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Blind Spots in Hospital Fall Prevention: Falls in Stroke Patients Occurred Not Only in Those at a High Risk of Falling
In this study, fall risk and number of falls were calculated based on patients' motor and cognitive abilities, and the relationship between the two was examined. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 15, 2023 Category: Health Management Authors: Seigo Inoue, Yohei Otaka, Naoki Mori, Daisuke Matsuura, Masahiro Tsujikawa, Michiyuki Kawakami, Kunitsugu Kondo Tags: Original Study Source Type: research

Falls Risk in Long-Term Care Residents With Cognitive Impairment: Effects of COVID-19 Pandemic
The aim of this study was to investigate the impact of the COVID-19 pandemic on falls rates in long-term care residents with cognitive impairment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 14, 2023 Category: Health Management Authors: Gary Cheung, Kebede Beyene, Amy Hai Yan Chan, Bradley Alan Drayton, Hamish Jamieson, Mataroria Lyndon, Joanna Hikaka, Etuini Ma'u, Brigette Meehan, Xaviour Walker, Claudia Rivera-Rodriguez Tags: Original Study Source Type: research

Profile of Older Dual-Enrollees Living in Areas With Managed Long-Term Services and Supports
Nearly half of all state Medicaid agencies in the United States have implemented managed long-term services and supports (MLTSS). Data gaps have inhibited our understanding of MLTSS experiences to date. We draw on a national survey with novel data linkages to develop a profile of older dual-enrollees with significant LTSS needs by MLTSS program presence. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 13, 2023 Category: Health Management Authors: Andrew D. Jopson, Chanee D. Fabius, Karen Shen, Katherine A. Ornstein, Jennifer L. Wolff Tags: Original Study Source Type: research

SED by AD? Prepare to Respect the Person Here and Now
In a recent issue of JAMDA, Haimowitz and Pope applaud the decision of AMDA to retire its 2019 Statement on Stopping Eating and Drinking by Advance Directives (SED by AD).1 Their criticism of the 2019 paper is based largely on their characterizing it as advocating for “hard paternalism,” placing the clinician's idea of beneficence above patient autonomy.1,2 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 13, 2023 Category: Health Management Authors: Peter L. Jaggard Tags: Letter to the Editor Source Type: research

Survival After Wait-and-See Approach in Older Patients With Unexplained Iron Deficiency Anemia in Primary Care: A Practice Evaluation
Guidelines recommend upper and lower gastrointestinal endoscopic evaluation for patients without a clear physiological explanation for iron deficiency anemia (IDA). However, the consequences of watchful waiting in older patients with unexplained IDA in general practice are unknown. The aim of this study was to investigate characteristics and survival of patients with an unexplained IDA in general practice who refrain from medical specialist evaluation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 13, 2023 Category: Health Management Authors: Thea C. Heil, Maartje van Oostrum, Elodie Holwerda, Mariken E. Stegmann, Barbara C. van Munster, Daan Brandenbarg Tags: Original Study - Brief Report Source Type: research

Focusing on Provider Quality Measurement: Continued Consensus and Feasibility Testing of Practice-Based Quality Measures for Primary Care Providers in Long-Term Care
Medical providers in long-term care (LTC) use a unique skillset in delivering comprehensive resident care. Publicly reported quality measures (QMs) do not directly emphasize medical provider competency and their role in care. The impact of providers is understudied and to a large extent, unknown. Our objective was to define, test, and validate QMs to pragmatically measure the practice-based quality of medical providers in a pilot study. We included 7 North American LTC homes with data from practicing medical providers for LTC residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 12, 2023 Category: Health Management Authors: Darly Dash, Andrea Moser, Sid Feldman, Debra Saliba, Innokentiy Bakaev, Martin Smalbrugge, Beno ît Robert, Jurgis Karuza, George Heckman, Paul R. Katz, Andrew P. Costa Tags: Special Article Source Type: research

Predicting 60-Day Mortality in a Home-Care Service: Development of a New Inter-RAI 49-Frailty Index in Patients With Chronic Disease and Without a Cancer Diagnosis
The objective of this study was to develop a new FI to predict the 60-day risk of death or transition to a PHC service after the initiation of an HC service in patients with chronic disease and without a cancer diagnosis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 8, 2023 Category: Health Management Authors: Alessandro Morandi, Antonella Zambon, Matteo Crippa, Massimo Re, Luca Riva, Fabio Lombardi, Paolo Mazzola, Gianlorenzo Scaccabarozzi, Giuseppe Bellelli Tags: Original Study Source Type: research

Accountable Care Organization Attribution and Post-Acute Skilled Nursing Facility Outcomes for People Living With Dementia
We examined SNF length of stay (LOS) and outcomes among ACO-attributed and non –ACO-attributed ADRD patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 8, 2023 Category: Health Management Authors: Julie P.W. Bynum, Ana Montoya, Emily J. Lawton, Jason B. Gibbons, Mousumi Banerjee, Jennifer Meddings, Edward C. Norton Tags: Original Study Source Type: research

