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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 ...
Clinical Practice Guidelines (CPG)

COPD Management CPG

This package includes the COPD Management Clinical Practice Guideline, and the COPD Management Pocket Guide. Chronic obstructive pulmonary disease (COPD) is currently the third leading cause of death in the United States. COPD caused an estimated 134,676 deaths in the United States in 2010. The disease ...
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, ...
Clinical Practice Guidelines (CPG)

Heart Failure CPG

Heart failure is one of the most common reasons for new or recurrent hospitalizations among persons over 65 years of age. Considerable progress has been made during the past decade in providing symptomatic relief for such patients. By implementing the processes and practices outlined in this guideline (wit...
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...