Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 21, 2018 Category: Health Management Source Type: research

Orthostatic Hypotension and Falls in Older Adults: A Systematic Review and Meta-analysis
This study addresses the association between orthostatic hypotension and falls. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 21, 2018 Category: Health Management Authors: Arjen Mol, Phuong Thanh Silvie Bui Hoang, Sifat Sharmin, Esmee M. Reijnierse, Richard J.A. van Wezel, Carel G.M. Meskers, Andrea B. Maier Tags: Review Article Source Type: research

Condition-Specific Pamphlets to Improve End-of-life Communication in Long-term Care: Staff Perceptions on Usability and Use
This article reports findings on the usability and staff use of 5 condition- specific pamphlets of high prevalence in long-term care (LTC): dementia, heart failure, chronic obstructive pulmonary disease, renal failure, and frailty. The pamphlets were created in response to residents', families', and staff's recommendations for activating early reflections and communication about end-of-life care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 21, 2018 Category: Health Management Authors: Tamara Sussman, Sharon Kaasalainen, Eunyoung Lee, Noori Akhtar-Danesh, Patricia H. Strachan, Kevin Brazil, Robin Bonifas, Val érie Bourgeois-Guérin, Patrick Durivage, Alexandra Papaioannou, Laurel Young Tags: Original Study Source Type: research

Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Meta-analysis
Deprescribing is effective in addressing concerns relating to polypharmacy in residents of nursing homes. However, the clinical outcomes of deprescribing interventions among residents in nursing homes are not well understood. We evaluated the impact of deprescribing interventions by health care professionals on clinical outcomes among the older residents in nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 20, 2018 Category: Health Management Authors: Chong-Han Kua, Vivienne S.L. Mak, Shaun Wen Huey Lee Tags: Original Study Source Type: research

Inverse Dose-Response Relationship Between Home Health Care Services and Rehospitalization in Older Adults
(1) To examine the impact of specific services [skilled nursing (SN), physical therapy (PT), occupational therapy (OT), and home health aide (HA)] in Medicare-certified home health care (HHC) on subsequent rehospitalization among older patients during a 60-day HHC episode and (2) to test the moderating effect of functional limitation on these services. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 19, 2018 Category: Health Management Authors: Jinjiao Wang, Dianne V. Liebel, Fang Yu, Thomas V. Caprio, Jingjing Shang Tags: Original Study Source Type: research

Vitamin D Supplementation in Older Persons: Guidelines Versus Practice
Older individuals are particularly susceptible to vitamin D deficiency as a result of an age-related reduction of cholecalciferol production in the skin, limited exposure to direct sunlight, comorbidity, polypharmacy, and inadequate nutritional intake.1 A survey in Europe (SENECA) among community-dwelling older people (aged ≥80 years) without vitamin D supplementation showed that 36% of older men and 47% of older women had serum 25(OH)D concentration levels ≤30 nmol/L.2 In nursing home residents, the prevalence of vitamin D deficiency can rise to 98% to 100%. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 19, 2018 Category: Health Management Authors: Bistra I. Veleva, Monique A.A. Caljouw, Jenny T. van der Steen, Victor G.M. Chel, Mattijs E. Numans Tags: Letter to the Editor Source Type: research

Adoption of Health Information Technology Among US Nursing Facilities
The objective of this study was to estimate the nationwide prevalence of electronic health record (EHR) adoption among nursing facilities and to identify the factors associated with adoption. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 19, 2018 Category: Health Management Authors: Joshua R. Vest, Hye-Young Jung, Kevin Wiley, Harold Kooreman, Lorren Pettit, Mark A. Unruh Tags: Original Study Source Type: research

Predicting Future Health Transitions Among Newly Admitted Nursing Home Residents With Heart Failure
To understand how a heart failure diagnosis and admission health instability predict health transitions and outcomes among newly admitted nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 17, 2018 Category: Health Management Authors: George A. Heckman, John P. Hirdes, Paul C. H ébert, Anne Morinville, Andre C.K.B. Amaral, Andrew Costa, Robert S. McKelvie Tags: Original Study Source Type: research

Nutritional Status, Body Mass Index, and the Risk of Falls in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
To evaluate the association between nutritional status, defined on the basis of a multidimensional evaluation, and body mass index (BMI) with the risk of falls and recurrent falls in community-dwelling older people. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 13, 2018 Category: Health Management Authors: Caterina Trevisan, Alessio Crippa, Stina Ek, Anna-Karin Welmer, Giuseppe Sergi, Stefania Maggi, Enzo Manzato, Jennifer W. Bea, Jane A. Cauley, Evelyne Decullier, Vasant Hirani, Michael J. LaMonte, Cora E. Lewis, Anne-Marie Schott, Nicola Orsini, Debora Ri Tags: Review Article Source Type: research

