exercise and Nutrition Study aimed to investigate the effects of sit-to-stand exercises (STS) integrated into daily care, combined with a protein-rich oral nutritional supplement (ONS), on physical function, nutritional status, body composition, health-related quality of life, and resource use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 25, 2020 Category: Health Management Authors: Helena Gr önstedt, Sofia Vikström, Tommy Cederholm, Erika Franzén, Yvette C. Luiking, Åke Seiger, Anders Wimo, Gerd Faxén-Irving, Anne-Marie Boström Tags: Original Studies Source Type: research

The Effect of Age on Mortality in Patients With COVID-19: A Meta-Analysis With 611,583 Subjects
Initial data on COVID-19 infection has pointed out a special vulnerability of older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Clara Bonanad, Sergio Garc ía-Blas, Francisco Tarazona-Santabalbina, Juan Sanchis, Vicente Bertomeu-González, Lorenzo Fácila, Albert Ariza, Julio Núñez, Alberto Cordero Tags: Original Study - Brief Report Source Type: research

Neuropsychiatric Symptoms as Predictors of Falls in Long-Term Care Residents With Cognitive Impairment
Falls and neuropsychiatric symptoms (NPS) are common among long-term care residents with cognitive impairment. Despite the high prevalence of falls and NPS, little is known about their association. The aim of our study was to explore how NPS, particularly the severity of NPS and specific NPS subgroups, are associated with falls and how psychotropics modify this association. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Hanna-Maria Roitto, Hannareeta Öhman, Karoliina Salminen, Hannu Kautiainen, Jouko Laurila, Kaisu H. Pitkälä Tags: Original Studies Source Type: research

The effect of age on mortality in patients with Covid-19: a metanalysis with 611,583 subjects
fatality of covid-19 increases exponentially with age and octogenarians have more than 6-fold higher risk of death. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Clara Bonanad, Sergio Garc ía-Blas, Francisco Tarazona-Santabalbina, Juan Sanchis, Vicente Bertomeu-González, Lorenzo Fácila, Albert Ariza, Julio Núñez, Alberto Cordero Tags: Original Study - Brief Report Source Type: research

Using remote interventions in promoting the health of frail older persons following the COVID-19 lockdown: challenges and solutions
In light of the Covid-19 pandemic, many older people across the world are being asked to self-isolate to protect their health. This has led to a rapid reconfiguration of health promotion services, which are diverse in focus, and may include exercise, dietary interventions or psychosocial interventions, towards remote delivery, for example by phone or using computers. Whilst currently they are unable to be safely delivered any other way, there are concerns that these remote interventions may replace face-to-face interventions beyond the end of social restrictions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Rachael Frost, Danielle Nimmons, Nathan Davies Tags: Letter to the Editor Source Type: research

COVID-19 collaborative model for an academic hospital and long-term care facilities
GERI-PaL supports PA/LTC facilities in COVID-19 pandemic through: Project ECHO; Nursing liaisons; Infection advisory consultation; Telemedicine consultation; and Resident social remote connections. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Laurie R. Archbald-Pannone, Drew A. Harris, Kimberly Albero, Rebecca L. Steele, Aaron F. Pannone, Justin B. Mutter Tags: Pragmatic Innovations Source Type: research

Heat maps for surveillance and prevention of COVID-19 spread in nursing homes and assisted living facilities
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Gil Caspi, Jacob Chen, Sigal Liverant-Taub, Avi Shina, Oren Caspi Tags: Letter to the Editor Source Type: research

COVID-19 Highlights the Need for Trained Social Workers in Nursing Homes
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Mercedes Bern-Klug, Elise Beaulieu Source Type: research

Point-of-care chest ultrasonography as a diagnostic resource for COVID-19 outbreak in nursing homes
This study shows the possible use of bedside chest ultrasonography as a screening tool for COVID-19 pneumonia in nursing home residents, for early detection of outbreaks and adequate management. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2020 Category: Health Management Authors: Antonio Nouvenne, Andrea Ticinesi, Alberto Parise, Beatrice Prati, Marcello Esposito, Valentina Cocchi, Emanuele Crisafulli, Annalisa Volpi, Sandra Rossi, Elena Giovanna Bignami, Marco Baciarello, Ettore Brianti, Massimo Fabi, Tiziana Meschi Tags: Original Study - Brief Report Source Type: research

The Negative Impact of Psychotropic Drug Use on Quality of Life in Nursing Home Patients at Different Stages of Dementia: Cross-Sectional Analyses from the COSMOS Trial
The quality of life (QoL) in nursing home (NH) patients with dementia is threatened by neuropsychiatric symptoms. This may trigger the use of psychotropic drugs, yet it is unknown if this practice improves the QoL. We investigated the association between the number of psychotropic drugs and QoL at different stages of dementia, adjusted for neuropsychiatric symptoms. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 23, 2020 Category: Health Management Authors: Erika Ito, Line Iden Berge, Bettina S. Husebo, Rui Nouchi, Reidun K.N.M. Sandvik Tags: Original Study Source Type: research

