Publications

Members only publications are marked with a lock icon:
Filter By
JAMDA
April 28, 2015

With an aging population, a growing number of older adults experience physical or cognitive decline that necessitates admission to residential aged care facilities (RACF). Each year a considerable proportion of these residents has at least 1 emergency transfer to hospital, which may result in a number of adverse outcomes. Rates of transfer from RACF to hospital can vary considerably between different RACFs suggesting the presence of potentially modifiable risk factors for emergency department (ED) transfer.

JAMDA
April 24, 2015

The loss of skeletal muscle mass with advancing age is a universal phenomenon. The trajectory of this loss of muscle is remarkably variable and its etiology complex and multifactorial. The term, sarcopenia, was initially described as the age-associated decrease in skeletal muscle mass and was thought to be similar to the phenomenon of osteopenia, the age associated loss of bone density that is predictive of an increase in risk of a bone fracture.1,2 The loss of muscle mass was thought to be the primary cause of decreased strength and functional capacity and a predictor of risk of...

JAMDA
April 24, 2015

JAMDA published in 2008 practical recommendations about the treatment of behavioral and psychological symptoms of dementia (BPSD) in nursing homes.1 Five years later, an update of the relevant scientific literature was undertaken to assess potential changes. The 3 algorithms describing the pharmacologic treatment of BPSD in nursing homes' residents suffering from dementia were, therefore, updated. The algorithms are (1) depression management (Figure 1); (2) agitation management (Figure 2); and (3) sleep disturbances management (Figure 3).

JAMDA
April 24, 2015

In older patients, hospitalization is often associated with new or worsening disability. This hospitalization-associated disability may be explained in part by the cumulative effect of aging, frailty, comorbidities, and illnesses that led to hospitalization but may also result from health care management issues and the hospital environment. Our objective was to determine the frequency, causes, and the preventability of disability induced by the processes of care or “iatrogenic disability.”

JAMDA
April 23, 2015

To identify the differences of incidence of disability between frail older persons with and without slow walking speed.

JAMDA
April 23, 2015

Hypovitaminosis D is highly prevalent among seniors. Although evidence is insufficient to recommend routine vitamin D screening in seniors, universal vitamin D supplementation is not desirable either. To rationalize vitamin D determination, our objective was to elaborate and test a clinical diagnostic tool for the identification of seniors with hypovitaminosis D without using a blood test.

JAMDA
April 22, 2015

Dr Zorowitz is correct in that in the United States intravenous infusions are commonly done in nursing homes.1 In our editorial, we were taking a global view.2 As we have previously shown, the majority of nursing homes throughout the world are social or nursing lead nursing homes, where intravenous infusions are not undertaken.3 I agree that in the USA intravenous infusions can play an important role in reducing avoidable hospitalizations.4 Nevertheless, I would stress that even in the United States hypodermoclysis is simpler and often a preferable alternative.

JAMDA
April 18, 2015

This study assessed individual and organizational context (work environment) factors that influence use of best practices by care aides (nursing assistants) in nursing homes. Little scientific attention has been focused on understanding best practice use in nursing homes and almost none on care aides.

JAMDA
April 10, 2015

Several research studies have shown that resident-to-resident aggression (RRA) in long-term care residences is a prevalent, concerning, but under-reported and understudied phenomenon with serious psychological and physical consequences for residents and staff members.1–9 In addition, numerous deaths subsequent to injury in RRA episodes have been reported in the media (as documented on the Archival Blog: The Center for Prevention of Aggression Between Residents with Dementia)10; Staff training programs in recognition, prevention, and de-escalation of RRA episodes are sorely needed.

JAMDA
April 10, 2015

The objective of this study was to evaluate cross-sectional and longitudinal associations between ankle-brachial index (ABI) and indicators of cognitive function.