Improving Antimicrobial Prescribing: A Multinomial Model Identifying Factors Associated With First- and Second-Line Prescribing
This study compares prescribing practices and identifies potential influencing factors for first- and second-line antimicrobials in long-term care facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 13, 2018 Category: Health Management Authors: Meera Tandan, Karen Burns, Helen Murphy, Sarah Hennessy, Martin Cormican, Akke Vellinga Tags: Original Study-Brief Report Source Type: research

STOP-FALLING: A Simple Checklist Tool for Fall Prevention in a Nursing Facility
The objective of this study was to determine feasibility and adherence of the checklist, and to determine whether STOP-FALLING reduces total number of falls, frequent fallers, and fall-relate d injuries.This is a quality improvement demonstration project comparing the effect on falls 3 months before and 3 months after introducing a STOP-FALLING checklist. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 11, 2018 Category: Health Management Authors: Supakanya Wongrakpanich, Katalin Danji, Lewis Lipsitz, Sarah Berry Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Effect of 800 IU Versus 2000 IU Vitamin D3 With or Without a Simple Home Exercise Program on Functional Recovery After Hip Fracture: A Randomized Controlled Trial
To evaluate 2 simple strategies, vitamin D3 and a home exercise program, in functional recovery during the first year after hip fracture. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 11, 2018 Category: Health Management Authors: Jerra Stemmle, Alex Marzel, Patricia O. Chocano-Bedoya, E. John Orav, Bess Dawson-Hughes, Gregor Freystaetter, Andreas Egli, Robert Theiler, Hannes B. Staehelin, Heike A. Bischoff-Ferrari Tags: Original Study Source Type: research

Pro Re Nata Drug Use in Nursing Home Residents: A Systematic Review
In addition to routinely administered long-term medication, complex drug regimens of nursing home residents often include as needed or pro re nata (PRN) medication. However, there has been no systematic evaluation of the frequency and concomitants of PRN medication in nursing homes. The main objective of this systematic review was to provide a current assessment of PRN drug use in nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 11, 2018 Category: Health Management Authors: Michael D örks, Katharina Allers, Falk Hoffmann Tags: Review Article Source Type: research

Similarity of Repeated Falls in Older Long-Term Care Residents: Do the Circumstances of Past Falls Predict Those of Future Falls?
More than 30% of older adults in the community and 60% in long-term care (LTC) will fall at least once per year, and many will fall repeatedly.1 For the physician treating a patient who presents with falls, a primary goal is to develop a management strategy for preventing future falls by targeting underlying physiological, behavioral, and environmental risk factors. A seemingly essential component herein is a careful history of how past falls occurred, including the cause of imbalance and activity at time of the fall (eg, tripping while walking). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 11, 2018 Category: Health Management Authors: Kimberley S. van Schooten, Yijian Yang, Lukas Grajauskas, Stephen N. Robinovitch Tags: Research Letter Source Type: research

Older Adults' Reasons for Participating in an eHealth Prevention Trial: A Cross-Country, Mixed-Methods Comparison
To explore older adults' reasons for participating in a multinational eHealth prevention trial, and compare motivations between countries. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 9, 2018 Category: Health Management Authors: Nicola Coley, Anna Rosenberg, Tessa van Middelaar, Alexandra Soulier, Mariagnese Barbera, Juliette Guillemont, Jaap Steensma, Val érie Igier, Marjo Eskelinen, Hilkka Soininen, Eric Moll van Charante, Edo Richard, Miia Kivipelto, Sandrine Andrieu, MIND-AD Tags: Original Study Source Type: research

Burden of Oral Symptoms and Its Associations With Nutrition, Well-Being, and Survival Among Nursing Home Residents
To explore how oral problems, chewing problems, dry mouth, and swallowing difficulties cluster and whether their burden is associated with nutritional status, eating habits, gastrointestinal symptoms, psychological well-being, and mortality among institutionalized residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 9, 2018 Category: Health Management Authors: Eeva K. Lindroos, Riitta K.T. Saarela, Merja H. Suominen, Seija Muurinen, Helena Soini, Hannu Kautiainen, Kaisu H. Pitk älä Tags: Original Study Source Type: research

