Publications

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JAMDA
March 25, 2019

Long-term care (LTC) services include a broad range of health, personal care, and supportive services provided at home (health agencies, hospice, or community providers) (HC), assisted living (AL) communities, and nursing facilities (NF).1 Although the population of adults >85 years is increasing, the number of NF residents (1.4 million) will remain flat. In the future, a significant proportion of LTC for older adults will be HC. Evidence regarding strategies to optimize pharmacotherapeutic outcomes and medication safety across the LTC spectrum is scarce, creating a strong research need...

JAMDA
March 25, 2019

Each year states are required to survey nursing homes (NHs), including issuing deficiency citations when regulatory standards are not met. These deficiency citations can have substantial consequences for NHs. Because it is imperative that the survey process is conducted consistently across facilities, this study aims to determine whether deficiency outcomes vary with the presence of a long-term care ombudsman at the survey.

JAMDA
March 25, 2019

Successful discharge of nursing home (NH) residents to community has been reported in Nursing Home Compare (NHCompare) as a quality indicator, yet it is likely influenced by the availability of home- and community-based services (HCBS). Medicaid NH reimbursement rates and bed-hold policies have been shown to be related to quality of care, which may also affect successful discharge. This study explores the relationship of state Medicaid long-term care policies and successful discharge.

JAMDA
March 22, 2019

To compare 3 internationally established criteria for drugs with anticholinergic properties (DAPs) and their associated factors in long-term care facilities, and to investigate the association between use of DAPs and psychological well-being (PWB) or mortality.

JAMDA
March 22, 2019

While various short variants of the Montreal Cognitive Assessment (MoCA) have been developed, they have not been compared among each other to determine the most optimal variant for routine use. This study evaluated the comparative performance of the short variants in identifying mild cognitive impairment or dementia (MCI/dementia).

JAMDA
March 22, 2019

The burden of pain in nursing home residents is substantial; unfortunately, many times it goes undiagnosed and is inadequately treated. To improve identification of pain in this population, we aimed to review and synthesize findings from qualitative studies that report primary barriers and facilitators to pain assessment in nursing home residents.

JAMDA
March 22, 2019

The behavior of people with dementia has been a focus of both research and dementia care for decades, particularly behavior that is considered “challenging.” As we will discuss below, this challenging behavior has appeared difficult to demarcate and define, resulting in many approaches and views about what it comprises, which consequently has resulted in many different measurement instruments. The striking consequence is that the field now has been provided with a pool of research results that are hard to interpret and combine into knowledge that really moves it forward.

JAMDA
March 20, 2019

To estimate quantitatively whether the presence of cough associated with dysphagia (laryngeal cough reflex) increased mortality through respiratory disease among community-dwelling older Japanese.