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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/29325923/ethical-and-practical-ways-in-which-moeli-medical-orders-for-end-of-life-intervention-advance-the-physician-orders-for-life-sustaining-treatment-polst-program
#1
LETTER
Richard B Stuart, Stephen Thielke
No abstract text is available yet for this article.
January 9, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29325922/the-cost-effectiveness-of-using-paro-a-therapeutic-robotic-seal-to-reduce-agitation-and-medication-use-in-dementia-findings-from-a-cluster-randomized-controlled-trial
#2
Merehau C Mervin, Wendy Moyle, Cindy Jones, Jenny Murfield, Brian Draper, Elizabeth Beattie, David H K Shum, Siobhan O'Dwyer, Lukman Thalib
OBJECTIVES: To examine the within-trial costs and cost-effectiveness of using PARO, compared with a plush toy and usual care, for reducing agitation and medication use in people with dementia in long-term care. DESIGN: An economic evaluation, nested within a cluster-randomized controlled trial. SETTING: Twenty-eight facilities in South-East Queensland, Australia. PARTICIPANTS: A total of 415 residents, all aged 60 years or older, with documented diagnoses of dementia...
January 9, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29306607/the-prevalence-and-correlates-of-frailty-in-urban-and-rural-populations-in-latin-america-china-and-india-a-10-66-population-based-survey
#3
Juan J Llibre Rodriguez, A Matthew Prina, Daisy Acosta, Mariella Guerra, Yueqin Huang, K S Jacob, Ivonne Z Jimenez-Velasquez, Aquiles Salas, Ana Luisa Sosa, Joseph D Williams, A T Jotheeswaran, Isaac Acosta, Zhaorui Liu, Martin J Prince
BACKGROUND: There have been few cross-national studies of the prevalence of the frailty phenotype conducted among low or middle income countries. We aimed to study the variation in prevalence and correlates of frailty in rural and urban sites in Latin America, India, and China. METHODS: Cross-sectional population-based catchment area surveys conducted in 8 urban and 4 rural catchment areas in 8 countries; Cuba, Dominican Republic, Puerto Rico, Venezuela, Peru, Mexico, China, and India...
January 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29306606/calf-circumference-as-a-screening-instrument-for-appendicular-muscle-mass-measurement
#4
LETTER
An-Chun Hwang, Li-Kuo Liu, Wei-Ju Lee, Li-Ning Peng, Liang-Kung Chen
No abstract text is available yet for this article.
January 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29306605/online-training-and-support-programs-designed-to-improve-mental-health-and-reduce-burden-among-caregivers-of-people-with-dementia-a-systematic-review
#5
REVIEW
Kieren J Egan, Ángel C Pinto-Bruno, Irene Bighelli, Marla Berg-Weger, Annemieke van Straten, Emiliano Albanese, Anne-Margriet Pot
INTRODUCTION: Dementia poses a considerable socioeconomic burden to society. On a global scale, family and other unpaid care predominates. Supporting caregivers is crucial, but scalable interventions are currently lacking. Because a growing number of studies have suggested that online training and support programs hold considerable promise for scaling up, we reviewed existing literature. METHODS: We systematically searched 6 databases to identify studies of Internet-based interventions designed to train and support caregivers of people with dementia, and we formally assessed risk of bias...
January 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29306604/antihypertensive-medication-regimen-intensity-and-incident-dementia-in-an-older-population
#6
Edwin C K Tan, Chengxuan Qiu, Yajun Liang, Rui Wang, J Simon Bell, Johan Fastbom, Laura Fratiglioni, Kristina Johnell
OBJECTIVE: To investigate the association between antihypertensive medication regimen intensity and risk of incident dementia in an older population. DESIGN: Prospective, longitudinal cohort study. PARTICIPANTS/SETTING: A total of 1208 participants aged ≥78 years, free of dementia, and residing in central Stockholm at baseline (2001-2004). MEASUREMENTS: Participants were examined at 3- and 6-year follow-up to detect incident dementia...
January 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29291959/frailty-disability-and-ambulatory-blood-pressure-in-older-adults
#7
Teresa Gijón-Conde, Auxiliadora Graciani, Esther López-García, Esther García-Esquinas, Martin Laclaustra, Luis M Ruilope, Fernando Rodríguez-Artalejo, José R Banegas
BACKGROUND AND OBJECTIVE: Frailty and disability are associated with cardiovascular risk factors, including hypertension, in older people; however, little is known about their association with ambulatory blood pressure (BP). Thus, we assessed the relationship of frailty and disability with ambulatory BP in older adults. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional study of 1047 community-living individuals aged ≥60 years in Spain. MEASUREMENTS: BP was determined with validated devices under standardized conditions during 24 hours...