Associations Between Prefrailty or Frailty Components and Clinical Outcomes in Heart Failure: A Follow-up Meta-analysis
Recently, we received a letter concerning our recently published systematic review and meta-analysis on frailty and clinical outcomes in heart failure,1 to which we responded.2 It was suggested that a detailed analysis on the effects of prefrailty, and individual frailty components, on adverse outcomes in heart failure patients would provide additional insights, with which we fully agree. We now present the follow-up meta-analyses. Using the search results of our previously published meta-analysis,1 we found that 3 studies3 –5 reported prefrailty, which was defined as meeting 1 or 2 of the 5 Fried criteria,5 deficit ...
Source: Journal of the American Medical Directors Association - December 9, 2018 Category: Health Management Authors: Yunpeng Zhang, Ming Yuan, Mengqi Gong, Guangping Li, Tong Liu, Gary Tse Tags: Letter to the Editor Source Type: research

Comprehensive Tool to Assess Oral Feeding Support for Functional Recovery in Post-acute Rehabilitation
To determine the influence of the Kuchi-kara Taberu (KT) index on rehabilitation outcomes during hospitalized convalescent rehabilitation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 6, 2018 Category: Health Management Authors: Masahiro Waza, Keisuke Maeda, Chihiro Katsuragawa, Atsuko Sugita, Ryotarou Tanaka, Asako Ohtsuka, Tomo Matsui, Keiko Kitagawa, Taiki Kishimoto, Hiroko Fukui, Katsuhisa Kawai, Masahiko Yamamoto, Michio Isono Tags: Original Study Source Type: research

Sarcopenia Definitions and Their Associations With Mortality in Older Australian Women
To investigate the relationship of 4 sarcopenia definitions with long-term all-cause mortality risk in older Australian women. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 5, 2018 Category: Health Management Authors: Marc Sim, Richard L. Prince, David Scott, Robin M. Daly, Gustavo Duque, Charles A. Inderjeeth, Kun Zhu, Richard J. Woodman, Jonathan M. Hodgson, Joshua R. Lewis Tags: Original Study Source Type: research

London Transfer Project: Reducing Medication Incidents After Discharge From Hospital to Long-term Care
Long-term care (LTC) homes expressed concern that patients had experienced medication incidents after hospital discharge as a result of poor coordination of care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 4, 2018 Category: Health Management Authors: Joseph Carson, Stephanie Gottheil, Sherri Lawson, Tim Rice Tags: Original Study - Brief Report Source Type: research

A New Accurate Clinical Assessment Tool for Fear of Falling Is Needed for Older Patients
The notion of fear of falling (FOF), originally named “ptophobia”1 and presented for the first time in 1982, is defined as an association of psychobehavioral symptoms such as anxiety and fear of recurrent falling leading to an inability to walk safely on level ground. It is now widely accepted that FOF is multifactorial and multidimensional because it is found as consequence of a previous fall only in half of the cases. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 4, 2018 Category: Health Management Authors: Fr édéric Bloch Tags: Letter to the Editor Source Type: research

The Small House Model of Long-Term Care: Association With Older Adult Functioning
Culture change (CC) initiatives, focused on improving life quality for older adults and supporting empowerment for direct care staff, have become increasingly normative in long-term care, and include key components of providing a home environment: individualized, person directed care; consistent staffing; and meaningful relationships.1 Although some nursing homes undertake individual CC components, there are comprehensive models that can be adopted. For example, the small house (SH) model in a skilled nursing home is a small intentional community of older adults who need nursing care and help with daily activities. (Source...
Source: Journal of the American Medical Directors Association - November 28, 2018 Category: Health Management Authors: Joann P. Reinhardt, Verena R. Cimarolli, Orah R. Burack, Jillian Minahan, Tammy L. Marshall, Audrey S. Weiner Tags: Letter to the Editor Source Type: research

The Effects of Exercise on Falls in Older People With Dementia Living in Nursing Homes: A Randomized Controlled Trial
To investigate exercise effects on falls in people with dementia living in nursing homes, and whether effects were dependent on sex, dementia type, or improvement in balance. A further aim was to describe the occurrence of fall-related injuries. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2018 Category: Health Management Authors: Annika Toots, Robert Wiklund, H åkan Littbrand, Ellinor Nordin, Peter Nordström, Lillemor Lundin-Olsson, Yngve Gustafson, Erik Rosendahl Tags: Original Study Source Type: research

