abstract：:Singapore faces a rapidly aging population. By 2030, 19% of her population will be aged 65 years and above. Other Asian countries face similar problems, with South Korea having the fastest aging population worldwide, followed by China and Thailand. With Singapore possessing an advanced aging population, its policy pro...

journal_title：Journal of the American Medical Directors Association

authors： Wong GH,Pang WS,Yap P

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:The purpose of this descriptive, retrospective analysis was to develop a demographic and clinical profile of nursing home residents with a diagnosis of Huntington's disease (HD). METHODS:Queries were made of a large data repository of linked and de-identified Minimum Data Set version 3.0 and prescription cl...

journal_title：Journal of the American Medical Directors Association

authors： Zarowitz BJ,O'Shea T,Nance M

更新日期：2014-06-01 00:00:00

abstract：OBJECTIVES:The objective of this study was to evaluate the benefits of influenza vaccination against hospitalization and mortality on frail elderly people. DESIGN:The design was a population-based retrospective cohort study. SETTING:Taiwan's National Health Insurance claims data. PARTICIPANTS:Participants were 5063 ...

journal_title：Journal of the American Medical Directors Association

authors： Lee WJ,Chen LK,Tang GJ,Lan TY

更新日期：2014-04-01 00:00:00

abstract：RATIONALE:Malnutrition screening among nursing home residents is often performed with tools developed for use among older subjects, and sometimes with tools designed for an adult population. Only a few tools have been designed specifically for the nursing home setting. This systematic review assesses the criterion and ...

journal_title：Journal of the American Medical Directors Association

authors： van Bokhorst-de van der Schueren MAE,Guaitoli PR,Jansma EP,de Vet HCW

更新日期：2014-03-01 00:00:00

abstract：:Urinary tract infection (UTI) is arguably the most common infection in the long term care (LTC) setting. Making the diagnosis of UTI and deciding when to initiate treatment with antimicrobial therapy is a challenge to all LTC providers. Widespread prevalence of asymptomatic bacteriuria, lack of an accepted clinical or...

journal_title：Journal of the American Medical Directors Association

authors： Nace DA,Drinka PJ,Crnich CJ

更新日期：2014-02-01 00:00:00

abstract：OBJECTIVES:Elderly persons with low muscle mass (LMM) or sarcopenia are prone to frailty and functional decline. This study aimed to investigate the relationship between serum selenium level and skeletal muscle mass in community-dwelling elderly. DESIGN:Cross-sectional observational study. SETTING AND PARTICIPANTS:A ...

journal_title：Journal of the American Medical Directors Association

authors： Chen YL,Yang KC,Chang HH,Lee LT,Lu CW,Huang KC

更新日期：2014-01-01 00:00:00

abstract：OBJECTIVES:Increasing evidence has mounted in recent years on the potential prognostic role of biomarkers out of cardiac-specific medical settings. We aimed to test whether cardiac and inflammatory biomarkers are independently associated with in-hospital mortality in older unselected medical inpatients undergoing stand...

journal_title：Journal of the American Medical Directors Association

authors： Comba M,Fonte G,Isaia G,Pricop L,Sciarrillo I,Michelis G,Bo M

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Although many older adults require skilled nursing facility (SNF) care after acute hospitalization, it is unclear whether internal medicine residents have sufficient knowledge of the care that can be provided at this site. METHODS:We developed a 10-item multiple choice pre-test that assessed knowledge of th...

journal_title：Journal of the American Medical Directors Association

authors： Ward KT,Eslami MS,Garcia MB,McCreath HE

更新日期：2014-01-01 00:00:00

abstract：OBJECTIVES:The Beers (2012) criteria and the screening tool of older persons' potentially inappropriate prescriptions (STOPP) criteria are often used to identify potentially inappropriate medication (PIM) use in elderly patients. The aim of this study is to determine the prevalence of PIM use in nursing home residents ...