December 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29289543/comparison-of-3-frailty-instruments-in-a-geriatric-acute-care-setting-in-a-low-middle-income-country
#8
Sumika Mori Lin, Márlon Juliano Romero Aliberti, Sileno de Queiroz Fortes-Filho, Juliana de Araújo Melo, Ivan Aprahamian, Claudia Kimie Suemoto, Wilson Jacob Filho
OBJECTIVE: Comparison of frailty instruments in low-middle income countries, where the prevalence of frailty may be higher, is scarce. In addition, less complex diagnostic tools for frailty are important in these settings, especially in acutely ill patients, because of limited time and economic resources. We aimed to compare the performance of 3 frailty instruments for predicting adverse outcomes after 1 year of follow-up in older adults with an acute event or a chronic decompensated disease...
December 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29289542/adherence-to-mediterranean-diet-and-frailty
#9
Eva Ntanasi, Mary Yannakoulia, Mary-Helen Kosmidis, Costas A Anastasiou, Efthimios Dardiotis, Giorgos Hadjigeorgiou, Paraskevi Sakka, Nikolaos Scarmeas
OBJECTIVE: Το investigate associations between adherence to the Mediterranean diet and frailty in a Greek population of older adults. DESIGN: Cross-sectional study. SETTING: Data were drawn from the Hellenic longitudinal Investigation of Aging and Diet (HELIAD), a population-based, multidisciplinary study designed to estimate the prevalence and incidence of dementia in the Greek population. PARTICIPANTS: Data from 1740 participants aged ≥65 years were included in the present analysis...
December 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29289541/supervised-balance-training-and-wii-fit-based-exercises-lower-falls-risk-in-older-adults-with-type-2-diabetes
#10
Steven Morrison, Rachel Simmons, Sheri R Colberg, Henri K Parson, Aaron I Vinik
OBJECTIVES: This study examined the benefits of and differences between 12 weeks of thrice-weekly supervised balance training and an unsupervised at-home balance activity (using the Nintendo Wii Fit) for improving balance and reaction time and lowering falls risk in older individuals with type 2 diabetes mellitus (T2DM). DESIGN: Before-after trial. SETTING: University research laboratory, home environment. PARTICIPANTS: Sixty-five older adults with type 2 diabetes were recruited for this study...
December 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29289540/a-randomized-controlled-study-comparing-a-dpp4-inhibitor-linagliptin-and-basal-insulin-glargine-in-patients-with-type-2-diabetes-in-long-term-care-and-skilled-nursing-facilities-linagliptin-ltc-trial
#11
Guillermo E Umpierrez, Saumeth Cardona, David Chachkhiani, Maya Fayfman, Sahebi Saiyed, Heqiong Wang, Priyathama Vellanki, J Sonya Haw, Darin E Olson, Francisco J Pasquel, Theodore M Johnson
OBJECTIVES: Safe and easily implemented treatment regimens are needed for the management of patients with type 2 diabetes mellitus (T2DM) in long-term care (LTC) and skilled nursing facilities. DESIGN: This 6-month open-label randomized controlled trial compared the efficacy and safety of a DPP4 inhibitor (linagliptin) and basal insulin (glargine) in LTC residents with T2DM. SETTINGS: Three LTC institutions affiliated with a community safety-net hospital, US Department of Veterans Affairs and Emory Healthcare System in Atlanta, Georgia...
December 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29289539/the-role-of-physicians-practicing-in-assisted-living-time-for-change
#12
EDITORIAL
Paul R Katz, Alan Kronhaus, Steven Fuller
No abstract text is available yet for this article.
December 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29287695/pain-treatments-after-hip-fracture-among-older-nursing-home-residents
#13
Andrew R Zullo, Tingting Zhang, Francesca L Beaudoin, Yoojin Lee, Kevin W McConeghy, Douglas P Kiel, Lori A Daiello, Vincent Mor, Sarah D Berry
OBJECTIVES: To examine the association between use of opioids versus other analgesics with death and functioning after hip fracture in older nursing home (NH) residents. DESIGN: Retrospective cohort using national Medicare fee-for-service claims linked to the Minimum Data Set. SETTING: US NHs. PARTICIPANTS: NH residents aged ≥65 years who became a long-stay resident (>100 days in the NH) between January 2008 and December 2009, had a hospitalized hip fracture, and returned to the NH...
