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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/30241987/exploring-antipsychotic-prescribing-behaviors-for-nursing-home-residents-with-dementia-a-qualitative-study
#1
Kieran A Walsh, Carol Sinnott, Aoife Fleming, Jenny Mc Sharry, Stephen Byrne, John Browne, Suzanne Timmons
OBJECTIVES: Caution is advised when prescribing antipsychotics to people with dementia. This study explored the determinants of appropriate, evidence-based antipsychotic prescribing behaviors for nursing home residents with dementia, with a view to informing future quality improvement efforts and behavior change interventions. DESIGN: Semistructured qualitative interviews based on the Theoretical Domains Framework (TDF). SETTING AND PARTICIPANTS: A purposive sample of 27 participants from 4 nursing homes, involved in the care of nursing home residents with dementia (8 nurses, 5 general practitioners, 5 healthcare assistants, 3 family members, 2 pharmacists, 2 consultant geriatricians, and 2 consultant psychiatrists of old age) in a Southern region of Ireland...
September 18, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30228079/signs-of-dehydration-in-nursing-home-residents
#2
Peter Johnson, Robert G Hahn
OBJECTIVES: Although dehydration can affect mental and physical health, there is no clear, consistent, and reproducible diagnostic tool for this condition in older people. We applied multiple methods to detect dehydration with the aim of assessing the value of using urine analysis for this purpose. DESIGN: Nonrandomized cohort study. SETTING AND PARTICIPANTS: Sixty nursing home residents, aged 64-103 (mean 84) years. METHODS: Sampling of morning urine, blood analyses, and clinical examination...
September 15, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30206033/quick-and-simple-frail-scale-predicts-incident-activities-of-daily-living-adl-and-instrumental-adl-iadl-disabilities-a-systematic-review-and-meta-analysis
#3
REVIEW
Gotaro Kojima
OBJECTIVES: To quantitatively examine frailty defined by FRAIL scale as a predictor of incident disability risks by conducting a systematic review and meta-analysis. DESIGN: Systematic review and meta-analysis. SETTING: A systematic review was conducted using 4 electronic databases (Embase, MEDLINE, CINAHL, and PsycINFO) in April 2018 for prospective cohort studies of middle-aged or older people examining associations between frailty and incident disability...
September 8, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30197272/agitation-and-aggression-are-2-different-syndromes-in-persons-with-dementia
#4
EDITORIAL
Ladislav Volicer, Elizabeth Galik
No abstract text is available yet for this article.
September 6, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30173957/who-should-deliver-primary-care-in-long-term-care-facilities-to-optimize-resident-outcomes-a-systematic-review
#5
REVIEW
Robert Oliver Barker, Dawn Craig, Gemma Spiers, Patience Kunonga, Barbara Hanratty
OBJECTIVE: Across the world, health care for residents in long-term care facilities (LTCFs) is provided by a range of different professionals, and there is no consensus on which professional group(s) deliver the best outcomes for residents. The objective of this review is to investigate how the health outcomes of older adults in LTCFs vary according to which professional group(s) provides first-line medical care. DESIGN: A systematic review and narrative synthesis were performed...
August 31, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30173958/development-and-validation-of-the-perceptions-attitudes-and-challenges-of-physicians-towards-deprescribing-pacpd-12-questionnaire
#6
LETTER
Doorva Bhuvanendra Bhat, Ganesan Rajalekshmi Saraswathy, Kumari Sweta
No abstract text is available yet for this article.
August 30, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30172683/association-between-potentially-inappropriate-medications-and-frailty-in-the-early-old-age-a-longitudinal-study-in-the-gazel-cohort
#7
P Martinot, B Landré, M Zins, M Goldberg, J Ankri, M Herr
OBJECTIVES: High-risk prescribing can have deleterious effects on the health of older people. This study aimed to assess the role of inappropriate prescribing on changes in frailty status over 3 years of follow-up. DESIGN, SETTING: This is a prospective observational study nested in the GAZEL cohort. PARTICIPANTS: The study sample included 12,405 community-dwelling people aged 58 to 73 in 2012, and followed for 3 years. MEASUREMENT: Polypharmacy and potentially inappropriate medications (PIMs) were assessed from reimbursement data by the French National Health Insurance...
