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https://www.readbyqxmd.com/read/30108032/deprescribing-medications-for-chronic-diseases-management-in-primary-care-settings-a-systematic-review-of-randomized-controlled-trials
#1
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
https://www.readbyqxmd.com/read/30103692/implementing-advance-care-planning-in-nursing-homes-study-protocol-of-a-cluster-randomized-clinical-trial
#2
Trygve Johannes Lereim Sævareid, Lillian Lillemoen, Lisbeth Thoresen, Reidun Førde, Elisabeth Gjerberg, Reidar Pedersen
BACKGROUND: Close to half of all deaths in Norway occur in nursing homes, which signals a need for good communication on end-of-life care. Advance care planning (ACP) is one means to that end, but in Norwegian nursing homes, ACP is not common. This paper describes the protocol of a project evaluating an ACP-intervention in Norwegian nursing homes. The aims of this research project were to promote the possibility for conversations about the end of life with patients and relatives; promote patient autonomy; create a better foundation for important decisions in the case of medical emergencies and at the end of life; and gain experiences in order to find out what characterizes good ACP and good implementation strategies...
August 13, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30103341/marriage-as-protector-for-nursing-home-admission-in-huntington-s-disease
#3
Jessica Y Winder, Wilco P Achterberg, Raymund A C Roos
BACKGROUND: Huntington's disease is a progressive, incurable neurodegenerative disorder and it is not possible to delay onset or progression of the disease. Consequently, the disease leads to functional decline and loss of independency and finally to institutionalization. OBJECTIVE: The aim of this study is to identify factors which are associated with nursing home admission in patients with Huntington's disease. METHODS: The Unified Huntington's Disease Rating Scale (UHDRS) and the UHDRS-For Advanced Patients (UHDRS-FAP) were administered in 28 nursing home residents and 12 patients receiving day-care...
2018: Journal of Huntington's Disease
https://www.readbyqxmd.com/read/30094828/burden-of-invasive-methicillin-resistant-staphylococcus-aureus-infections-in-nursing-home-residents
#4
Cheri Grigg, Danielle Palms, Nimalie D Stone, Nicole Gualandi, Wendy Bamberg, Ghinwa Dumyati, Lee H Harrison, Ruth Lynfield, Joelle Nadle, Susan Petit, Susan Ray, William Schaffner, John Townes, Isaac See
OBJECTIVES: To describe the epidemiology and incidence of invasive methicillin-resistant Staphylococcus aureus (MRSA) infections in nursing home (NH) residents, which has previously not been well characterized. DESIGN: Retrospective analysis of public health surveillance data. SETTING: Healthcare facilities in 33 U.S. counties. PARTICIPANTS: Residents of the surveillance area. MEASUREMENTS: Counts of NH-onset and hospital-onset (HO) invasive MRSA infections (cultured from sterile body sites) identified from the Centers for Disease Control and Prevention Emerging Infections Program (EIP) population-based surveillance from 2009 to 2013 were compared...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30092687/preliminary-validation-of-the-rey-15-item-test-and-reliable-digit-span-in-native-japanese-samples
#5
Joseph J Ryan, Takahiro Yamaguchi, David S Kreiner
The Rey 15-Item Test and reliable digit span were evaluated in Japan. Participants were controls ( n = 15), healthy volunteers instructed to simulate memory impairment ( n = 12; 5 of 17 volunteers did not comply with instructions and were dropped), healthy elderly ( n = 12), and cognitively disabled nursing home residents ( n = 8). On the 15-Item Test, controls and elderly performed similarly and were combined. Nursing home residents could not cope with the 15-Item Test and were dropped. Total score was a fair predictor of dissimulation using a cutoff ≤ 8...
August 9, 2018: Psychological Reports
https://www.readbyqxmd.com/read/30086253/pressure-ulcer-prevention-using-an-alternating-pressure-mattress-overlay-the-matcarp-project
#6
Sylvie Meaume, Marc Marty
OBJECTIVE: The primary objective was to assess the incidence of pressure ulcer (PU) in patients at high risk of PU and lying between 15-20 hours per day on an alternating-pressure mattress overlay (APMO). Secondary objectives were the patient's satisfaction with the comfort of the APMO, patient acceptance of its sound level, and the care team's assessment of its use and the moisture level. METHOD: This prospective observational study was conducted in three rehabilitation centres and two nursing homes between June 2016 and March 2017...
August 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/30084032/-desired-place-of-death-living-will-and-desired-care-at-end-of-life-initial-results-of-a-survey-of-nursing-home-residents
#7
B van Oorschot, K Mücke, A Cirak, T Henking, S Neuderth
BACKGROUND AND PURPOSE: There is little information about the desired place of death of nursing home residents because they are usually not interviewed in population-based representative surveys. In preparation of support services for advance care planning the kind of care and support that nursing home residents desire needs to be systematically determined. METHOD: From October 2016 to January 2017 the residents of 5 nursing homes, municipally owned by Würzburg, were interviewed face-to-face...
