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JAMDA
April 6, 2015

A better understanding of the essential components of frailty is important for future developments of management strategies. We aimed to assess the incremental validity of a Comprehensive Model of Frailty (CMF) over Frailty Index (FI) in predicting self-rated health and functional dependency amongst near-centenarians and centenarians.

JAMDA
April 6, 2015

The objective of this study was to develop a measure of the perceptions of nursing home (NH) directors of nursing (DONs) on the adequacy of physician care and to examine its variation as well as its construct validity.

JAMDA
April 6, 2015

The aim of the Intervention by Nutrition and Exercise (INE) study was to investigate the effects of a mail-based intervention for sarcopenia prevention on muscle mass and anabolic hormones in community-dwelling older adults.

JAMDA
April 2, 2015

An article in this issue of JAMDA describes an exciting randomized controlled trial (RCT) of a new model of comprehensive geriatric assessment (CGA) developed and tested in Sweden.1 In the program, community-living persons aged 75 and older who had been hospitalized at least 3 times in the preceding year were randomized to receive CGA and follow-up in the ambulatory geriatric care unit or to receive usual outpatient care. Those receiving the outpatient CGA and follow-up had significantly fewer hospital days in the 24-month period after randomization and had a trend toward fewer nursing...

JAMDA
April 2, 2015

To describe and compare the decisions critical for survival or quality of life [critical decisions (CDs)] made for patients with advanced dementia in nursing homes (NHs) and home care (HC) services.

JAMDA
April 1, 2015

As people grow older, they are at greater risk of ill health and its consequences, including death. Not everyone of the same age carries the same risk. For some time, people at an increased risk have been said to be frail.1 Famously, frailty has been defined broadly in 2 ways; as a syndrome or phenotype2 and as a state.3 In the incidence of pneumonia in nursing home resident study,4 Tabue et al used a 30-point frailty index to operationalize frailty as a state.5 In a setting like this, where the prevalence of frailty is high, understanding frailty as a state offers potentially useful...

JAMDA
April 1, 2015

The impact of ambulatory blood pressure monitoring (ABPM) on hypertension control has not been fully assessed across the treatment spectrum in older community-living individuals and could have important implications; specifically, the number of untreated, undertreated, and treatment-resistant uncontrolled hypertensives in need of or with unnecessary drug treatment could vary with respect to studies based on conventional blood pressure (BP) measured in clinical settings.

JAMDA
April 1, 2015

Considerable research over the last several years has demonstrated that a substantial number of hospitalizations of nursing home residents, as well as older people living in the community receiving long-term care services, may be avoidable.1–4 In a study supported by the Centers for Medicare and Medicaid Services (CMS), 39% of close to 1 million hospitalizations in 2005 of dual eligible Medicare/Medicaid beneficiaries were for hospitalizations considered potentially avoidable. Five conditions accounted for 80% of these 382,846 hospitalizations: pneumonia, congestive heart failure, urinary...

JAMDA
March 31, 2015

For many practitioners in geriatrics, the primary mission in caring for frail older people (especially those with dementia) is to optimize their quality of life. This is often achieved, at least in part, by reducing their clinical symptom burden, which is particularly relevant in end-of-life care. Although recent advances have focused on improving the pharmacologic and nonpharmacologic modalities of symptom reduction at the level of an individual patient, we must remember that a system-based approach to improve the quality-of-care provision can have a larger impact on groups of patients,1,...

JAMDA
March 31, 2015

Anemia and frailty are both common in older people and are associated with adverse health outcomes. There have been some cross-sectional studies of anemia and frailty but no longitudinal studies. The objectives of this study were to examine cross-sectional and longitudinal associations between anemia and frailty in older Australian men.