abstract：OBJECTIVE:This study examined the impact of hospice enrollment on the probabilities of hospital and nursing home admissions among a sample of frail dual-eligible assisted living (AL) residents. DESIGN:The study used a retrospective cohort design. We estimated bivariate probit models with 2 binary outcome variables: an...

journal_title：Journal of the American Medical Directors Association

authors： Dobbs D,Meng H,Hyer K,Volicer L

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVES:To investigate the effects of light therapy on cognition, depression, sleep, and circadian rhythms in a general, nonselected population of seniors living in a long term care facility. DESIGN:A double-blind, placebo-controlled trial. SETTING:The experiment took place at a long term care facility in Pennsylv...

journal_title：Journal of the American Medical Directors Association

authors： Royer M,Ballentine NH,Eslinger PJ,Houser K,Mistrick R,Behr R,Rakos K

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVE:To assess the prevalence of permanent atrial fibrillation (AF) in community-dwelling subjects aged 85 and to determine the anticoagulation therapy rate. DESIGN:Community-based survey of inhabitants aged 85 years. PARTICIPANTS:Participants were 328 people born in 1924 and assigned to 7 primary health care te...

journal_title：Journal of the American Medical Directors Association

authors： Formiga F,Ferrer A,Mimbrera D,Badia T,Fernández C,Pujol R,Grupo de Estudio Octabaix.

更新日期：2012-01-01 00:00:00

abstract：OBJECTIVES:Little is known about the relationship between how medical care is organized and delivered in nursing homes. Taking a lead from the acute care arena, we hypothesize that nursing home medical staff organization (NHMSO) is an important predictor of clinical outcomes in the nursing home. METHODS:A total of 202...

journal_title：Journal of the American Medical Directors Association

authors： Katz PR,Karuza J,Lima J,Intrator O

更新日期：2011-11-01 00:00:00

abstract：OBJECTIVES:The purpose of the study was to develop and validate a simple caregiver-rated questionnaire to screen for chronic obstructive pulmonary disease (COPD) in nursing home residents. DESIGN:Part 1: Identification of screening parameters by the Delphi process using geriatric and pulmonary experts. Part 2: Retrosp...

journal_title：Journal of the American Medical Directors Association

authors： Zarowitz BJ,O'Shea T,Lefkovitz A,Peterson EL

更新日期：2011-11-01 00:00:00

abstract：OBJECTIVE:To describe changes in aged care residents' dependency over a 20-year period. DESIGN:All residents in 1988, 1993, 1998, and 2008 were assessed using the same 23-item functional ability survey. SETTING:Residential aged care facilities in Auckland, New Zealand. PARTICIPANTS:In 1988 there were 7516 participan...

journal_title：Journal of the American Medical Directors Association

authors： Boyd M,Broad JB,Kerse N,Foster S,von Randow M,Lay-Yee R,Chelimo C,Whitehead N,Connolly MJ

更新日期：2011-09-01 00:00:00

abstract：OBJECTIVES:To compare survival rates of hip fracture patients treated within a comprehensive geriatric hip fracture unit (CGHFU) with those undergoing a standard of care treatment (SOCT) in general orthopedic wards. DESIGN:Retrospective chart review. SETTING:A geriatric hip fracture unit of a division of geriatric me...

journal_title：Journal of the American Medical Directors Association

authors： Adunsky A,Lerner-Geva L,Blumstein T,Boyko V,Mizrahi E,Arad M

更新日期：2011-07-01 00:00:00

abstract：OBJECTIVES:We sought to evaluate the effectiveness of the Fleetwood Model of pharmacy practice on improving resident outcomes and hypothesized that this model would reduce potentially inappropriate medication use, hospitalizations, and death. DESIGN:Demonstration project, pre-post design. SETTING:Twelve nursing homes...

journal_title：Journal of the American Medical Directors Association

authors： Lapane KL,Hughes CM,Christian JB,Daiello LA,Cameron KA,Feinberg J

更新日期：2011-06-01 00:00:00

abstract：:Vital signs are objective measures of physiological function that are used to monitor acute and chronic disease and thus serve as a basic communication tool about patient status. The purpose of this analysis was to review age-related changes of traditional vital signs (blood pressure, pulse, respiratory rate, and temp...

journal_title：Journal of the American Medical Directors Association

authors： Chester JG,Rudolph JL

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVE:To systematically review the risks for aspiration pneumonia in frail older people and the contribution of bad oral health among the risk factors. DESIGN:Systematic literature review. SETTING:PubMed (Medline), Web of Science, Cochrane Library, EMBASE, and CINAHL were searched for eligible studies, published ...

