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JAMDA
April 11, 2019

Van Dalen et al1 have reported that antihypertensive therapy withdrawal in older people living in communities may increase dementia risk. In their interesting and clinically relevant study, they investigated approximately 1500 patients, 5.5% of whom discontinued antihypertensive therapy during the study. Discontinuation of antihypertensive medication was associated with a 1.8-2.2 higher incidence of dementia (hazard ratio from 1.8 to 2.2 depending on the covariables included in the model).

JAMDA
April 11, 2019

When it comes to pain, nursing home care falls short. The experience of pain negatively impacts life quality and function, especially for residents with multiple chronic comorbidities. The proportion of residents with pain is high, with estimates ranging from 45%1 to 65%.2 Because the experience of pain is primarily subjective, clinicians rely on patients' self-report to direct pain management strategies. Yet, in a nursing home, many residents have dementia and are unable to communicate pain. It is not surprising that pain in the nursing home is both high and under-recognized.

JAMDA
April 11, 2019

Older patients with chronic obstructive pulmonary disease (COPD), hospitalized for an acute exacerbation, often do not receive recommended post-acute pulmonary rehabilitation. This underuse might be related to the impaired clinical and functional status of these patients, who are more likely to present with frailty, comorbidities, and disability. Having developed and implemented a geriatric rehabilitation program for these patients (GR_COPD), the primary aim of this study was to investigate the effectiveness of this program.

JAMDA
April 11, 2019

In residents with dementia living in a long-term care facility (LTCF), un(der)treated pain may trigger behavioral disturbances, mood syndromes, and deterioration of physical functioning and self-maintenance. Because these factors can have considerable impact on the quality of life (QoL), this study aimed to (1) compare characteristics of persons with advanced dementia living in LTCFs with and without pain medication; (2) compare QoL in these persons with and without pain, stratified by type of pain medication use; and (3) explore associations between the use of paracetamol and QoL in...

JAMDA
April 11, 2019

Conduct a needs assessment among post-acute and long-term care (PA-LTC) stakeholder groups to identify (1) research topics of highest priority and (2) perspectives on research, including concerns/barriers to conducting research in the PA-LTC setting.

Spotlight
April 9, 2019

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The Patient Driven Payment Model (PDPM) will take effect on October 1. This not only represents a major change in how skilled nursing facilities (SNFs) are reimbursed; it also will significantly impact the dynamic between clinicians and the facilities they service.

If you’re not ready for PDPM it’s time to gear up...

JAMDA
April 9, 2019

To examine the associations of multimorbidity patterns with health-related quality of life (HRQL) in rural-dwelling older adults in China, and to explore to what extent their associations were mediated by functional dependence and depressive symptoms.

JAMDA
April 9, 2019

Oral health is known to be associated with general health, but longitudinal relationships between oral health and general health indicators have not yet been fully explored in international research.

JAMDA
April 8, 2019

To evaluate the effect of clinical care pathways (CCPs) on health-related quality of life (HRQoL) and physical function following fragility fracture and identify the specific characteristics of CCPs that are associated with improved outcomes.