August 29, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30170936/opioid-prescribing-behavior-in-long-term-geriatric-care-in-the-netherlands
#8
Mark J M Martens, Daisy J A Janssen, Jos M G A Schols, Marieke H J van den Beuken-van Everdingen
OBJECTIVES: Pain is a highly prevalent problem in older adults and dying patients. Opioids are the main analgesic for moderate to severe pain in these patients. Different properties of various opioids can make them more or less suitable for this specific population. We therefore aim to explore opioid prescribing behavior in a group of physicians specialized in long-term geriatric care and to identify factors that are taken into account when selecting a specific opioid for treatment of pain in older patients and patients in the dying phase...
August 28, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30149984/body-composition-igf1-status-and-physical-functionality-in-nonagenarians-implications-for-osteosarcopenia
#9
Eleonora Poggiogalle, Katie E Cherry, L Joseph Su, Sangkyu Kim, Leann Myers, David A Welsh, S Michal Jazwinski, Eric Ravussin
OBJECTIVES: Body composition alterations occur during aging. The purpose of the present analysis was to explore the functional consequences of the overlap of sarcopenia and osteoporosis, and the potential role of insulin-like growth factor 1 (IGF1) in their development in the oldest old. SETTING AND PARTICIPANTS: Eighty-seven nonagenarians from the Louisiana Healthy Aging Study were included. MEASURES: The definition of sarcopenia was based on appendicular lean mass (ALM)...
August 24, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30145169/the-impact-of-frailty-and-comorbidity-on-institutionalization-and-mortality-in-persons-with-dementia-a-prospective-cohort-study
#10
Miriam L Haaksma, Debora Rizzuto, Inez H G B Ramakers, Sara Garcia-Ptacek, Alessandra Marengoni, Wiesje M van der Flier, Frans R J Verhey, Marcel G M Olde Rikkert, René J F Melis
OBJECTIVES: The predictive value of frailty and comorbidity, in addition to more readily available information, is not widely studied. We determined the incremental predictive value of frailty and comorbidity for mortality and institutionalization across both short and long prediction periods in persons with dementia. DESIGN: Longitudinal clinical cohort study with a follow-up of institutionalization and mortality occurrence across 7 years after baseline. SETTING AND PARTICIPANTS: 331 newly diagnosed dementia patients, originating from 3 Alzheimer centers (Amsterdam, Maastricht, and Nijmegen) in the Netherlands, contributed to the Clinical Course of Cognition and Comorbidity (4C) Study...
August 23, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30145171/advancing-research-on-care-needs-and-supportive-approaches-for-persons-with-dementia-recommendations-and-rationale
#11
Ann Kolanowski, Richard H Fortinsky, Margaret Calkins, Davangere P Devanand, Elizabeth Gould, Tamar Heller, Nancy A Hodgson, Helen C Kales, Jeffrey Kaye, Constantine Lyketsos, Barbara Resnick, Melanie Schicker, Sheryl Zimmerman
The first National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers was held on October 16-17, 2017, at the National Institutes of Health. In this paper, participants from the Summit Session on Research on Care Needs and Supportive Approaches for Persons with Dementia summarize the state of the science, identify gaps in knowledge, and offer recommendations to improve science and practice in long-term care. Recommendations cover 4 areas focused on persons living with dementia: (1) symptoms (behavioral and psychological symptoms of dementia, function, cognition, and sleep); (2) dementia care settings (physical and social environments, home, and residential care); (3) living with dementia (living well with dementia, living alone with dementia, and living with dementia and intellectual and developmental disabilities); and (4) technology as a cross-cutting theme...
August 22, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30145170/response-to-the-letter-to-the-editor-flaws-related-to-the-article-entitled-frailty-predicts-incident-urinary-incontinence-among-hospitalized-older-adults
#12
LETTER
Edward Chong, Mark Chan, Wee Shiong Lim, Yew Yoong Ding
No abstract text is available yet for this article.
August 22, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30145168/flaws-related-to-the-article-entitled-frailty-predicts-incident-urinary-incontinence-among-hospitalized-older-adults
#13
LETTER
Tugba Erdogan, Gulistan Bahat
No abstract text is available yet for this article.
August 22, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30145167/utility-of-the-identification-of-seniors-at-risk-score-to-predict-in-hospital-mortality-in-older-patients-with-heart-failure
#14
LETTER
Alberto Domínguez-Rodríguez, Magali González-Colaço Harmand, Francisco Javier Martín-Sánchez, Nestor Baez-Ferrer, Víctor Gil, Òscar Miró, Pedro Abreu-González
No abstract text is available yet for this article.