journal_title：Journal of the American Medical Directors Association

authors： van der Maarel-Wierink CD,Vanobbergen JN,Bronkhorst EM,Schols JM,de Baat C

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVE:Older adults receiving Medicare home health services who experience undernutrition may be at increased risk of experiencing adverse outcomes. We sought to identify the association between baseline nutritional status and subsequent health service utilization and mortality over a 1-year period in older adults r...

journal_title：Journal of the American Medical Directors Association

authors： Yang Y,Brown CJ,Burgio KL,Kilgore ML,Ritchie CS,Roth DL,West DS,Locher JL

更新日期：2011-05-01 00:00:00

abstract：:Vitamin D deficiency is a common finding in institutionalized older persons. Vitamin D-deficient elderly persons are at higher risk of falls and fractures. Long-term care residents should be considered at high risk of vitamin D deficiency and therefore vitamin D supplementation is highly recommended in this population...

journal_title：Journal of the American Medical Directors Association

authors： Demontiero O,Herrmann M,Duque G

更新日期：2011-03-01 00:00:00

abstract：OBJECTIVES:To explore next-of-kin's (NOK's) perceptions of end-of-life (EOL) care in the nursing home setting and to compare these perceptions for residents receiving hospice care plus usual care versus usual care only. DESIGN:Mailed survey. SETTING:Three nursing homes in central Massachusetts. PARTICIPANTS:Nursing ...

journal_title：Journal of the American Medical Directors Association

authors： Flock P,Terrien JM

更新日期：2011-02-01 00:00:00

abstract：OBJECTIVES:To test different adherent strategies aimed at improving hip protector use among nursing care facility residents. DESIGN, SETTING AND PARTICIPANTS:A cluster randomized controlled trial with 234 residents older than 75 years from 9 units of 7 nursing care facilities in the Northern Sydney region, Australia. ...

journal_title：Journal of the American Medical Directors Association

authors： Cameron ID,Kurrle SE,Quine S,Sambrook PN,March L,Chan DK,Lockwood K,Cook B,Schaafsma FF

更新日期：2011-01-01 00:00:00

abstract：BACKGROUND:Influenza vaccination coverage among nursing home residents has consistently been reported well below the Healthy People goals. We sought to determine if standing order programs (SOPs) in long-term care facilities are associated with greater influenza vaccination coverage among residents. METHODS:The Nation...

journal_title：Journal of the American Medical Directors Association

authors： Bardenheier BH,Shefer AM,Lu PJ,Remsburg RE,Marsteller JA

更新日期：2010-11-01 00:00:00

abstract：PURPOSE:The culture change (CC) movement aims to transform the traditional nursing home (NH) that is institutional in design with hierarchical management structure into a homelike environment that empowers residents and frontline staff. This study examines differences in adoption of CC practices according to a NH's sel...

journal_title：Journal of the American Medical Directors Association

authors： Sterns S,Miller SC,Allen S

更新日期：2010-09-01 00:00:00

abstract：:Pressure ulcers remain problematic across health care settings, with prevalence and incidence changing little over the past 2 decades. Because external pressure is viewed as the chief factor in the development of pressure ulcers, considerable research has focused on pressure relief. Because relief of external pressure...

journal_title：Journal of the American Medical Directors Association

authors： Thomas DR

更新日期：2010-07-01 00:00:00

abstract：OBJECTIVES:To determine the effect of a Social Health Maintenance Organization (S/HMO) on diverting older adults admitted into a nursing facility from converting to long-stay placement. DESIGN:Members of the SCAN S/HMO and those in Medicare Fee-For-Service were compared on successful discharge to the community after b...

journal_title：Journal of the American Medical Directors Association

authors： Thomas KE,Gassoumis ZD,Wilber KH

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVE:To determine what variables separate community-dwelling elders from assisted living-dwelling elders. DESIGN:Cross-sectional. SETTING:Community and assisted living facilities in Connecticut. PARTICIPANTS:114 individuals (77 community dwelling, 37 assisted living). ASSESSMENTS:Nutritional survey, 6-minute w...

journal_title：Journal of the American Medical Directors Association

authors： Avery E,Kleppinger A,Feinn R,Kenny AM

更新日期：2010-02-01 00:00:00

abstract：:Nutritional problems are frequent in nursing homes including undernutrition, obesity, and diabetes mellitus, mainly related to disability and behavior troubles. Adequate nutritional care relies both on the quality of menus for regular and modified diet (texture-modified and enriched food) and on the staff knowledge of...