journal_title：Journal of the American Medical Directors Association

authors： Grace AR,Briggs R,Kieran RE,Corcoran RM,Romero-Ortuno R,Coughlan TL,O'Neill D,Collins R,Kennelly SP

更新日期：2014-01-01 00:00:00

abstract：OBJECTIVES:The objective of this study is to explore factors that elucidate reasons for psychotropic drug (PD) prescription for neuropsychiatric symptoms (NPS) in nursing home (NH) residents with dementia. DESIGN:A qualitative study using a grounded theory approach. SETTING:Twelve NHs in The Netherlands. PARTICIPANT...

journal_title：Journal of the American Medical Directors Association

authors： Smeets CH,Smalbrugge M,Zuidema SU,Derksen E,de Vries E,van der Spek K,Koopmans RT,Gerritsen DL

更新日期：2014-01-01 00:00:00

abstract：:This is the seventh article in the series of Clinical Updates on Nursing Home Care. The topics covered are antiresorptive drugs, hip fracture, hypertension, orthostatic hypotension, depression, undernutrition, anorexia, cachexia, sarcopenia, exercise, pain, and behavioral and psychological symptoms of dementia. ...

journal_title：Journal of the American Medical Directors Association

authors： Messinger-Rapport BJ,Gammack JK,Thomas DR,Morley JE

更新日期：2013-12-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to document the growth of postacute care and contemporaneous staffing trends in US nursing homes over the decade 2001 to 2010. DESIGN:We integrated data from all US nursing homes longitudinally to track annual changes in the levels of postacute care intensity, therapy staffing...

journal_title：Journal of the American Medical Directors Association

authors： Tyler DA,Feng Z,Leland NE,Gozalo P,Intrator O,Mor V

更新日期：2013-11-01 00:00:00

abstract：OBJECTIVE:To examine whether established diabetes risk factors and diabetes risk algorithms are associated with future frailty. DESIGN:Prospective cohort study. Risk algorithms at baseline (1997-1999) were the Framingham Offspring, Cambridge, and Finnish diabetes risk scores. SETTING:Civil service departments in Lond...

journal_title：Journal of the American Medical Directors Association

authors： Bouillon K,Kivimäki M,Hamer M,Shipley MJ,Akbaraly TN,Tabak A,Singh-Manoux A,Batty GD

更新日期：2013-11-01 00:00:00

abstract：:There is a paucity of data to guide evidence-based treatment decisions in managing older dermatologic patients, in part because of the frequent exclusion of older adults from clinical trials. Hence, we provide a comprehensive review of important conditions in geriatric dermatology, or "dermatogeriatrics." It is our ho...

journal_title：Journal of the American Medical Directors Association

authors： Chang AL,Wong JW,Endo JO,Norman RA

更新日期：2013-10-01 00:00:00

abstract：OBJECTIVES:To describe end-of-life care in Japanese nursing homes by comparing facility and characteristics of residents dying in nursing homes with those who had been transferred and had died in hospitals, and by comparing the quality of end-of-life care with hospitals and with their respective counterparts in the Uni...

journal_title：Journal of the American Medical Directors Association

authors： Ikegami N,Ikezaki S

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:During aging, a shift of protein metabolism from muscle to splanchnic tissue contributes to increased muscle protein loss after a period of metabolic stress (eg, fasting). OBJECTIVE:To study the adaptation of protein metabolism in the whole body and tissue (ie, skeletal muscle and splanchnic area) to metabo...

journal_title：Journal of the American Medical Directors Association

authors： Moreau K,Walrand S,Boirie Y

更新日期：2013-09-01 00:00:00

abstract：:Sexuality is an important component of emotional and physical intimacy that men and women experience throughout their lives. Research suggesting that a high proportion of men and women remain sexually active well into later life refutes the prevailing myth that aging and sexual dysfunction are inexorably linked. Age-r...