August 22, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30122324/increasing-antimicrobial-resistance-in-long-term-care-facility-patients-with-bacteremia-a-5-year-s-surveillance
#15
LETTER
Moty Almog, Anna Yanovskay, Hana Edelstein, Naama Schwartz, Raul Colodner, Bibiana Chazan
No abstract text is available yet for this article.
August 16, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30122323/decreased-basal-metabolic-rate-can-be-an-objective-marker-for-sarcopenia-and-frailty-in-older-males
#16
Pinar Soysal, Esra Ates Bulut, Idil Yavuz, Ahmet Turan Isik
OBJECTIVES: The aim of this study is to demonstrate the ability of the basal metabolic rate (BMR) to detect frailty and sarcopenia in older males. SETTING AND PARTICIPANTS: A total of 305 male patients undergoing comprehensive geriatric assessment were included in the study. MEASURES: The frailty status was assessed with the Fried criteria. Sarcopenia was diagnosed according to the European Working Group on Sarcopenia in Older People criteria...
August 16, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30108035/evaluation-of-nursing-facility-resident-safety-during-implementation-of-the-interact-quality-improvement-program
#17
Ruth M Tappen, David Newman, Peter Huckfeldt, Zhiyou Yang, Gabriella Engstrom, David G Wolf, Jill Shutes, Carolina Rojido, Joseph G Ouslander
BACKGROUND: Medicare incentivizes the reduction of hospitalizations of nursing facility (NF) residents. The effects of these incentives on resident safety have not been examined. OBJECTIVE: Examine safety indicators in NFs participating in a randomized, controlled trial of the INTERACT Quality Improvement Program. DESIGN: Secondary analysis of a randomized trial in which intervention NFs exhibited a statistically nonsignificant reduction in hospitalizations...
August 11, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30108034/one-week-of-hospitalization-following-elective-hip-surgery-induces-substantial-muscle-atrophy-in-older-patients
#18
Imre W K Kouw, Bart B L Groen, Joey S J Smeets, Irene Fleur Kramer, Janneau M X van Kranenburg, Rachél Nilwik, Jan A P Geurts, René H M Ten Broeke, Martijn Poeze, Luc J C van Loon, Lex B Verdijk
OBJECTIVES: Short successive periods of skeletal muscle disuse have been suggested to substantially contribute to the observed loss of skeletal muscle mass over the life span. Hospitalization of older individuals due to acute illness, injury, or major surgery generally results in a mean hospital stay of 5 to 7 days, during which the level of physical activity is strongly reduced. We hypothesized that hospitalization following elective total hip arthroplasty is accompanied by substantial leg muscle atrophy in older men and women...
August 11, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30108033/an-analysis-of-falls-and-those-who-fall-in-a-chronic-care-facility
#19
Chris A McGibbon, Jeremy T Slayter, Linda Yetman, Alexander McCollum, Rose McCloskey, Sharron G Gionet, Heather Oakley, Pamela Jarrett
OBJECTIVES: Falls in hospitals lead to adverse patient outcomes and prevention of falls is of upmost importance. Little is known about fall and injury rates in chronic care facilities, which are similar to skilled nursing facilities in the United States. Current fall risk tools in this setting are not well studied. Enhancing the understanding of how patient characteristics relate to fall circumstances is also needed. DESIGN: Retrospective analysis of falls over 3 years on consecutive admissions and discharges...
August 11, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30108032/deprescribing-medications-for-chronic-diseases-management-in-primary-care-settings-a-systematic-review-of-randomized-controlled-trials
#20
REVIEW
Hannah Dills, Kruti Shah, Barbara Messinger-Rapport, Kevin Bradford, Quratulain Syed
OBJECTIVES: Perform a systematic review to evaluate the outcome of deprescription compared with standard care. The focus was on chronic medical and mental health conditions managed in primary care. DESIGN: The databases searched include PubMed, Medline, EMBASE, the Cochrane Library, Scopus, and Web of Science. Each study was assessed for bias with the Cochrane Collaboration tool. SETTINGS AND PARTICIPANTS: This review included outpatient, assisted living, nursing home, and acute care settings (if medications for chronic disease were deprescribed)...
August 11, 2018: Journal of the American Medical Directors Association
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