August 6, 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/30083316/predictors-of-yearly-influenza-vaccination-in-hospitalized-and-community-based-patients
#8
Stephanie Attard Camilleri, Juanita Camilleri Casingena, Kentaro Yamagata, Martin Balzan
Background: Understanding positive and negative influences on adult immunization status can help healthcare providers to better identify and target patients who are likely to need immunization. Our aim was to assess and compare influenza and pneumococcal (IV/PV) immunisation rates to identify vaccination predictors in Malta. Method: One group consisted of all medical patients discharged from Mater Dei Hospital (MDH) over a one week period in February 2013. Patients were administered a phone questionnaire...
2018: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/30080233/altered-eating-attitudes-in-nursing-home-residents-and-its-relationship-with-their-cognitive-and-nutritional-status
#9
C María Pérez-Sánchez, D Nicolás Torres, J J Hernández Morante
BACKGROUND: although eating disorders are usually linked to young adolescents, these mental disorders can also appear in the elderly, especially in those living in nursing homes, which might be associated or not with the cognitive decline; however, there are few data regarding elderly subjects. OBJECTIVES: the objective of the present work was to evaluate the presence of abnormal eating attitudes in nursing home residents and its relation with several cognitive, nutritional and psychological factors that could be influencing their nutritional state...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/30079366/status-of-observance-of-structural-standards-in-rehabilitation-centers-and-nursing-homes
#10
Malihe Foruoghi, Mahrokh Keshvari, Saeeid Sadeghi, Parvaneh Abazari
INTRODUCTION: The purpose of this study was to determine the status of observance of structural standards in rehabilitation centers and nursing homes. MATERIALS AND METHODS: This cross-sectional descriptive study was carried out on 12 centers of the nursing homes of Isfahan city during 2016-2017. The tool was a check. To complete the checklist, the direct observation of the environment and the review of existing documents were used. Data were analyzed by descriptive statistics and frequency distribution...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/30076964/assessing-symptoms-concerns-and-quality-of-life-in-non-cancer-patients-at-end-of-life-how-concordant-are-patients-and-family-proxy-members
#11
Thomas F Hack, Susan E McClement, Harvey Max Chochinov, Brenden Dufault, Wendy Johnston, Murray W Enns, Genevieve N Thompson, Mike Harlos, Ronald W Damant, Clare D Ramsey, Sara Davison, James Zacharias, David Strang, Heather J Campbell-Enns
CONTEXT: It has become commonplace to use family caregivers as proxy responders where patients are unable to provide information about their symptoms and concerns to health care providers. OBJECTIVE: To determine the degree of concordance between patients' and family members' reports of patient symptoms and concerns at end-of-life. METHODS: Sample dyads included a mix of patients residing at home, in nursing homes, long term care, and hospice...
August 1, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/30076943/functional-status-in-patients-requiring-nursing-home-stay-after-radical-cystectomy
#12
Katie S Murray, Megan Prunty, Alex Henderson, Tyler Haden, Naveen Pokala, Bin Ge, Mark Wakefield, Gregory F Petroski, David R Mehr, Robin L Kruse
OBJECTIVE: To evaluate the ability to perform activities of daily living (ADLs) in patients who required nursing home (NH) care after radical cystectomy (RC), as this surgery can impair patients' ability to perform ADLs in the post-operative period. METHODS: Patients undergoing RC were identified in a novel database of patients with at least 2 NH assessments linked with Medicare inpatient claims. The NH assessment included the Minimum Data Set (MDS)-ADL Long Form (0-28; higher score equals greater impairment), which quantifies activities of daily living...
August 1, 2018: Urology
https://www.readbyqxmd.com/read/30066481/increasing-prevalence-of-assisted-living-as-a-substitute-for-private-pay-long-term-nursing-care
#13
Benjamin C Silver, David C Grabowski, Pedro L Gozalo, David Dosa, Kali S Thomas
OBJECTIVE: Given the tremendous growth in assisted living (AL) over the past 20 years, it is important to understand how expansion has affected the demand for long-term care (LTC) provided in nursing homes (NHs). We estimated the effect of a change in county-level AL beds on the prevalence of private-pay residents and private-pay resident days at the NH-level. DATA SOURCES: National census of large AL providers (25+ beds), and Minimum Data Set combined with Medicare enrollment records and claims from 2007 and 2014...