journal_title：Journal of the American Medical Directors Association

authors： Ni Lochlainn M,Kenny RA

更新日期：2013-08-01 00:00:00

abstract：:New evidence shows that older adults need more dietary protein than do younger adults to support good health, promote recovery from illness, and maintain functionality. Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declining anabolic responses to ing...

journal_title：Journal of the American Medical Directors Association

authors： Bauer J,Biolo G,Cederholm T,Cesari M,Cruz-Jentoft AJ,Morley JE,Phillips S,Sieber C,Stehle P,Teta D,Visvanathan R,Volpi E,Boirie Y

更新日期：2013-08-01 00:00:00

abstract：OBJECTIVE:Venous thromboembolism (VTE) is common in the elderly, but its epidemiology in nursing home residents remains unclear. This study estimated rates of VTE recorded on nursing home admission and incidence during residence. DESIGN:Retrospective analysis of AnalytiCare long term care (LTC) database for the period...

journal_title：Journal of the American Medical Directors Association

authors： Reardon G,Pandya N,Nutescu EA,Lamori J,Damaraju CV,Schein J,Bookhart B

更新日期：2013-08-01 00:00:00

abstract：:The role of nutrition in modulating Alzheimer disease (AD) remains uncertain. Persons ingesting a Mediterranean-type diet appear to be less likely to develop AD. Epidemiologically, food combinations rich in antioxidant vitamins reduced the risk of AD. Combination formulas (eg, Souvenaid) appear to have small effects o...

journal_title：Journal of the American Medical Directors Association

authors： Shah R

更新日期：2013-06-01 00:00:00

abstract：OBJECTIVES:The primary objective of this study was to identify proton pump inhibitor (PPI) prescribing patterns in a population of older adults admitted to 22 Midwestern skilled long term care facilities (LTCF) with medical coverage provided by the US Medicare Part A program. The relationship between PPI prescribing pa...

journal_title：Journal of the American Medical Directors Association

authors： Patterson Burdsall D,Flores HC,Krueger J,Garretson S,Gorbien MJ,Iacch A,Dobbs V,Homa T

更新日期：2013-06-01 00:00:00

abstract：OBJECTIVES:To test whether coordination of discharge from hospital reduces hospitalizations in patients with chronic obstructive pulmonary disease (COPD). DESIGN:Randomized controlled clinical trial. SETTING:Specialized pulmonary hospital. PARTICIPANTS:Patients hospitalized for an acute exacerbation of COPD. INTERV...

journal_title：Journal of the American Medical Directors Association

authors： Lainscak M,Kadivec S,Kosnik M,Benedik B,Bratkovic M,Jakhel T,Marcun R,Miklosa P,Stalc B,Farkas J

更新日期：2013-06-01 00:00:00

abstract：:Memantine is approved for treatment of moderate to severe Alzheimer disease (AD) but is also investigated as a treatment option for a number of different conditions, and even though there are reports of a number of adverse effects, including new-onset seizures and psychosis, it is considered to be generally well toler...

journal_title：Journal of the American Medical Directors Association

authors： Savić A,Mimica N

更新日期：2013-05-01 00:00:00

abstract：OBJECTIVES:To assess relationships between low skeletal muscle mass (SMM) and functional decline in community-dwelling elderly women. DESIGN:Secondary analysis of data from EPIDOS, a French prospective observational multicenter cohort study of osteoporosis epidemiology. SETTING:One center in France between 1992 and 1...

journal_title：Journal of the American Medical Directors Association

authors： Amigues I,Schott AM,Amine M,Gelas-Dore B,Veerabudun K,Paillaud E,Beauchet O,Rolland Y,Canouï Poitrine F,Bonnefoy M

更新日期：2013-05-01 00:00:00

abstract：:Long term care facilities are important sites of care for elderly adults. Despite a growing need and interest in medical direction in nursing homes, there have been limited educational opportunities in this area for geriatric medicine fellows. This article describes a novel medical director's curriculum for first-year...

