Publications

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JAMDA
February 18, 2016

Caspi's editorial1 provides a succinct description of the core issues facing clinicians, researchers, and policy makers surrounding the important but neglected subject of resident-to-resident aggression (RRA). Caspi1 highlighted that a major gap in the research literature is that “virtually no studies examined death as the primary outcome of these episodes as well as the circumstances surrounding these fatal episodes.”

JAMDA
February 17, 2016

To enhance pain practices in nursing homes (NHs) using pain assessment and management algorithms and intense diffusion strategies.

JAMDA
February 17, 2016

The purpose of this 1-year prospective study was to determine whether sarcopenia is an independent risk factor of cognitive deterioration in community-dwelling older adults.

JAMDA
February 13, 2016

The useful analysis of Burke et al1 prompts us to describe how we are using such insights to develop a next-generation model of readmission reduction. The broader domain of long-term care continues to pose stubborn challenges,2 but post-acute settings offer multiple conspicuous opportunities for improving quality, decreasing costs, and preventing unnecessary patient and family suffering. Readmissions are the leading indicator of our successes and failures in post-acute care. Burke et al1 highlight several key issues, including timing of hospital discharge, patient selection for level of...

JAMDA
February 13, 2016

We read with great interest of the study investigating the clinical utility of the Montreal Cognitive Assessment (MoCA) in DSM-5 major and mild neurocognitive disorders (NCD).1 Through receiver operating (ROC) characteristic curve analysis, the diagnostic performance of MoCA by area under the curve (AUC) for MoCA was high for major NCD (AUC value = 0.99, 95% confidence interval [CI] 0.98–1.0) and modest for mild NCD (AUC value = 0.77, 95% CI 0.67–0.86). The different discriminative powers of MoCA in NCD triggers the underlying concerns that greater heterogeneity of mild NCD would be the...

JAMDA
February 13, 2016

Mrs A and Mrs B are both in their late 70s. Their families share similar stories: a few months ago, they both started to talk to famous people from the front pages of magazines laid nearby their chairs and consider them their co-tenants. Cognitive assessment showed that Mrs A's cognitive functions are well preserved. In contrast, Mrs B's examination revealed moderate to strong cognitive deterioration. Her abilities to perceive, register, store, retrieve, and use information are impaired. Sometimes she does not recognize her granddaughters.

JAMDA
February 11, 2016

Frailty is a condition resulting from age-related decline in multiple physiological domains, clinically typified by physical weakness, in which individuals have increased the risk of adverse health outcomes and mortality when exposed to a stressor.1 Frailty affects 7% of individuals age 65 years and approximately 30% of those age 80.1 Paralleling with the population aging, Westernized societies are also facing a pandemic of obesity- and sedentary-related disorders. The metabolic syndrome (MetS), with its nexus of metabolic and cardiovascular traits, might predict risk of age-associated...

JAMDA
February 6, 2016

Advance care planning (ACP) encompasses a process by which people may express and record their values and preferences for care and treatment should they lose the capacity to communicate them in the future. We believe the effects that ACP can have on the nursing home population is distinct from others and sought to gain insight into the outcomes of relevant studies on the topic.

JAMDA
February 5, 2016

Use of a total risk score (TRS) based on vascular and sociodemographic risk factors has been recommended to identify patients at risk of cognitive impairment. Moreover, combining screening tests has been reported to improve positive predictive values (PPV) for case finding of cognitive impairment.

Policy Snapshot
February 5, 2016

The Senate Finance Committee Chronic Care Working Group recently released their options paper outlining policies being considered as a part of the committee’s effort to improve how Medicare treats beneficiaries with multiple, complex chronic illnesses.

AMDA’s comments to the committee included supporting “proposals that provide additional chronic care management services” to the post-acute and long-term care (PALTC) population. AMDA supported the establishment of additional high-severity...