Alcohol Consumption and Risk of Incident Frailty: The English Longitudinal Study of Aging
Alcohol consumption is a common modifiable lifestyle factor. Alcohol may be a risk factor for frailty, however, there is limited evidence in the literature. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2018 Category: Health Management Authors: Gotaro Kojima, Stephen Jivraj, Steve Iliffe, Milena Falcaro, Ann Liljas, Kate Walters Tags: Original Study Source Type: research

Target Population for Clinical Trials on Multimorbidity: Is Disease Count Enough?
Since the beginning of the last century, noncommunicable diseases have progressively replaced infectious diseases, emerging as the dominant health care burden. This epidemiologic transition, along with improvements in disease control, triggered an overflow of multimorbidity, which is defined as the co-occurrence of multiple diseases or conditions in a single individual. These changes have been posing serious problems to the health care systems still rooted in single disease –oriented care. The prevalence of multimorbidity is high and increases with age, affecting 60% to 90% of people aged 65 or older,1 and is associa...
Source: Journal of the American Medical Directors Association - November 28, 2018 Category: Health Management Authors: Alessandra Marengoni, Davide L. Vetrano, Graziano Onder Tags: Editorial Source Type: research

Impairments in Individual Autonomous Living Tasks and Time to Self-Care Disability in Middle-Aged and Older Adults
Impairments in specific tasks that are necessary for independent living may identify future self-care limitations, and the use of time-varying covariates can better capture the fluidity in functional capacity trajectories over time. The purpose of this study was to determine the associations between individual instrumental activities of daily living (IADL) impairments and time to activities of daily living (ADL) disability for middle-aged and older adults in the United States. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2018 Category: Health Management Authors: Ryan P. McGrath, Brian C. Clark, Kristine M. Erlandson, Stephen D. Herrmann, Brenda M. Vincent, Orman T. Hall, Kyle J. Hackney Tags: Original Study Source Type: research

Threshold for a Reduction in Anticholinergic Burden to Decrease Behavioral and Psychological Symptoms of Dementia
A high anticholinergic burden (AB) is associated with the occurrence of behavioral and psychological symptoms (BPSDs), which are frequent in dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 28, 2018 Category: Health Management Authors: Yacine Ja ïdi, Adrien Guilloteau, Vignon Nonnonhou, Laurie-Anne Bertholon, Sarah Badr, Isabella Morrone, Jean-Luc Novella, Rachid Mahmoudi Tags: Original Study Source Type: research

Social Frailty Predicts Incident Disability and Mortality Among Community-Dwelling Japanese Older Adults
To determine the prevalence of social frailty and its relation to incident disability and mortality in community-dwelling Japanese older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Minoru Yamada, Hidenori Arai Tags: Original Study Source Type: research

Music Therapy in Parkinson's Disease
Parkinson's disease (PD) is a chronic progressive neurologic disorder involving degeneration of the dopaminergic system. Its clinical manifestations include motor and nonmotor symptoms. Several nonpharmacologic therapies, such as music therapy (MT), have recently been developed in order to improve the clinical manifestations of this disease. The aim of this narrative literature review is to analyze the scientific evidence for the therapeutic effects of music in PD. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Natalia Garc ía-Casares, Julia Eva Martín-Colom, Juan Antonio García-Arnés Tags: Review Article Source Type: research

Long-term Care for Older Adults in Africa: Pay Attention to the Situation of Older Women
In their recent editorial in JAMDA, Essuman et  al1 address an issue that is only starting to emerge in Africa, namely the management of older persons in long-term care facilities. There are several reasons for this. From a societal perspective, the old African saying “When an old person dies, a library burns to the ground” seems to have be come obsolete. Indeed, the older members of African society are progressively losing their central role as sages, protectors of tradition, and guarantors of the passing down of culture from generation to generation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Moustapha Dram é, Clarisse Joachim, Lukshe Kanagartnam, Maxime Hentzien, Jean-Luc Fanon, Lidvine Godaert Tags: Letter to the Editor Source Type: research

Educating Nursing Home Staff in Dementia Sensitive Communication: Impact on Antipsychotic Medication Use
An educational program to enhance communication in nursing home dementia care increased person-centered communication by staff and resulted in reduced resident behavioral symptoms measured as resistiveness to care. The purpose of this analysis was to evaluate effects on resident antipsychotic medication use in participating nursing homes. The National Partnership to Improve Dementia Care set a goal of reducing antipsychotic medications in nursing homes by 15% during the study period. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Clarissa Shaw, Kristine N. Williams, Yelena Perkhounkova Tags: Brief Report Source Type: research