July 31, 2018: Health Services Research
https://www.readbyqxmd.com/read/30061102/public-reporting-of-antipsychotic-prescribing-in-nursing-homes-population-based-interrupted-time-series-analyses
#14
Noah M Ivers, Monica Taljaard, Vasily Giannakeas, Catherine Reis, Evelyn Williams, Susan Bronskill
BACKGROUND: Although sometimes appropriate, antipsychotic medications are associated with increased risk of significant adverse events. In 2014, a series of newspaper articles describing high prescribing rates in nursing homes in Ontario, Canada, garnered substantial interest. Subsequently, an online public reporting initiative with home-level data was launched. We examined the impact of these public reporting interventions on antipsychotic prescribing in nursing homes. METHODS: Time series analysis of all nursing home residents in Ontario, Canada, between 1 October 2013 and 31 March 2016...
July 30, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/30059266/nursing-home-compare-star-rankings-and-the-variation-in-potentially-preventable-emergency-department-visits-and-hospital-admissions
#15
Richard L Fuller, Norbert I Goldfield, John S Hughes, Elizabeth C McCullough
Measurement of the quality of US health care increasingly emphasizes clinical outcomes over clinical processes. Nursing Home Compare Star Ratings are provided by Medicare to help select better nursing home care. The authors determined the rates and types of 2 important clinical outcomes-potentially preventable hospital admissions and potentially preventable emergency department (ED) visits-for a subset of 439,011 long-term nursing homes residents residing in 12,883 nursing homes throughout the United States over a 2-year period (2010-2011) and compared them with the Star Rating system...
July 30, 2018: Population Health Management
https://www.readbyqxmd.com/read/30059160/a-multilevel-latent-markov-model-for-the-evaluation-of-nursing-homes-performance
#16
Giorgio E Montanari, Marco Doretti, Francesco Bartolucci
The periodic evaluation of health care services is a primary concern for many institutions. We consider services provided by nursing homes with the aim of ranking a set of these structures with respect to their effect on resident health status. Since the overall health status is not directly observable, and given the longitudinal and multilevel structure of the available data, we rely on latent variable models and, in particular, on a multilevel latent Markov model where residents and nursing homes are the first and the second level units, respectively...
July 30, 2018: Biometrical Journal. Biometrische Zeitschrift
https://www.readbyqxmd.com/read/30056428/relevance-of-coded-prodromal-mild-cognitive-impairment-in-the-routine-treatment-of-patients-with-dementia-in-germany
#17
Jens Bohlken, Karel Kostev
Little is known about the impact of prior mild cognitive impairment (MCI, ICD-10: F06.7) diagnosis on the time to dementia diagnosis, anti-dementia drug therapy, and treatment persistence in patients with dementia (PWD). Patients with dementia diagnoses who started anti-dementia therapy between January 2010 and December 2016 were selected from 203 neurological/psychiatric practices in the Disease Analyzer databank (IQVIA). Patients with a history of MCI were compared to non-MCI controls in terms of demographic characteristics, anti-dementia therapy, and the rate of persistence with anti-dementia drugs...
July 21, 2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/30056012/potentially-inappropriate-prescribing-in-belgian-nursing-homes-prevalence-and-associated-factors
#18
Pauline M S Anrys, Goedele C Strauven, Veerle Foulon, Jean-Marie Degryse, Séverine Henrard, Anne Spinewine
BACKGROUND/OBJECTIVES: Our aim was to describe the prevalence of potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) in Belgian nursing homes and to identify characteristics of residents, general practitioners (GPs), and nursing homes (NHs) that are associated with the number of PIMs and PPOs. DESIGN: A cross-sectional study. SETTING: and Participants: Nursing home residents (NHRs), aged ≥65 years, not in palliative care were included in 54 Belgian NHs participating in the COME-ON study...
July 25, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30055517/race-and-mental-health-disorders-impact-on-older-patients-nursing-home-admissions-upon-hospital-discharge
#19
Yu Sunny Kang, Nancy A Miller, Huey-Ming Hm Tzeng, Ting Zhang
INTRODUCTION: Despite policy efforts to reduce unwanted nursing home (NH) admissions, NH residents increasingly are being admitted from hospitals, with a significant share diagnosed with mental health disorders. OBJECTIVES: We examined interactive effect of Black race and mental health disorder's impact on older patients' (age 65 and older) NH admission upon hospital discharge. MATERIAL AND METHODS: We analyzed 186,646 older patients using pooled data from the 2007 through 2010 National Hospital Discharge Survey...
July 5, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/30051416/own-attitude-toward-aging-among-nursing-home-residents-results-of-the-senior-cohort
#20
Fanny Buckinx, A Charles, X Rygaert, J Y Reginster, S Adam, O Bruyère
BACKGROUND: Stereotypes associated with aging are of great concern as extensive literature emphasizes its deleterious effects on physical and mental health of the elderly. AIM: To assess the relationship between the attitude toward aging and the frailty status of nursing homes residents. METHODS: A cross-sectional analysis of the data collected at baseline in the SENIOR cohort was conducted. All subjects received a diagnosis of frailty based on the Fried's criteria...
July 26, 2018: Aging Clinical and Experimental Research
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