December 26, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29287694/use-of-anticholinergic-drugs-and-its-relationship-with-psychological-well-being-and-mortality-in-long-term-care-facilities-in-helsinki
#14
Ulla Liisa Aalto, Hanna-Maria Roitto, Harriet Finne-Soveri, Hannu Kautiainen, Kaisu Pitkälä
OBJECTIVES: To assess the burden of drugs with anticholinergic properties (DAPs) and associated factors in long-term care facilities and to explore how psychological well-being and mortality are associated with the use of DAPs. DESIGN: Cross-sectional study and 1-year follow-up of all-cause mortality. SETTING AND PARTICIPANTS: All 4449 older people (>65 years of age) living in nursing homes and assisted living facilities in Helsinki in 2011 were recruited...
December 26, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29287693/ultrasonography-to-measure-swallowing-muscle-mass-and-quality-in-older-patients-with-sarcopenic-dysphagia
#15
Nami Ogawa, Takashi Mori, Ichiro Fujishima, Hidetaka Wakabayashi, Masataka Itoda, Kenjiro Kunieda, Takashi Shigematsu, Shinta Nishioka, Haruka Tohara, Minoru Yamada, Sumito Ogawa
BACKGROUND: Sarcopenic dysphagia is characterized by difficulty swallowing due to a loss of whole-body skeletal and swallowing muscle mass and function. However, no study has reported on swallowing muscle mass and quality in patients with sarcopenic dysphagia. OBJECTIVE: To compare the differences in swallowing muscle mass and quality between sarcopenic and nonsarcopenic dysphagia. METHOD: A cross-sectional study was performed in 55 older patients, who had been recommended to undergo dysphagia assessment and/or rehabilitation...
December 26, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29287692/analysis-of-reasons-for-potentially-preventable-hospital-transfers-using-the-modified-interact-ii-tool
#16
LETTER
G C Magpantay, H J Toh, J A Low, W K Chia
No abstract text is available yet for this article.
December 26, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29287691/protocol-for-the-assessment-of-patient-capacity-to-make-end-of-life-treatment-decisions
#17
Richard B Stuart, Stephen Thielke
Patients' right to decide what happens to their bodies, especially around the end of life, is enshrined in legislation across the world, but questions often arise about whether a patient is capable of meaningfully participating in such decisions. Because of uncertainties about capacity, care providers and administrative agencies often must decide whether to honor, or even to elicit, patients' wishes. General decision-making capacity has been well studied, but few clear protocols exist for ascertaining capacity at the end of life...
December 26, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29269096/reallocating-accelerometer-assessed-sedentary-time-to-light-or-moderate-to-vigorous-intensity-physical-activity-reduces-frailty-levels-in-older-adults-an-isotemporal-substitution-approach-in-the-tsha-study
#18
Asier Mañas, Borja Del Pozo-Cruz, Amelia Guadalupe-Grau, Jorge Marín-Puyalto, Ana Alfaro-Acha, Leocadio Rodríguez-Mañas, Francisco J García-García, Ignacio Ara
INTRODUCTION: The effects of replacing sedentary time with light or moderate- to vigorous-intensity physical activity on frailty are not well known. AIM: To examine the mutually independent associations of sedentary time (ST), light-intensity physical activity (LPA), and moderate- to vigorous-intensity physical activity (MVPA) with frailty status in older adults. METHODS: A total of 628 people aged ≥65 years from the Toledo Study of Healthy Aging (TSHA) participated in this cross-sectional study...
December 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29254904/predictive-ability-of-individual-items-of-the-cardiovascular-health-study-chs-scale-compared-with-the-summative-score
#19
Jean Woo, Ruby Yu, Jason Leung
OBJECTIVES: To examine the ability of each item of the Fried phenotype of frailty to predict physical limitation and physical performance measures after 4 years, walking speed and hospitalization after 7 years, and mortality after 12 years. DESIGN: Prospective cohort study. SETTING: Community-living older people in Hong Kong SAR, China. PARTICIPANTS: 4000 community-living Chinese men and women aged 65 and older were recruited using stratified sampling so that approximately 33% each would be aged 65-69, 70-74, and 75 and older...
December 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29208447/impact-of-advanced-practice-registered-nurses-on-quality-measures-the-missouri-quality-initiative-experience
#20
Marilyn J Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Cathy Murray, Charles Crecelius, Bin Ge, Gregory Petroski
PURPOSE: The purpose of this article is to review the impact of advanced practice registered nurses (APRNs) on the quality measure (QM) scores of the 16 participating nursing homes of the Missouri Quality Initiative (MOQI) intervention. The MOQI was one of 7 program sites in the US, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services Innovations Center. While the goals of the MOQI for long-stay nursing home residents did not specifically include improvement of the QM scores, it was anticipated that improvement most likely would occur...
December 2, 2017: Journal of the American Medical Directors Association
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