journal_title：Journal of the American Medical Directors Association

authors： Higuchi M,Wen A,Masaki K

更新日期：2013-03-01 00:00:00

abstract：OBJECTIVES:To determine what factors contribute to successful appeals of nursing home deficiencies in the Informal Dispute Resolution (IDR) process. DESIGN:We merged Centers for Medicare and Medicaid Services' data about IDRs with Online Survey, Certification, and Reporting data about nursing home characteristics. We ...

journal_title：Journal of the American Medical Directors Association

authors： Mukamel DB,Li Y,Weimer DL,Spector WD,Bailey L,Harrington C

更新日期：2013-02-01 00:00:00

abstract：OBJECTIVES:Prevention and public reporting of falls have suffered due to inadequate attention given to the association of falls and cognitive impairment (CI) among nursing home (NH) residents. This study examines the relationship between CI, residence on dementia special care units (SCUs) and other resident characteris...

journal_title：Journal of the American Medical Directors Association

authors： Nazir A,Mueller C,Perkins A,Arling G

更新日期：2012-11-01 00:00:00

abstract：OBJECTIVES:Protein supplementation has been proposed as an effective dietary strategy to increase skeletal muscle mass and improve physical performance in frail elderly people. Our objective was to assess the impact of 24 weeks of dietary protein supplementation on muscle mass, strength, and physical performance in fra...

journal_title：Journal of the American Medical Directors Association

authors： Tieland M,van de Rest O,Dirks ML,van der Zwaluw N,Mensink M,van Loon LJ,de Groot LC

更新日期：2012-10-01 00:00:00

abstract：OBJECTIVES:To evaluate the effectiveness of (1) dissemination strategies to improve clinical practice behaviors (eg, frequency and documentation of pain assessments, use of pain medication) among health care team members, and (2) the implementation of the pain protocol in reducing pain in long term care (LTC) residents...

journal_title：Journal of the American Medical Directors Association

authors： Kaasalainen S,Brazil K,Akhtar-Danesh N,Coker E,Ploeg J,Donald F,Martin-Misener R,DiCenso A,Hadjistavropoulos T,Dolovich L,Papaioannou A

更新日期：2012-09-01 00:00:00

abstract：:The phenomenon of elderly sexual offenders is poorly catalogued, and is especially complex. In institutions, elderly people are often unrecognized victims of sexual abuse but are also at great risk for doing abuse toward vulnerable victims like children. The lack of attention to an elder's basic needs can endanger or ...

journal_title：Journal of the American Medical Directors Association

authors： Corbi G,Grattagliano I,Catanesi R,Ferrara N,Yorston G,Campobasso CP

更新日期：2012-09-01 00:00:00

abstract：OBJECTIVES:Distressing behavioral symptoms often associated with dementia are not uncommon in the long term care setting. Culture change with its "person-centered approach to care" provides a potential nonpharmacological intervention to reduce these symptoms. The purpose of this study was to examine the relationship be...

journal_title：Journal of the American Medical Directors Association

authors： Burack OR,Weiner AS,Reinhardt JP

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVES:To assess the effectiveness of a wireless network (WiFi-based) localization system (devices mounted on resident wheelchairs) in decreasing caretaker time spent searching for residents and providing alerts of residents going outdoors in a skilled nursing facility. DESIGN:A controlled study over two 2-month p...

journal_title：Journal of the American Medical Directors Association

authors： Doshi-Velez F,Li W,Battat Y,Charrow B,Curtis D,Park JG,Hemachandra S,Velez J,Walsh C,Fredette D,Reimer B,Roy N,Teller S

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVES:To enable prevention of poor outcome in elderly people, a valid instrument is required to detect individuals at high risk. The concept of frailty is a better predictor than age alone. The Groningen Frailty Indicator (GFI) has been developed to identify frailty. We assessed feasibility, reliability, and const...

