Publications

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JAMDA
May 1, 2015

The majority of scales to measure family member distress in dementia are designed for community settings and do not capture the unique burdens of the nursing home (NH) environment. We report the psychometric properties of a new Family Distress in Advanced Dementia Scale for use in the NH setting.

JAMDA
May 1, 2015

Fortes et al1 remind us that clinical assessment of volume status can be difficult, especially in the elderly. In an attempt to facilitate this determination, the authors studied several markers of hydration in hospitalized elderly people and found that salivary osmolality performed the best. They also concluded that with the exception of a low systolic blood pressure, “physical signs…provide little help to the physician making an initial hydration assessment.”1 The study is provocative, but I believe that its methodology and conclusions are flawed.

JAMDA
May 1, 2015

The Korean elderly population is rapidly increasing; currently, approximately 13.4% of the population is 65 years or older,1 and this proportion is expected to reach 37.0% by 2050, which will give Korea the second-highest elderly population proportion among Organisation for Economic Co-operation and Development countries, after Japan.2

Clinical Alerts
April 30, 2015

Background: 

On August 13, 2014, the Advisory Committee on Immunization Practices (ACIP) met and approved changes to their recommendations for pneumococcal vaccination. Of note, the ACIP now recommends the routine use of 13-valent pneumococcal conjugate vaccine (PCV 13) in adults ≥ 65 years of age in addition to the 23-valent pneumococcal polysaccharide vaccine (PPV23).1

AMDA - The Society for Post-Acute and Long-Term Care Medicine has received a number of inquiries regarding questions of policy coverage owing to the complexity of the...

JAMDA
April 28, 2015

The concept of vascular lesions in the brain leading to cognitive dysfunction was first shown by Otto Binswagner in 1894.1 Little attention was paid to these asymptomatic vascular lesions until 1986 when both Hachinski2,3 and Awad4,5 separately noted subcortical lesions on brain scans and related these to vascular disease and impaired cognition. Hachinski was the first to use the term leukoaraiosis (“leuko” = white and “araios” = rarefied) indicating that these lesions resulted in reduced x-ray absorption in the white matter.

JAMDA
April 28, 2015

We examined possible associations between different red blood cell (RBC) transfusion strategies, overall quality of life (OQoL), and recovery of activities of daily living (ADL) in operated frail elderly hip fracture patients, and the possibility that OQoL was related to ADL recovery.

JAMDA
April 28, 2015

To evaluate influences of disease severity and food texture on prevalence and type of dysphagia in hospitalized geriatric patients.

JAMDA
April 28, 2015

Numerous observational studies have reported an increased risk of mortality for conventional antipsychotics in elderly patients, and for haloperidol in particular. Subsequently, health authorities have warned against use of conventional antipsychotics in dementia. Experimental evidence is lacking.

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...