journal_title：Journal of the American Medical Directors Association

authors： Bourdel-Marchasson I

更新日期：2010-01-01 00:00:00

abstract：OBJECTIVE:To determine if a facility-wide oral care educational program will improve the quality of routine oral care provided to nursing home residents. DESIGN:Single-blind, pre-post observational study of direct caregivers providing routine oral care to residents in 2 nursing homes. INTERVENTION:A 30-minute oral ca...

journal_title：Journal of the American Medical Directors Association

authors： Gammack JK,Pulisetty S

更新日期：2009-11-01 00:00:00

abstract：:The aging population in China is growing rapidly and by the middle of this century will peak. In addition, in 2000, elderly people aged 80 and older accounted for 18% of the world's population of oldest old. We identify here ways to begin addressing China's unique aging population needs. Through improving geriatric an...

journal_title：Journal of the American Medical Directors Association

authors： Dong B,Ding Q

更新日期：2009-09-01 00:00:00

abstract：OBJECTIVE:To identify nursing home standards related to items brought in from the community for residents through a nationwide survey of directors of nursing. Specifically we examined the policies with regard to food, cigarettes, alcoholic beverages, and over-the-counter medications. METHODS:A national survey was dist...

journal_title：Journal of the American Medical Directors Association

authors： Stefanacci RG,Lester PE,Kohen I,Feuerman M

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVES:To determine the prevalence and characteristics of advance care planning (ACP) among persons dying in long-term care (LTC) facilities, and to examine the relationship between respondent, facility, decedent, and family characteristics and ACP. DESIGN:After-death interviews of family members of decedents and ...

journal_title：Journal of the American Medical Directors Association

authors： Daaleman TP,Williams CS,Preisser JS,Sloane PD,Biola H,Zimmerman S

更新日期：2009-05-01 00:00:00

abstract：:Nursing homes can be ideal clinical teaching and learning environments for acquiring geriatric specialty and interdisciplinary team skills, particularly those regarding assessment, care planning, management, monitoring, and collaborating in an interdisciplinary milieu. Little is known as to how geriatric specialty tra...

journal_title：Journal of the American Medical Directors Association

authors： Mezey M,Mitty E,Burger SG

更新日期：2009-03-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to evaluate the potential association between anemia associated with chronic kidney disease (CKD) and the ability for older nursing home (NH) residents with these conditions to perform basic activities of daily living (ADL). DESIGN:This is a multicenter, retrospective, observationa...

journal_title：Journal of the American Medical Directors Association

authors： Schnelle J,Osterweil D,Globe D,Sciarra A,Audhya P,Barlev A

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:An estimated 1.5 million residents of nursing homes (NH) in the United States were prescribed an average of 7 to 8 medications each month. However, it is unknown which of these prescribed drugs and nutritional supplements have been tested for use among NH residents who often have distinct and complex needs c...

journal_title：Journal of the American Medical Directors Association

authors： Cheng HY

更新日期：2009-01-01 00:00:00

abstract：OBJECTIVE:To determine the effects of dopaminergic medication withdrawal in an elderly, demented and minimally ambulatory nursing home population with parkinsonism in New York City. METHODS:In our double-blind, randomized study, 11 patients (7 males, 4 females) were randomized into 2 groups: one group underwent levodo...

journal_title：Journal of the American Medical Directors Association

authors： Tse W,Frisina PG,Hälbig TD,Gracies JM,Liang L,Tarshish C,Lesser G,Neufeld R,Koller WC,Libow LS

更新日期：2008-11-01 00:00:00

abstract：OBJECTIVES:According to previous studies, 20% to 24% of deaths in the United States occur in nursing homes. This number is increasing. Overall vital statistics document that the leading causes of death in the United States remain cardiovascular/cerebrovascular and cancer, with Alzheimer's disease seventh as of 2004. Ho...

journal_title：Journal of the American Medical Directors Association

authors： Goldberg TH,Botero A

更新日期：2008-10-01 00:00:00

abstract：:Because long-term care residents often have chronic illnesses and complex care regimens, nutritional issues are common in these populations. Furthermore, management is complicated because some residents are terminally ill and under palliative care treatment plans that allow for dehydration and low oral intake. As a re...