Effect of an Educational and Organizational Intervention on Pain in Nursing Home Residents: A Nonrandomized Controlled Trial
To determine whether an intervention based on education and professional support to nursing home (NH) staff would decrease the number of residents with a pain complaint, and to determine whether the intervention would improve pain management. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Vincent Guion, Philipe De Souto Barreto, Sandrine Sourdet, Yves Rolland Tags: Original Study Source Type: research

Improving Nursing Home Residents' Oral Hygiene: Results of a Cluster Randomized Intervention Trial
A 2-year cluster randomized trial of Mouth Care Without a Battle (MCWB) was conducted in nursing homes (NHs) to determine if recommended mouth care practices provided by NH staff could improve residents' oral hygiene and denture outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Jane A. Weintraub, Sheryl Zimmerman, Kimberly Ward, Christopher J. Wretman, Philip D. Sloane, Sally C. Stearns, Patricia Poole, John S. Preisser Tags: Original Study Source Type: research

Practical Guidelines for Physicians in Promoting Oral Health in Frail Older Adults
Good oral health in old age is particularly important for maintaining adequate oral function, preventing pain and discomfort, controlling localized or systemic inflammation, sustaining social interaction, and preserving quality of life. Given that oral health is an integral part of general health and well-being, and  that major chronic systemic and oral diseases share common risk factors, oral health prevention and promotion should be embedded within routine medical assessment and care provision. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Anastassia E. Kossioni, Justyna Hajto-Bryk, Barbara Janssens, Stefania Maggi, Leonardo Marchini, Gerry McKenna, Frauke M üller, Mirko Petrovic, Regina Elisabeth Roller-Wirnsberger, Martin Schimmel, Gert-Jan van der Putten, Jacques Vanobbergen, Joanna Zar Tags: Special Article Source Type: research

Psychosocial Care Is Basic, Improves Medical Outcomes, and Can Be Taught —But Must Be Better Understood
A few years back, I was part of research team collecting data in a nursing home from residents, staff, and family members for a study about end-of-life care. Most of the residents in the study were older adults in the late stages of advanced chronic illness. On this particular day, after collecting data in the morning, I took a break and plopped down on a lounge chair in front of the TV alongside half a dozen residents at various stages of listening to the Maury Povitch show. Two men railed at the TV from their wheelchairs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Mercedes Bern-Klug Tags: Editorial Source Type: research

The Epidemic of Poor Oral Hygiene
In 2013, the New York Times published an article titled “In Nursing Homes, an Epidemic of Poor Dental Hygiene”—perhaps for the first time awakening public awareness to the importance and insufficiency of oral hygiene among residents in US nursing homes.1 It included data such as that almost 30% of 540 residents in 20 Kansas nursing homes,2 and 1000 residents in 24 Wisconsin nursing homes,3 had substantial debris on the majority of their teeth, and that in a study of 5 nursing homes in New York, only 16% of residents received any oral care, and when they did, the time spent tooth brushing was 16 secon...
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Authors: Sheryl Zimmerman, Philip D. Sloane Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 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 - November 22, 2018 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2018 Category: Health Management Source Type: research

Interventions Guiding Advance Care Planning Conversations: A Systematic Review
Advance care planning (ACP) is a communicative process of defining preferences for future medical care. Conversation guides support professionals to conduct ACP conversations, yet insight into essential components is limited. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 21, 2018 Category: Health Management Authors: Jurrianne C. Fahner, Alexandra J.M. Beunders, Agnes van der Heide, Judith A.C. Rietjens, Maaike M. Vanderschuren, Johannes J.M. van Delden, Marijke C. Kars Tags: Review Article Source Type: research

Effectiveness of Different Topical Treatments in the Healing of Pressure Injuries: A Network Meta-analysis
The objective of this study was to compare the effect of various topical treatments and identify the best treatment choice(s) for PI healing. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 21, 2018 Category: Health Management Authors: Luis Furuya-Kanamori, Rachel M. Walker, Brigid M. Gillespie, Justin Clark, Suhail A.R. Doi, Lukman Thalib Tags: Review Article Source Type: research

