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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/28330635/the-association-between-muscle-weakness-and-incident-diabetes-in%C3%A2-older-mexican-americans
#1
Ryan McGrath, Brenda M Vincent, Soham Al Snih, Kyriakos S Markides, Mark D Peterson
OBJECTIVES: A natural decline of muscle strength occurs during the aging process; however, preserving muscle strength may lower the rate of many preventable diseases such as diabetes, especially in higher risk populations. The purpose of this study was to examine the sex-specific association between muscle weakness and incident diabetes in older Mexican Americans. DESIGN: Observational, longitudinal study. SETTING: Urban and rural households in the Southwestern United States...
March 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28330634/epidemiology-of-pain-in-people-with-dementia-living-in-care-homes-longitudinal-course-prevalence-and-treatment-implications
#2
Anto P Rajkumar, Clive Ballard, Jane Fossey, Martin Orrell, Esme Moniz-Cook, Robert T Woods, Joanna Murray, Rhiannon Whitaker, Jane Stafford, Martin Knapp, Renee Romeo, Barbara Woodward-Carlton, Zunera Khan, Ingelin Testad, Anne Corbett
INTRODUCTION: Knowledge regarding the longitudinal course, impact, or treatment implications of pain in people with dementia living in care homes is very limited. METHODS: We investigated the people with dementia living in 67 care homes in London and Buckinghamshire, United Kingdom. Pain, dementia severity, neuropsychiatric symptoms, depression, agitation, and quality-of-life were measured using appropriate instruments at baseline (N = 967) and after 9 months (n = 629)...
March 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28330633/association-between-psychotropic-and-cardiovascular-iatrogenic-alerts-and-risk-of-hospitalizations-in-elderly-people-treated-for-dementia-a-self-controlled-case-series-study-based-on-the-matching-of-2-french-health-insurance-databases
#3
Lorene Zerah, Jacques Boddaert, Armelle Leperre-Desplanques, Dominique Bonnet-Zamponi, Marc Verny, Jean Deligne, Pierre-Yves Boelle
BACKGROUND: Elderly people are at risk of repeated hospitalizations, some of which may be drug related and preventable. In 2011, a group of French healthcare experts selected 5 iatrogenic alerts (IAs), based on criteria identified in a literature search and from their professional experience, to assess the appropriateness of medication in elderly patients. OBJECTIVES: Our objective was to examine the association between hospitalizations and IAs in elderly patients treated for Alzheimer disease who are particularly sensitive to adverse drug events...
March 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28292570/cognitive-impairment-in-chronic-obstructive-pulmonary-disease-and-chronic-heart-failure-a-systematic-review-and-meta-analysis-of-observational-studies
#4
REVIEW
Abebaw M Yohannes, W Chen, Ana M Moga, I Leroi, Martin J Connolly
BACKGROUND: Cognitive impairment is common in people living with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF); however, accurate estimates of prevalence are lacking. To date, there are no meta-analyses that have specifically investigated prevalence of mild cognitive impairment (MCI) in this particular population. Our aim was to undertake a systematic review and apply meta-analytic methods to estimate the prevalence of MCI and any cognitive impairment (ACI) in people with COPD and CHF...
March 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28291586/reply-to-decisions-to-transfer-nursing-home-residents-to-emergency-departments-a-scoping-review-of-contributing-factors-and-staff-perspectives-by-l-m-trahan-et%C3%A2-al
#5
LETTER
Danya Khoujah, Jon Mark Hirshon
No abstract text is available yet for this article.
March 10, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28291585/response-to-the-letter-by-khoujah-and-hirshon-decisions-to-transfer-nursing-home-residents-to-emergency-departments-a-scoping-review-of-contributing-factors-and-staff-perspectives
#6
LETTER
Jude Spiers, Rowan El Bialy, Lisa Marie Trahan, Greta G Cummings
No abstract text is available yet for this article.
March 10, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28283382/the-effectiveness-and-harms-of-antidepressants
#7
EDITORIAL
John E Morley
No abstract text is available yet for this article.
