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JAMDA
June 1, 2019
JAMDA
June 1, 2019
JAMDA
June 1, 2019
JAMDA
June 1, 2019
JAMDA
June 1, 2019

The quality of care in the nursing home setting has attracted significant attention in recent years, especially when it comes to end-of-life care. In particular, there is a nexus between clinical burden, organizational context, and the quality of care in the nursing home.1 In broad terms, organizational context can be categorized into 2 domains: systemwide processes and human behavioral factors. The systemwide processes are often multi-pronged and complex, and it is often difficult, if not impossible, to attribute the benefits of any individual process within the system.

JAMDA
June 1, 2019

As per Benjamin Franklin, “By failing to prepare, you are preparing to fail.” Who would have thought that words spoken more than 200 years ago would so aptly apply today to the situation when patients transition after hospitalization? Indeed, instead of properly preparing for a patient's discharge through comprehensive, timely discharge planning, hospitals often initiate these moves hastily, resulting in preventable adverse outcomes such as medication errors and unnecessary rehospitalizations. The failure of quality discharge planning becomes increasingly important as hospitals and nursing...

JAMDA
June 1, 2019

To derive and validate a model to predict a patient's probability of skilled nursing facility (SNF) discharge using data available from day 1 of hospitalization.

JAMDA
May 24, 2019

Visit-to-visit blood pressure (BP) variability is a risk factor for cardiovascular disease and cognitive decline. Our aim was to assess the association between visit-to-visit BP variability and progression of white matter hyperintensities (WMH).

JAMDA
May 24, 2019

In 2017, the American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for treatment of hypertension were published.1 Since then, much controversy continues to exist around whether and to what extent they should and should not be applied to older persons, including nursing home residents, with multiple comorbidities, frailty, and relatively short life expectancy. This has led to persistence of the philosophy among many physicians that the dangers of intensive blood pressure treatment in older persons outweigh the benefits in most, if not all, persons age 75 years and...

JAMDA
May 24, 2019

To evaluate the effects of an exercise intervention on physical function, maximal muscle strength, and muscle power in very old hospitalized patients.