Providing Simultaneous COVID-19 –sensitive and Dementia-Sensitive Care as We Transition from Crisis Care to Ongoing Care
As of April 29, 2020, more than 3 million COVID-19 cases and 217,183 associated deaths have been counted worldwide.1 Entire national populations are still under restrictive measures for social distancing and self-isolation. Encouragingly, recent epidemiological data show that the epidemic curve seems to have entered into a plateauing/descending phase in most of the affected countries. Accordingly, national and local administrators have started reasoning about the post-emergency phase (or the so-called “phase 2”), that is, the set of measures that should allow the country to gradually return to a condition of &l...
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Marco Canevelli, Giuseppe Bruno, Matteo Cesari Tags: Editorial Source Type: research

Use of gerontechnology to assist older adults to cope with the COVID-19 pandemic
The public health measures associated COVID-19 have induced many challenges for older adults, caregivers, and healthcare providers. Gerontechnology –such as information and communication technologies, robots, telehealth, wearable technologies, remote sensors, and Internet of Things–can assist older people and caregivers to cope with the pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Ke CHEN Tags: Letter to the Editor Source Type: research

Overcoming the Challenge of Family Separation from Nursing Home Residents during COVID-19
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Marcus D. Ruopp Tags: Letter to the Editor Source Type: research

Covid-19: Decisions to offer interventions with limited availability should be decided based on chance of recovery.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Pasquale Gallina, Marco Ricci, Marcello Pera Tags: Letter to the Editor Source Type: research

Providing simultaneous COVID-19-sensitive and dementia-sensitive care as we transition from crisis care to ongoing care
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Marco Canevelli, Giuseppe Bruno, Matteo Cesari; Source Type: research

Essential Family Caregivers in Long-term Care during the COVID-19 Pandemic
In the months stretching out ahead of us in the prevention of COVID-19, we must keep our residents safe from the risk of circulating virus, but we also must promote person-centered geriatric care allowing family presence as essential care partners. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Jeffrey D. Schlaudecker Tags: Letter to the Editor Source Type: research

Sarcopenic Obesity Is Associated With Activities of Daily Living and Home Discharge in Post-Acute Rehabilitation
The aim of this study was to evaluate the effect of sarcopenic obesity on activities of daily living and home discharge rates in adults undergoing convalescent rehabilitation. In addition, we evaluated diagnostic criteria for sarcopenic obesity to predict outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 19, 2020 Category: Health Management Authors: Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Takahiro Bise, Sayuri Shimazu, Mai Kudo, Ai Shiraishi Tags: Original Study Source Type: research

Psychometric Properties of the National Institute of Neurological Disorders and Stroke and Canadian Stroke Network Neuropsychological Battery in an Asian Older Adult Sample
Despite the wide usage of the National Institute of Neurological Disorders and Stroke and Canadian Stroke Network (NINDS-CSN) neuropsychological battery for the detection of vascular cognitive impairment, its reliability and validity have not been established. Therefore, the present study established the psychometric properties of the battery in cognitively normal older adults in a clinical setting in Singapore. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 18, 2020 Category: Health Management Authors: Kimberly A. Chew, Eddie J.Y. Chong, Christopher L.H. Chen, Xin Xu Tags: Original Study - Brief Report Source Type: research

Continuing chronic disease care during covid-19 and beyond
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 15, 2020 Category: Health Management Authors: Wei-Zhen HONG, Gek-Cher CHAN, Horng-Ruey CHUA Tags: Letter to the Editor Source Type: research

Association of Deprescribing With Reduction in Mortality and Hospitalization: A Pragmatic Stepped-Wedge Cluster-Randomized Controlled Trial
Deprescribing has gained awareness recently, but the clinical benefits observed from randomized trials are limited. The aim of this study was to examine the effectiveness of a pharmacist-led 5-step team-care deprescribing intervention in nursing homes to reduce falls (fall risks and fall rates). Secondary aims include reducing mortality, number of hospitalized residents, pill burden, medication cost, and assessing the deprescribing acceptance rate. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 14, 2020 Category: Health Management Authors: Chong-Han Kua, Cindy Ying Ying Yeo, Poh Ching Tan, Cheryl Wai Teng Char, Cheryl Wei Yan Tan, Vivienne Mak, Ian Yi-Onn Leong, Shaun Wen Huey Lee Tags: Original Study Source Type: research

Interventions to Improve Clinical Outcomes in Older Adults Admitted to a Surgical Service: A Systematic Review and Meta-analysis
Managing older patients with surgical conditions is a major challenge for hospitals. There is therefore a growing interest in providing geriatric perioperative services. The aim of this systematic review and meta-analysis was to characterize and assess the impact of targeted perioperative geriatric interventions on clinical outcomes of older adults admitted to nonorthopedic surgical teams. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 13, 2020 Category: Health Management Authors: Janani Thillainadesan, Minna F. Yumol, Sarah Hilmer, Sarah J. Aitken, Vasi Naganathan Tags: Review Article Source Type: research