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JAMDA
March 1, 2020

Medicaid is the largest payer of nursing home (NH) care in the U.S., yet there are long-standing concerns that Medicaid payments are insufficient to cover actual costs of care and contribute to poor care quality. Prior work has shown that low Medicaid reimbursement rates impair administrators’ abilities to employ sufficient nursing staff, but it is unclear how Medicaid funding may contribute to administrators’ abilities to ensure that other elements of safe nursing work environments are in place.

JAMDA
March 1, 2020

Psychotropic medications are often prescribed to manage behavioral and psychological symptoms of dementia (BPSD) in nursing home (NH) residents, although these medications may lack efficacy for BPSD and can have adverse effects. NHs can receive a deficiency of care citation for inappropriate psychotropic medication use (F-758 tag). To promote more effective dementia care, some states specify dementia-specific training requirements for NH nursing staff. The occurrence of F-758 citations related to care of residents with dementia was examined in relation to the presence of state-level...

JAMDA
March 1, 2020

Nutrition plays a vital role in the older adult, as weight in older adults is used as a marker of health and wellness. Individualization of meals is very limited; therefore, it is essential to offer a well-balanced diet options. In this regard, the national guidelines for the older adult can offer guidance to direct the meal options. There are national guidelines from the US Departments of Health and Human Services and Agriculture with dietary recommendations for community-dwelling healthy older adults.

JAMDA
March 1, 2020

In the Netherlands, people with severe forms of Korsakoff syndrome (KS), a neuropsychiatric disorder with a specific profile of neurocognitive dysfunctioning (in particular, frontal impairments), are generally admitted to a specialized nursing home. This specific subgroup in long-term care differs from the general nursing home population in demographic and clinical characteristics and in care needs. They are much younger, more often male, and stay for a longer period in the nursing home. Furthermore, they exhibit frequently challenging behaviour, and their use of psychotropic drugs is...

JAMDA
March 1, 2020

Discharge documents are the main means of communication between healthcare settings, and their transmission from hospital to skilled nursing facility (SNF) is essential to assure high-quality care transitions, provide optimal patient care, and prevent unnecessary emergency department (ED) visits and re-hospitalizations. The accuracy of discharge documents from the hospital to SNFs is unknown. Studies have reported high rates of inaccuracies in medication documentation on hospital discharge summaries when transferring to SNFs.

JAMDA
March 1, 2020

Many older adults do not plan for their LTSS needs. When older adults experience a health crisis (e.g. hospitalization, worsening dementia), family members must often react to the crisis. With PCORI funding, we developed PlanYourLifespan.org (PYL.org) as a national, free, publicly available website that enables older adults and families to understand future needs and plan for what they will need as they age. Different than end-of-life planning, PYL.org focuses on what LTSS people will need when they are in their 80’s, 90’s, and 100’s.

JAMDA
March 1, 2020

Pneumonia is the most common cause of hospitalization for nursing home residents. When deciding whether to treat a resident in the nursing home or transfer to a hospital, it is important to consider risks of hospitalization, including significant functional decline. Little is known about the functional status outcomes of nursing home residents hospitalized for pneumonia.

JAMDA
March 1, 2020

Most behaviour assessment tools used in long-term care (LTC) involve retrospective reports. These assessments are prone to errors in recall and provide little opportunity to identify the context of behaviours. Furthermore, these assessments are often underused, prone to incomplete and inaccurate data collection, and the results can be difficult to analyze. To address these problems, we developed a Dementia Observations (DObs) mobile application for direct observation of behaviour symptoms. Direct observation of behaviour provides more detail about the frequency, duration, precipitants, and...

JAMDA
March 1, 2020

Up to 38% of individuals with advanced dementia experience clinical depression. Although studies demonstrate lower rates of clinical depression as dementia advances, this may be attributed to the difficulty of assessment at this stage. Clinical interviews are thorough in assessing depression, though they are time- and resource-contingent. As such, healthcare providers often turn to screening tools or scales. However, conventional tools for assessing depression have problems with validity in this population.

JAMDA
March 1, 2020

Home healthcare is post-acute care services provided to homebound patients in home settings, serving mostly older adults. It is important to ensure and improve home healthcare quality everywhere in the United States. This study leveraged data analytics to understand the similarities and differences between the urban and non-urban home health agencies in terms of their quality measures.