journal_title：Journal of the American Medical Directors Association

authors： Sloane PD,Ivey J,Helton M,Barrick AL,Cerna A

更新日期：2008-09-01 00:00:00

abstract：:Heart failure (HF) in older adults presents challenges that are different in many ways than those for younger adults. Diagnosis of HF in older adults can be delayed due to attributing early symptoms to normal changes of aging or, in the setting of a normal ejection fraction, failing to appreciate diastolic heart failu...

journal_title：Journal of the American Medical Directors Association

authors： Ahmed A,Jones L,Hays CI

更新日期：2008-07-01 00:00:00

abstract：OBJECTIVES:The purpose of this review was to describe the characteristics of late-life obesity, including prevalence, pathophysiology, and influences on morbidity and mortality. A second objective was to systematically review the empiric evidence on the effects of intentional weight loss interventions in older individu...

journal_title：Journal of the American Medical Directors Association

authors： Bales CW,Buhr G

更新日期：2008-06-01 00:00:00

abstract：:A consensus among geriatricians, ethicists, and neurologists supports a palliative approach to the care of individuals with late-stage dementia. But ten years after the publication of the first large study demonstrating the lack of efficacy of percutaneous endoscopic gastrostomy (PEG) tubes in prolonging life for pati...

journal_title：Journal of the American Medical Directors Association

authors： Gillick MR,Volandes AE

更新日期：2008-06-01 00:00:00

abstract：OBJECTIVES:To describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. DESIGN:Cross-sectional study of staff and facility characteristics and recruitment rates within facilities with...

journal_title：Journal of the American Medical Directors Association

authors： Peri K,Kerse N,Kiata L,Wilkinson T,Robinson E,Parsons J,Willingale J,Parsons M,Brown P,Pearson J,von Randow M,Arroll B

更新日期：2008-05-01 00:00:00

abstract：:Loneliness is a common problem in long-term care facilities (LTCF) and previous work has shown that animal-assisted therapy (AAT) can to some degree reverse loneliness. Here, we compared the ability of a living dog (Dog) and a robotic dog (AIBO) to treat loneliness in elderly patients living in LTCF. In comparison wit...

journal_title：Journal of the American Medical Directors Association

authors： Banks MR,Willoughby LM,Banks WA

更新日期：2008-03-01 00:00:00

abstract：:Community care provision for older Australians is growing in places and options, based on older people's preference to stay in their own homes, coupled with its cost efficiency compared to long-term residential care. Australia's aging population, cultural diversity, and dispersed population in rural and remote areas p...

journal_title：Journal of the American Medical Directors Association

authors： Henderson EJ,Caplan GA

更新日期：2008-02-01 00:00:00

abstract：PURPOSE:Urinary incontinence (UI) is common but inadequately assessed and treated in nursing facility (NF) residents. The purpose of this study is two-fold: (1) to determine perceptions about the importance of UI and its management in the NF setting compared with other geriatric syndromes and (2) to compare barriers to...

journal_title：Journal of the American Medical Directors Association

authors： Lawhorne LW,Ouslander JG,Parmelee PA,Resnick B,Calabrese B

更新日期：2008-01-01 00:00:00

abstract：:Medication errors remain an important cause of patient morbidity and mortality. Although all medications have the potential to induce unwanted adverse effects, data on the actual incidence and overall severity of preventable adverse drug reactions remains unknown. An Institute of Medicine report (Institute of Medicine...

journal_title：Journal of the American Medical Directors Association

authors： Walliser G,Grossberg R,Reed MD

更新日期：2007-10-01 00:00:00

abstract：OBJECTIVE:Prognostic information is important for guiding palliative care planning for patients with dementia. We aim to validate a risk score that uses Minimum Data Set (MDS) to estimate 6-month mortality for nursing home residents with advanced dementia. DESIGN:Two cohort studies. SETTING:Six nursing homes in The N...

journal_title：Journal of the American Medical Directors Association

authors： van der Steen JT,Mitchell SL,Frijters DH,Kruse RL,Ribbe MW

更新日期：2007-09-01 00:00:00

abstract：OBJECTIVES:To quantify and characterize the chronic conditions of older Americans who live in nursing homes (NHs) but have minimal disability and might be able to live in less restrictive and less expensive settings. DESIGN:Secondary analysis of the 1999 National Nursing Home Survey. PARTICIPANTS:NH staff members fam...

journal_title：Journal of the American Medical Directors Association

authors： McNabney MK,Wolff JL,Semanick LM,Kasper JD,Boult C

更新日期：2007-07-01 00:00:00