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Weekly Roundup
November 3, 2019

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Caring for multimorbid patients comes with significant...

JAMDA
November 1, 2019
JAMDA
November 1, 2019
JAMDA
November 1, 2019
JAMDA
November 1, 2019
JAMDA
November 1, 2019

Like the ouroboros, the snake eating another snake which is, in turn, eating the first snake, and also sometimes portrayed as a single snake eating its own tail, so delirium and dementia feed off each other. Delirium leads to dementia and dementia leads to delirium, in a downward spiral of worsening cognitive and physical function, such that it is, at times, hard to separate them and, as the 2 snakes swallow each other, they become one.

JAMDA
November 1, 2019

Articles published in JAMDA aim to inform practice and policy in post-acute and long-term care. Three of the articles in the November 2019 issue serve as a good illustration of the promise of research in that regard, and how that promise can be augmented. The intent of this editorial is to encourage researchers to take the next step toward impact in their work by more fully and thoughtfully presenting this next step as part of their recommendations. In the paragraphs below, we summarize 3 articles in the current issue, providing examples of how each of a retrospective cohort study,...

JAMDA
November 1, 2019

Alzheimer's disease and other progressive neurodegenerative dementias are growing as the population ages. Managing dementia is challenging from economic, societal, and ethical perspectives. One significant ethical issue concerns people who want to avoid living with advanced dementia. Current strategies (suicide and traditional advance directives) are suboptimal or inadequate. Stopping eating and drinking by advance directive (SED by AD) is a better potential solution.

Policy Snapshot
November 1, 2019

Last week the House of Representatives passed legislation—the EMPOWER for Health Act of 2019 (H.R. 2781)—that would reauthorize federal geriatrics workforce programs. The bill was introduced by Reps. Jan Schakowsky (D-IL) and Michael C. Burgess (R-TX); it reauthorizes many workforce programs under Title VII of the Public Health Service Act,...

Policy Snapshot
November 1, 2019

Last week the House of Representatives passed H.R. 647, the Palliative Care and Hospice Education and Training Act (PCHETA). The bipartisan bill, authored by Reps. Eliot L. Engel (D-NY), Tom Reed (R-NY), and Buddy Carter (R-GA), supports palliative care education for physicians, nurses, clinical social workers, and others who make up the...