March 7, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28283381/a-comprehensive-review-of-the-quality-and-feasibility-of-dementia-assessment-measures-the-dementia-outcomes-measurement-suite
#8
REVIEW
Adam Bentvelzen, Liesbeth Aerts, Katrin Seeher, Jacqueline Wesson, Henry Brodaty
The diagnosis of dementia and the management of its associated symptoms are aided by high-quality assessment tools. However, there is disagreement on the optimal tools among abundant alternatives and lack of consistent quality standards across the different domains of dementia-related change (ie, cognition, severity, function, behavioral and psychological symptoms, delirium, quality of life). Standardization is difficult because the relevance of a measurement tool for health professionals may depend on the clinical setting and on the dementia type and severity...
March 7, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28283380/developing-evidence-for-football-soccer-reminiscence-interventions-within-long-term-care-a-co-operative-approach-applied-in-scotland-and-spain
#9
Laura Coll-Planas, Karen Watchman, Sara Doménech, David McGillivray, Hugh O'Donnell, Debbie Tolson
Loneliness is a common experience within long-term care and, to promote well-being and quality of life among people with dementia, it is important to draw upon a repertoire of strategies that provide social stimulation, companionship, and enjoyment. This paper describes and reflects on a program of co-operative social participatory research that sought to introduce football-focused (ie, soccer-based) reminiscence based in 4 community settings within Spain and Scotland. Findings are reported and inform an original conceptual model that supports the introduction of sustainable approaches to the development of football-focused reminiscence with and for people with dementia...
March 7, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28283379/alone-and-lonely-a-case-report-on-elder-abuse-in-malaysia
#10
LETTER
Rajini Sooryanarayana, Choo Wan Yuen, Noran N Hairi
No abstract text is available yet for this article.
March 7, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28279607/screening-for-frailty-with-the-frail-scale-a-comparison-with-the-phenotype-criteria
#11
Ivan Aprahamian, Natália Oiring de Castro Cezar, Rafael Izbicki, Sumika Mori Lin, Débora Lee Vianna Paulo, André Fattori, Marina Maria Biella, Wilson Jacob Filho, Mônica Sanches Yassuda
BACKGROUND: Reliable and valid frailty screening instruments are lacking. The aim of the present study was to compare the diagnostic properties of the FRAIL-BR with Fried's frailty phenotype (CHS), which has not been done. METHODS: Cross-sectional observational study of 124 older adults aged 60 or older from 2 university-based geriatric outpatient units in the state of São Paulo, Brazil. In ROC analyses, we evaluated different cutoff points and AUC areas of the FRAIL-BR compared with the CHS criteria...
March 6, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28279606/frailty-and-multimorbidity-different-ways-of-thinking-about-geriatrics
#12
Matteo Cesari, Mario Ulises Pérez-Zepeda, Emanuele Marzetti
The terms multimorbidity and frailty are increasingly used in the medical literature to measure the risk profile of an older individual in order to support clinical decisions and design ad hoc interventions. The construct of multimorbidity was initially developed and used in nongeriatric settings. It generates a monodimensional nosological risk profile, grounding its roots in the somewhat inadequate framework of disease. On the other hand, frailty is a geriatric concept that implies a more exhaustive and comprehensive assessment of the individual and his/her environment, facilitating the implementation of multidimensional and tailored interventions...
March 6, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28279605/memory-alterations-and-white-matter-hyperintensities-in-elderly-patients-with-hypertension-the-adelahyde-2-study
#13
João Pedro Ferreira, Anna Kearney Schwartz, Ghassan Watfa, Lamiral Zohra, Jacques Felblinger, Jean-Marc Boivin, Serge Bracard, Gabriella Hossu, Antoine Verger, Laure Joly, Faiez Zannad, Patrick Rossignol, Athanase Benetos
OBJECTIVES: The longitudinal ADELAHYDE-2 study aims to identify the factors associated with cognitive impairment/decline and white matter hyperintensities burden. METHODS: Longitudinal single-center study comprising two visits separated by approximately 7 years. A total of 131 patients completed the two visits. The primary outcome was global memory composite scale, while the secondary outcome was white matter hyperintensities (WMH/Fazekas scale) load. RESULTS: Global memory at visit 2 (V2) was largely influenced by age, smoking status, glycated hemoglobin, and history of stroke already present at visit 1 (V1)...
