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JAMDA
May 29, 2015

In the past decade, the number of nursing beds in China has increased annually by an average of 10%, reaching 4.3 million in 2013. Although the State Council pushed for further increases to a ratio of 30 nursing home beds per 1000 persons by 2015, service utilization, quality assurance, and regulatory oversight are the inherent challenges in developing an equitable long-term care (LTC) system that can safeguard older persons' rights. We review and analyze both laws and policies in light of demographic and socioeconomic changes and advocate 3 policy directions for LTC development in China:...

JAMDA
May 29, 2015

Early transfer to intermediate-care hospitals, low-tech but with geriatric expertise, represents an alternative to conventional acute hospitalization for selected older adults visiting emergency departments (EDs). We evaluated if simple screening tools predict discharge destination in patients included in this pathway.

JAMDA
May 28, 2015

Mild cognitive impairment (MCI) is commonly indicated as an intermediate state between normal cognitive functioning and dementia, and represents the object of growing scientific and clinical interest.1 This entity was originally proposed for research purposes, in particular for allowing the detection of early pathophysiological modifications responsible for subsequent dementia. It has rapidly been acquiring clinical value and is today widely regarded as a specific nosographic entity (as also confirmed by the formulation of specific diagnostic criteria2).

JAMDA
May 28, 2015

To describe care worker–reported quality of care and to examine its relationship with staffing variables, work environment, work stressors, and implicit rationing of nursing care.

JAMDA
May 23, 2015

Medical students report that they receive inadequate training in different levels of care, including care transitions to and from post-acute (PA) and long-term care (LTC). The authors implemented the Medical Students as Teachers in Extended Care (MedTEC) program as an educational innovation at the Cleveland Clinic to address training in the care-continuum, as well as the new medical student and physician competencies in PALTC.

JAMDA
May 16, 2015

There is emerging evidence of the role of diabetes as a risk factor for frailty. However, the mechanisms of this association are uncertain.

JAMDA
May 13, 2015

The frailty phenotype proposed by Fried and colleagues is a widely used frailty screening instrument, consisting of 5 components: weight loss, exhaustion, low grip strength, slow gait speed, and low physical activity. Although equally considered in the computation of the frailty phenotype score, each of the components may present a specific and different weight in clinical practice. The objective of this study was to estimate the weight of each frailty phenotype component in terms of age-related deficit accumulation, defined according to the frailty index (FI) proposed by Rockwood and...

JAMDA
May 13, 2015

The burden of care for frail elderly persons on families and the society is ever real as our population ages. Given the dual-income nature of many working families, day care centers offer a strong alternative to nursing homes for families wishing to provide custodial care and meaningful engagement for seniors while continuing to uphold their filial duties. Recognizing this, several initiatives, such as SPICE (Singapore Programme for Integrated Care for the Elderly) and Weekend Respite Care, have been launched to enhance the services of Singapore's day care centers.

JAMDA
May 13, 2015

Seniors with severe dementia residing in nursing homes (NHs) frequently receive large numbers of medications. With disease progression, the medications' harm-benefit ratio changes and they need to be reviewed, adjusted, or discontinued. Evidence on successful interventions to optimize medication use among these residents is lacking.