Fatal Complication of Mouthguard Used to Treat Awake Bruxism in Patient With Frontotemporal Dementia
This report presents a patient suffering from awake bruxism associated with frontotemporal dementia being treated with a mouthguard, which ultimately becomes lodged in her posterior oropharynx leading to asphyxiation. The case highlights the need for investigation into the occurrence and treatment of awake bruxism among patients with dementia, and the unique risk-benefit analysis that must be performed to develop proper treatment plans for patients with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 8, 2023 Category: Health Management Authors: Rachel C. Kimura, Daniel J. Brauner, Joyce L. deJong, Jenelle H. Lee Tags: Controversies in Care Source Type: research

The Utility of Low-Dose Methadone for Pain Among Vulnerable Nursing Home Residents
Pain is a prevalent issue in nursing homes, and opioids are usually indicated after other nonopioid modalities fail. Because the pain is often persistent, and the resident would not ask for enough analgesics because of various reasons, including cognitive impairment, it is generally indicated to administer opioids around the clock.1 Thus, long-acting opioids are useful in that regard. However, there is a notable limitation in effective and safe long-acting formulation for nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 8, 2023 Category: Health Management Authors: Takeshi Uemura Tags: Research Letters Source Type: research

COVID-19 Infection and Mortality in State Veterans Homes: A Multilevel Approach
Some state veterans homes (SVHs) received media attention in the wake of the COVID-19 pandemic because of allegations of poor infection control and excess mortality. However, little research has investigated how these facilities differ from community nursing homes (CNHs) and what the geographical trends of these infection and mortality differences are. We aimed to test (1) whether infection was overall lower in SVHs than CNHs, (2) whether mortality was overall lower in SVHs than CNHs, as well as the geographic distribution of nursing home infection and mortality across the United States. (Source: Journal of the American Me...
Source: Journal of the American Medical Directors Association - December 8, 2023 Category: Health Management Authors: Stephen Frochen, W. Neil Steers, Tamar Wyte-Lake, Debra Saliba, Aram Dobalian Tags: Original Study Source Type: research

Built Environment and SARS-CoV-2 Transmission in Long-Term Care Facilities: Cross-Sectional Survey and Data Linkage
To describe the built environment in long-term care facilities (LTCF) and its association with introduction and transmission of SARS-CoV-2 infection. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 5, 2023 Category: Health Management Authors: Maria Krutikov, Oliver Stirrup, Chris Fuller, Natalie Adams, Borscha Azmi, Aidan Irwin-Singer, Niyathi Sethu, Andrew Hayward, Hector Altamirano, Andrew Copas, Laura Shallcross Tags: Original Study Source Type: research

Status of Vision and Eye Care Among Patients in Rehabilitation Hospital Units: A Cross-Sectional Study
The prevalence of vision disorders is high among geriatric and hospital inpatient populations, yet they often go undetected, resulting in consequences such as falls or prolonged recovery time. A needs assessment study was conducted to investigate levels of vision and the potential prevalence of unmanaged/undiagnosed ocular disorders among adult inpatients in a hospital-based rehabilitation unit. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 2, 2023 Category: Health Management Authors: Amritha Stalin, Abhishek Narayan, Tammy Labreche, Shamroz é Khan, Andre Stanberry, Lisa W.T. Christian, Susan J. Leat Tags: Original Study Source Type: research

Using EQ-5D for Proxy Assessment of Health-Related Quality of Life in Residential Care Facilities: A Systematic Review of Feasibility and Psychometric Properties
The accurate assessment of Health-Related Quality of Life (HRQoL) in residents of residential care facilities (RCF) necessitates the use of proxy-reported instruments that possess robust psychometric properties. Generally, these instruments are modified versions of self-reported tools, with adjustments made to pronouns and instructions to better suit the respondent. Among such tools, the EQ-5D has emerged as a prominent instrument for evaluating HRQoL within RCF settings. This review aimed to synthesize evidence on psychometric properties of the proxy version of EQ-5D. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 30, 2023 Category: Health Management Authors: Ling Jie Cheng, Lidia Engel, Le Ann Chen, Sonia Zhi Yi Soh, Gerald Choon-Huat Koh, Nan Luo Tags: Review Article Source Type: research

Letter to the Editor From Zhang et  al: Preoperative Serum Calcium Level Predicts Postoperative Mortality in Older Adult Patients With Hip Fracture: A Prospective Cohort Study of 2333 Patients
We are writing to articulate certain concerns and offer supplementary context regarding the research conducted by Dong-Yang Li et  al.1 Their study concludes that the preoperative serum calcium level is nonlinearly associated with mortality in older adults with hip fractures, revealing a U-shaped relationship, and suggests its potential utility as a prognostic predictor. Although this study undoubtedly enriches our understand ing of this pivotal subject matter, I contend that it may benefit from further deliberation and elucidation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 30, 2023 Category: Health Management Authors: Ying Zhang, Qin Wang Tags: Letter to the Editor Source Type: research