journal_title：Journal of the American Medical Directors Association

authors： Peters LL,Boter H,Buskens E,Slaets JP

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVE:To evaluate whether botulinum toxin can decrease the burden for caregivers of long term care patients with severe upper limb spasticity. METHOD:This was a double-blind placebo-controlled trial with a 24-week follow-up period. SETTING:A 250-bed long term care hospital, the infirmary units of 3 regional hospi...

journal_title：Journal of the American Medical Directors Association

authors： Lam K,Lau KK,So KK,Tam CK,Wu YM,Cheung G,Liang KS,Yeung KM,Lam KY,Yui S,Leung C

更新日期：2012-06-01 00:00:00

abstract：:Osteoporosis is expected to increase as our population pyramid shifts toward old age. It is associated with increased risk of fractures, leading to complications of limitation of ambulation, loss of independence, and chronic pain. Depression is also a common occurrence in the elderly population. Currently, up to 35% o...

journal_title：Journal of the American Medical Directors Association

authors： Chen F,Hahn TJ,Weintraub NT

更新日期：2012-06-01 00:00:00

abstract：INTRODUCTION:Current guidelines recommend antithrombotic prophylaxis for venous thromboembolism (VTE) using risk assessment, factoring contraindications. This report represents a summary of current practice patterns to prevent VTE in long term care as Phase 1 of a 3-phase educational intervention study. PHASE 1 PARTIC...

journal_title：Journal of the American Medical Directors Association

authors： Dharmarajan TS,Nanda A,Agarwal B,Agnihotri P,Doxsie GL,Gokula M,Javaheri A,Kanagala M,Lebelt AS,Madireddy P,Mahapatra S,Murakonda P,Muthavarapu SR,Patel M,Patterson C,Soch K,Troncales A,Yaokim K,Kroft R,Norkus EP

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:Exercise tolerance is an important clinical aspect of chronic obstructive pulmonary disease that can be easily and reliably measured with the 6-minute walking test (6MWT). To improve the utility of the 6MWT for patient and health care system management, the interpretation of the functional status measure in ...

journal_title：Journal of the American Medical Directors Association

authors： Spruit MA,Polkey MI,Celli B,Edwards LD,Watkins ML,Pinto-Plata V,Vestbo J,Calverley PM,Tal-Singer R,Agusti A,Coxson HO,Lomas DA,MacNee W,Rennard S,Silverman EK,Crim CC,Yates J,Wouters EF,Evaluation of COPD Longitudinal

更新日期：2012-03-01 00:00:00

abstract：OBJECTIVE:To investigate the ability of nurses to recognize delirium and its symptoms and to investigate the factors associated with undetected delirium. DESIGN:A prospective, observational study with repeated measurements over a 6-month period. SETTING:Seven long term care settings in Montreal and Quebec City, Canad...

journal_title：Journal of the American Medical Directors Association

authors： Voyer P,Richard S,McCusker J,Cole MG,Monette J,Champoux N,Ciampi A,Belzile E

更新日期：2012-03-01 00:00:00

abstract：OBJECTIVES:The recent emphasis on knowledge translation (KT) in health care is based on the premise that quality of care improves when research findings are translated into practice. This study aimed to identify the extent, nature, and settings of KT research pertaining to the care of older adults. DESIGN AND METHODS:...

journal_title：Journal of the American Medical Directors Association

authors： Boström AM,Slaughter SE,Chojecki D,Estabrooks CA

更新日期：2012-03-01 00:00:00

abstract：OBJECTIVE:To examine the differential morbidity/mortality associated with evacuation versus sheltering in place for nursing home (NH) residents exposed to the 4 most recent Gulf hurricanes. METHODS:Observational study using Medicare claims and NH data sources. We compared the differential mortality/morbidity for long-...

journal_title：Journal of the American Medical Directors Association

authors： Dosa D,Hyer K,Thomas K,Swaminathan S,Feng Z,Brown L,Mor V

更新日期：2012-02-01 00:00:00