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JAMDA
March 1, 2016

Influenza is a serious infection occurring on an annual basis. About 5-20% of Americans are affected each year with more than 36,000 deaths and 200,000 hospitalizations. The elderly are among those at greatest risk for this infection, but have the lower rates of protection and antibody response to the influenza vaccine. On strategy to improve vaccine response is to increase the amount of antigen in the vaccine. The high-dose vaccine has four times the amount of hemagglutinin contained in the standard dose influenza vaccine.

JAMDA
March 1, 2016

Improve patient satisfaction and health through the implementation of a person-centered model of post-acute medical care in a Skilled Nursing Facility (SNF).

JAMDA
March 1, 2016

Readmission of patients to acute hospital after being discharged greatly impacts the medical resources of health care and challenges the quality and the effectiveness of continuity care. Objective: To identify whether the appropriate hospice referral can reduce 1) direct readmit to the hospital from SNF (skilled nursing facility), and 2) 30 days post SNF discharge readmit to the hospital.

JAMDA
March 1, 2016

Nursing home (NH) residents experience 2-4 acute medical conditions each year and have an incidence of delirium during these conditions that is similar to that of hospitalized older adults. Research on the prevention or treatment of delirium in the NH remains limited. The objective of this study was to determine the feasibility of an intervention to reduce delirium and improve outcomes of acute illness in long-term nursing home residents.

JAMDA
March 1, 2016

Some individuals fear living with advanced dementia and may even commit suicide if they receive dementia diagnosis. Living with advanced dementia could be prevented if a person who cannot feed himself or herself would not be fed by others. The purpose of the study was to find out how acceptable would be an advance directive that includes discontinuation of feeding at certain stage of dementia for relatives of persons who died with dementia.

JAMDA
March 1, 2016

The purpose of contact precaution is to prevent dissemination of the pathogen. In recent years, the standard protocols of imposing contact precaution were researched and practiced in nursing homes. The previous researches were mostly focused on when to initiate and discontinue the contact precautions in a hospital setting. The discontinuation protocol of contact precaution is not outlined clearly in many cases. The benefits of contact precaution are balanced with negative ramifications. Patients are often dissatisfied as they feel neglected due to restricted visits from house staff such as...

JAMDA
March 1, 2016

Diabetes mellitus is a major health problem in the United States. Patients with diabetes have significantly higher rates of mortality, morbidity, and higher health care costs. Among the common practices in long term care which has been targeted as an area of concern is the use of sliding scale insulin (SSI). SSI is associated with a high fingerstick burden and poorer glycemic control. Because of this and other data, SSI has been added to the Beers Criteria. Our geriatric practice - Austin Geriatric Specialists - currently provides medical direction and practitioner services at 14...

JAMDA
March 1, 2016

Residents living and dying in long-term care (LTC) homes represent one of society's most frail and marginalized populations of older adults. The average length of stay within LTC has decreased significantly in recent years making LTC a major location of death for frail older adults internationally. Yet, comprehensive palliative approaches to care that include early discussions about care goals, and timely end-of-life care planning is still rare.

JAMDA
March 1, 2016

Medication reconciliation commonly known as “med rec,” is identified by the Joint Commission as a process of “accurately and completely reconciling medications across the continuum of care.” The Joint Commission established National Patient Safety Goal (NPSG) 03.06.01, which is the need to maintain and communicate accurate patient medication information. The need for medication reconciliation is evident during the time of a patient transition, because medication error occurs most often when a patient transitions from one setting to another.

JAMDA
March 1, 2016

Fall is any event that leads to an unplanned, unexpected contact with a supporting surface. Between half and three-quarters of NH residents fall each year and about 10% to 20% of NH falls cause serious injuries; and 2% to 6% of those cause fractures. There are several extrinsic and intrinsic risk factors responsible for falls in nursing home. Muscle weakness and walking or gait problems are the most common causes of falls among nursing home residents.