Association Between End-of-Life Conversations in Nursing Homes and End-of-Life Care Outcomes: A Systematic Review and Meta-analysis
Less aggressive end-of-life (EOL) care has been observed when health care professionals discuss approaching EOL and preferences about life-sustaining treatments with nursing home (NH) residents or their families. We performed a comprehensive systematic review to evaluate the association between health care professionals –residents and health care professionals–family EOL conversations and EOL care outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 20, 2018 Category: Health Management Authors: Silvia Gonella, Ines Basso, Valerio Dimonte, Barbara Martin, Paola Berchialla, Sara Campagna, Paola Di Giulio Tags: Review Article Source Type: research

Frailty as a Predictor of Emergency Department Utilization among Community-Dwelling Older People: A Systematic Review and Meta-Analysis
As a result of population aging, there is an increasing number of older adults with disabilities and comorbidities who have high healthcare utilization, especially the emergency department (ED).1 In comparison with their younger counterparts, older adults use the ED more frequently with a higher urgency, have longer durations of stay and more evaluations at the ED, are more likely to experience adverse health outcomes, to be hospitalized, to return to the ED if discharged, and to have less satisfaction regarding the ED care following discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 20, 2018 Category: Health Management Authors: Gotaro Kojima Tags: Letter to the Editor Source Type: research

Vitamin D Deficiency Is Associated With an Increased Likelihood of Incident Depression in Community-Dwelling Older Adults
To examine the prospective relationship between vitamin D status and incident depression in a large cohort of nondepressed community-dwelling older people. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 20, 2018 Category: Health Management Authors: Robert Briggs, Kevin McCarroll, Aisling O'Halloran, Martin Healy, Rose Anne Kenny, Eamon Laird Tags: Original Study Source Type: research

Impact of Atrial Fibrillation on Falls in Older Patients: Which is a Problem, Existence or Persistence?
Several studies have suggested a possible relationship between atrial fibrillation (AF) and falls. However, whether the relationship depends on AF types is unclear. We investigated the relationship between sustaining AF and falls. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 20, 2018 Category: Health Management Authors: Takuto Arita, Shinya Suzuki, Naoharu Yagi, Takayuki Otsuka, Hiroaki Semba, Hiroto Kano, Shunsuke Matsuno, Yuko Kato, Tokuhisa Uejima, Yuji Oikawa, Minoru Matsuhama, Junji Yajima, Takeshi Yamashita Tags: Original Study-Brief Report Source Type: research

Comparison of Cognitive Intervention Strategies for Older Adults With Mild to Moderate Alzheimer's Disease: A Bayesian Meta-analytic Review
We aimed to identify the best form of cognitive therapy among 3 main cognitive interventions of Alzheimer's disease (AD) including cognitive training (CT), cognitive stimulation (CS), and cognitive rehabilitation (CR). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 17, 2018 Category: Health Management Authors: Jing-Hong Liang, Jia-Yu Li, Rui-Xia Jia, Ying-Quan Wang, Rong-Kun Wu, Hong-Bo Zhang, Lei Hang, Yong Xu, Chen-Wei Pan Tags: Original Study Source Type: research

Impact of Environmental Modifications to Enhance Day-Night Orientation on Behavior of Nursing Home Residents With Dementia
To determine whether environmental rearrangements of the long-term care nursing home can affect disruptive behavioral and psychological symptoms of dementia (BPSD) in residents with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 16, 2018 Category: Health Management Authors: Thierry Bautrant, Michel Grino, Corinne Peloso, Fr édéric Schiettecatte, Magali Planelles, Charles Oliver, Caroline Franqui Tags: Original Study - Brief Report Source Type: research

Impact of Environmental Modifications to Enhanced Day-Night Orientation on Behavior of Nursing Home Residents With Dementia
To determine whether environmental rearrangements of the long-term care nursing home can affect disruptive behavioral and psychological symptoms of dementia (BPSD) in residents with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 16, 2018 Category: Health Management Authors: Thierry Bautrant, Michel Grino, Corinne Peloso, Fr édéric Schiettecatte, Magali Planelles, Charles Oliver, Caroline Franqui Tags: Original Study - Brief Report Source Type: research

Development of the Decannulation Prediction Tool in Patients With Dysphagia After Acquired Brain Injury
Patients with acquired brain injuries (ABIs) often need tracheostomy because of dysphagia. However, many of them may recover over time and be eventually decannulated during post-acute rehabilitation. We developed the Decannulation Prediction Tool (DecaPreT) to identify, early in the post-acute course, patients with ABIs who can be safely decannulated. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 16, 2018 Category: Health Management Authors: Cristina Reverberi, Francesco Lombardi, Mirco Lusuardi, Alessandra Pratesi, Mauro Di Bari Tags: Original Study Source Type: research