Publications

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The Epidemic of Poor Oral Hygiene

JAMDA
December 1, 2018
In 2013, the New York Times published an article titled “In Nursing Homes, an Epidemic of Poor Dental Hygiene”—perhaps for the first time awakening public awareness to the importance and insufficiency of oral hygiene among residents in US nursing...

Psychosocial Care Is Basic, Improves Medical Outcomes, and Can Be Taught—But Must Be Better Understood

JAMDA
December 1, 2018
A few years back, I was part of research team collecting data in a nursing home from residents, staff, and family members for a study about end-of-life care. Most of the residents in the study were older adults in the late stages of advanced chronic...

Practical Guidelines for Physicians in Promoting Oral Health in Frail Older Adults

JAMDA
December 1, 2018
Good oral health in old age is particularly important for maintaining adequate oral function, preventing pain and discomfort, controlling localized or systemic inflammation, sustaining social interaction, and preserving quality of life. Given that...

Improving Nursing Home Residents' Oral Hygiene: Results of a Cluster Randomized Intervention Trial

JAMDA
December 1, 2018
A 2-year cluster randomized trial of Mouth Care Without a Battle (MCWB) was conducted in nursing homes (NHs) to determine if recommended mouth care practices provided by NH staff could improve residents' oral hygiene and denture outcomes.

Effect of an Educational and Organizational Intervention on Pain in Nursing Home Residents: A Nonrandomized Controlled Trial

JAMDA
December 1, 2018
To determine whether an intervention based on education and professional support to nursing home (NH) staff would decrease the number of residents with a pain complaint, and to determine whether the intervention would improve pain management.

Educating Nursing Home Staff in Dementia Sensitive Communication: Impact on Antipsychotic Medication Use

JAMDA
December 1, 2018
An educational program to enhance communication in nursing home dementia care increased person-centered communication by staff and resulted in reduced resident behavioral symptoms measured as resistiveness to care. The purpose of this analysis was...

Long-term Care for Older Adults in Africa: Pay Attention to the Situation of Older Women

JAMDA
December 1, 2018
In their recent editorial in JAMDA, Essuman et al1 address an issue that is only starting to emerge in Africa, namely the management of older persons in long-term care facilities. There are several reasons for this. From a societal perspective, the...

Music Therapy in Parkinson's Disease

JAMDA
December 1, 2018
Parkinson's disease (PD) is a chronic progressive neurologic disorder involving degeneration of the dopaminergic system. Its clinical manifestations include motor and nonmotor symptoms. Several nonpharmacologic therapies, such as music therapy (MT...

Social Frailty Predicts Incident Disability and Mortality Among Community-Dwelling Japanese Older Adults

JAMDA
December 1, 2018
To determine the prevalence of social frailty and its relation to incident disability and mortality in community-dwelling Japanese older adults.

Giving to “Our Foundation”

Caring for the Ages
December 1, 2018
All of us practicing post-acute and long-term care medicine are confronted with a lot of information and data. But it is up to us, using everything we know, see, and feel, to make decisions about patient care. Our job is to think both broadly and...