JAMDA
August 9, 2023
Showing 5571 - 5580 of 6837 results
JAMDA
November 10, 2022
Veterans Health Administration Models of Community-Based Long-Term Care: State of the Science
The complex care needs of older adults arising at the intersection of age-related illnesses, military service, and social barriers have presented challenges to the US Department of Veterans Affairs (VA) for decades. In response, the VA has invested in centers that integrate research, education, and clinica...
JAMDA
June 6, 2019
Nursing Home–Associated Pneumonia, Part I: Diagnosis
Pneumonia is 1 of the 3 most common infections identified in nursing home residents and is associated with the highest mortality of any infection in this setting. In regard to pneumonia in the nursing home setting, practitioners are focused primarily on identifying residents with this infection and choosin...
JAMDA
April 15, 2021
The Rights of Persons With Dementia and Their Meanings
Concern about the lack of human rights afforded to persons living with dementia has emerged in recent years. Although the literature addresses certain rights, it does not include a holistic framework of rights in terms of the lived experience of older persons with cognitive impairment. Inspired by the 20 r...
JAMDA
September 12, 2017
Conceptualizing a Dynamic Fall Risk Model Including Intrinsic Risks and Exposures
Falls are a major cause of injury and disability in older people, leading to serious health and social consequences including fractures, poor quality of life, loss of independence, and institutionalization. To design and provide adequate prevention measures, accurate understanding and identification of per...
JAMDA
July 28, 2020
Challenges in Tracking and Reporting Antibiotic Use in Long-Term Care
The contemporary long-term care provider and interdisciplinary team are well aware of the recent focus on antibiotic use in their settings. Regulatory changes implemented by Centers for Medicare and Medicaid Services beginning in 2016 have required long-term care settings to look at antibiotic use in a mor...
JAMDA
September 26, 2018
Quality Clinical Care in Nursing Facilities
Despite improvements in selected nursing facility (NF) quality measures such as reduction in antipsychotic use; local, state, and national initiatives; and regulatory incentives, the quality of clinical care delivered in this setting remains inconsistent. Herein, recommendations for overcoming barriers to ...
JAMDA
August 3, 2023
The Macro Impact of Microtransitions in Post-acute and Long-Term Care
The care transitions concept emerged in medical literature more than 40 years ago, with an exponential rise in publications dedicated to its exploration since that time. It is generally accepted that older patients are particularly vulnerable during care transitions because of complex medical comorbidity, ...
JAMDA
September 16, 2016
The Diagnosis of Delirium Superimposed on Dementia: An Emerging Challenge
Delirium occurring in patients with dementia is referred to as delirium superimposed on dementia (DSD). People who are older with dementia and who are institutionalized are at increased risk of developing delirium when hospitalized. In addition, their prior cognitive impairment makes detecting their deliri...
JAMDA
June 5, 2020