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Stopping Eating and Drinking by Advance Directives: Choose Your Injustice

Caring for the Ages
April 1, 2019

Jim, I have a hypothetical case for you. One of my residents with dementia, let’s call him Bill, has an advance directive stating that when he no longer has meaningful social interaction, his caregivers should stop giving him food or water. He is now mostly mute, though rarely he may say a word or two. He still eats reasonably well and seems to enjoy mealtimes, occasionally saying “That’s good” when eating ice cream. His agent with POAHC [power of attorney for health care] is his wife, Alice, who also has advanced dementia and can no longer function as his decision-maker but is more verbal...

From Cheers to Complications: Is It Okay for Older People to Have a Drink?

Caring for the Ages
April 1, 2019

Michael Fingerhood, MD, FACP, associate professor of medicine and public health at Johns Hopkins University, talks about older adults and alcohol consumption.

JAMDA 2019 Morley Award Recognizes Research That Changes Lives, Policy

Caring for the Ages
April 1, 2019

A new award that recognizes especially impactful research in post-acute and long-term care goes to an Australian clinician-scientist who has dedicated her career to inspiring seniors living in rural elder communities to transform their lives through exercise.

Directions & Connections

JAMDA
April 1, 2019

General Information

JAMDA
April 1, 2019

Table of Contents

JAMDA
April 1, 2019

Editorial Board

JAMDA
April 1, 2019

The Changing Landscape of Post-acute and Rehabilitative Care

JAMDA
April 1, 2019

Virtually every society worldwide is seeing a growth in the number and proportion of older persons in its population. As growth occurs, medical care resources must be increasingly dedicated to prevention, detection, and management of chronic diseases such as congestive heart failure, and to problems of aging such as frailty and multimorbidity. As part of this process, after-hospital care has become an increasingly important component of health care systems and health care costs. At least 5 key forces have been at play:

Post-acute Care: Current State and Future Directions

JAMDA
April 1, 2019

We are witnessing rapid changes in the US health system in response to the growing elder population. Value-based care, population health, regulatory reform for skilled nursing facilities, and the growth of community-based options like hospital at home and home-based primary care are being emphasized across the country. Other countries too are facing an expanding older adult population in need of innovative solutions, including subacute services for optimal health. AMDA is positioned to lead as we grapple with the challenges of an aging population.

Geriatric Rehabilitation—State of the Art and Future Priorities

JAMDA
April 1, 2019

The worldwide ageing revolution has put rehabilitation for older patients high on the agenda of both health care policy and research. Two major policies in many developing countries, ageing in place and reducing hospital stay, which particularly impact frail older persons, have stimulated the search for appropriate and cost-effective use of rehabilitation resources. This will require identifying patients who are most likely to benefit from geriatric rehabilitation, and selecting the most appropriate rehabilitation or post-acute setting for each patient.