March 6, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28279604/low-impact-flooring-does-it-reduce-fall-related-injuries
#14
H Carl Hanger
OBJECTIVES: To compare fall rates and injuries from falls on low-impact flooring (LIF) compared with a standard vinyl flooring. DESIGN: Prospective, observational, nonrandomized controlled study. SETTING: Subacute Older Persons Health ward (N = 20 beds). PARTICIPANTS: Older inpatients. INTERVENTION: Three different types of LIF. MEASUREMENTS: All falls in the ward were prospectively monitored using incident reporting, noting location and consequences of each fall...
March 6, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28246017/magnitude-of-hypotension-based-on-office-and-ambulatory-blood-pressure-monitoring-results-from-a-cohort-of-5066-treated-hypertensive-patients-aged-80%C3%A2-years-and-older
#15
Juan A Divisón-Garrote, Luis M Ruilope, Alejandro de la Sierra, Juan J de la Cruz, Ernest Vinyoles, Manuel Gorostidi, Carlos Escobar-Cervantes, Sonsoles M Velilla-Zancada, Julián Segura, José R Banegas
BACKGROUND AND OBJECTIVE: Elderly patients can be particularly susceptible to the adverse effects of excessive blood pressure (BP) lowering by antihypertensive treatment. The identification of hypotension is thus especially important. Ambulatory BP monitoring (ABPM) is a more accurate technique than office for classifying BP status. This study examined the prevalence of hypotension and associated demographic and clinical factors among very old treated hypertensive patients undergoing ABPM...
February 25, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28242193/reforming-management-of-behavior-symptoms-and-psychiatric-conditions-in-long-term-care-facilities-a-different-perspective
#16
Steven A Levenson, Abhilash K Desai
Despite much attention including national initiatives, concerns remain about the approaches to managing behavior symptoms and psychiatric conditions across all settings, including in long-term care settings such as nursing homes and assisted living facilities. One key reason why problems persist is because most efforts to "reform" and "correct" the situation have failed to explore or address root causes and instead have promoted inadequate piecemeal "solutions." Further improvement requires jumping off the bandwagon and rethinking the entire issue, including recognizing and applying key concepts of clinical reasoning and the care delivery process to every situation...
February 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28242192/screening-for-frailty-and-sarcopenia-among-older-persons-in-medical-outpatient-clinics-and-its-associations-with-healthcare-burden
#17
Li Feng Tan, Zhen Yu Lim, Rachel Choe, Santhosh Seetharaman, Reshma Merchant
OBJECTIVES: With an aging population and increase in multimorbidity, the importance of screening for frailty and sarcopenia has become a public health priority. Several tools to do so exist. This study aimed to examine whether the SARC-F and Edmonton frail screening tools are useful in clinical practice to identify at-risk patients for negative health outcomes who would benefit from intervention. DESIGN: This is a cross-sectional study of patients attending medical specialist outpatient clinics at the National University Hospital, Singapore from May 2015 to February 2016...
February 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28242191/comprehensive-literature-review-of-factors-influencing-medication-safety-in-nursing-homes-using-a-systems-model
#18
REVIEW
Ali Azeez Al-Jumaili, William R Doucette
OBJECTIVES: The objectives of this review were to identify the work system factors influencing medication safety measures [adverse drug events (ADEs), adverse drug reactions, or medication errors (MEs)], to determine the incidence of ADEs, and describe the most common ADEs in nursing homes (NHs). METHODS: A comprehensive literature review was conducted using PubMed and CINAHL to identify studies investigating factors that influence ADEs, adverse drug reactions, and MEs in NHs and skilled nursing facilities...
February 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28242190/unexplained-absences-and-risk-of-death-and-injury-among-nursing-home-residents-a-systematic-review
#19
REVIEW
Marta H Woolford, Carolina Weller, Joseph E Ibrahim
BACKGROUND: Unexplained absence of nursing home (NH) residents is one of the most challenging issues related to the care of older people. The aim of this review was to examine the death and injury outcomes of unexplained absence of NH residents. METHOD: We searched MEDLINE, CINAHL, EMBASE, PsycINFO, AgeLine, and Cochrane Library to identify qualitative and quantitative studies published in the English language. Data on death and injury were collated, and aggregate proportions were calculated where possible...
February 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28238677/improving-public-awareness-of-multimorbidity
#20
EDITORIAL
Alessandra Marengoni, Laura Fratiglioni, Graziano Onder
No abstract text is available yet for this article.
February 23, 2017: Journal of the American Medical Directors Association
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