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JAMDA
March 1, 2016

Approximately 25% of persons admitted to a skilled nursing facility are re-admitted to the hospital within 30 days at an annual cost of $4.3 billion.1 Besides the financial burden, hospital transfers can lead to substantial morbidity such as pressure ulcers, urinary tract infections because of catheters and other nosocomial infections, delirium, weight loss, severe muscle loss (sarcopenia), and polypharmacy.2–6 Hospitalizations are also a reason for persons to transition to frailty and disability.

JAMDA
March 1, 2016

Frailty is described as a clinical state of increased vulnerability to stressors because of homoeostatic impairment and is associated with increased risk of adverse outcomes.1 The best known operationalizations of frailty are the deficit accumulation model proposed by Rockwood et al,2 the Frailty Index (FI), and the frailty phenotype proposed by Fried et al.3 The FI is an arithmetic/quantitative model with strong biological foundations and has been used as a marker of biological aging.4 Older persons with diabetes represent a very heterogeneous population exposed to an increased risk of...

JAMDA
March 1, 2016

Incontinence associated dermatitis (IAD) is a known risk factor for pressure ulcer development. In skilled nursing facilities, >50% of residents are incontinent of either urine or stool.

JAMDA
March 1, 2016

The hypothesis is that residents in long-term care (LTC) facilities can be treated for early signs of sepsis using early warning signs detection skills. Early treatment will prevent the resident from being transported to an acute care facility.

JAMDA
March 1, 2016

Pain in advanced dementia is a common problem. This study investigates (1) the prevalence of pain in different dementia subtypes and dementia stages and (2) the prevalence and type of analgesic treatment.

JAMDA
March 1, 2016

Caregivers of people with dementia suffer from higher rates of depression in comparison to their peers without this responsibility. In 2014 the physical and emotional effects of dementia caregiving is estimated to have totaled 9.7 billion dollars in the US alone. The stress and burden on dementia caregivers increases substantially with the level of cognitive impairment of the person in their care. Objective: The current study seeks to examine how daily music listening by people with dementia affects their behavioral symptoms and caregiver perceptions of burden.

JAMDA
March 1, 2016

Hip fracture in the long term care (LTC) population is associated with functional decline and a high risk of mortality in the months following the event. Surgery is not always the best option for the elderly in LTC. How can we begin to understand factors that guide the decision to operate or not? This study looked at the incidence of traumatic hip fracture in our practice. We examined the choice of operative versus nonoperative management and the associations with age and ambulation status at the time of the event.

JAMDA
March 1, 2016

About 20% of hospitalized Medicare Beneficiaries were discharged to Skilled Nursing Facilities (SNFs) for post-acute care in 2011, due to either complicated nursing needs, or functional decline during hospitalization. 1) In 2014, the Office of Inspector General (OIG) reported that 33% of Medicare beneficiaries in SNFs experienced adverse events, and physician reviewers determined that 59% of these events were clearly or likely preventable. 2) To deliver quality care at SNFs, timely medication delivery especially on admission to the facility is crucial.

JAMDA
March 1, 2016

Frequently when seniors are hospitalized, they require skilled nursing facility services to meet their post-discharge needs. Seniors are often too sick or incapacitated to make choices about their care so family members scramble to select skilled nursing or rehabilitation facilities.

JAMDA
March 1, 2016

Background: Identifying patients close to the end-of-life and providing hospice referrals are critical for families and patients to make good decisions and health care planning in a post-acute care setting. Objective: Determine patient characteristics and analyze parameters of patients who were agreeable to hospice service at post-acute care rehabilitation setting.