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Expanding Population of Elders With HIV May Catch Nursing Homes Off Guard

Caring for the Ages
May 1, 2017
An increasing number of individuals infected with HIV are living longer and are expected to need long-term care. Will nursing homes be ready to accommodate them?

Learning to Just Say No

Caring for the Ages
May 1, 2017
I spent much of February and March attending (and sometimes presenting at) a variety of professional meetings, starting with the Idaho Health Care Association, then the American Academy of Hospice & Palliative Medicine’s annual meeting, then the...

Practicing in the New World: From Perplexed to Proactive

Caring for the Ages
May 1, 2017
Everyone wants to know what’s ahead for health care, but currently no one has the answers. However, Diane E. Meier, MD, director of the Center to Advance Palliative Care in New York City, has some words of advice and of comfort for those practicing...

Dollars vs. Ethics: Resisting the Influence of Big Pharma

Caring for the Ages
May 1, 2017
Funding from pharmaceutical companies and device manufacturers is crucial for medical research and education. By 2001, industry sources accounted for as much as $60 billion in research and funding development. Study results published in 2007 showed...

Reference Values of Grip Strength, Prevalence of Low Grip Strength, and Factors Affecting Grip Strength Values in Chinese Adults

JAMDA
April 29, 2017
The objectives of this study were to update the reference values of grip strength, to estimate the prevalence of low grip strength, and to examine the impact of different aspects of measurement protocol on grip strength values in Chinese adults.

Nursing Home Physicians’ Assessments of Barriers and Strategies for End-of-Life Care in Norway and The Netherlands

JAMDA
April 29, 2017
Working conditions in nursing homes (NHs) may hamper teamwork in providing quality end-of-life (EOL) care, especially the participation of NH physicians. Dutch NH physicians are specialists or trainees in elderly care medicine with NHs as the main...

Implementing a Pilot Trial of an Infection Control Program in Nursing Homes: Results of a Matched Cluster Randomized Trial

JAMDA
April 29, 2017
Hand hygiene is the single-most important nursing home (NH) infection control measure. We piloted a multifaceted hand-washing/surface cleaning intervention in 5 NHs. Our aims were to assess the feasibility of implementing this intervention by...

Debating the Role of Arousal in Delirium Diagnosis: Should Delirium Diagnosis Be Inclusive or Restrictive?

JAMDA
April 22, 2017
Delirium is common in acute, postacute, and long-term care settings, and it can be difficult to recognize, especially without deliberate mental status evaluation. Because delirium typically presents with altered arousal and arousal can be assessed...

Pain Trajectories of Nursing Home Residents Nearing Death

JAMDA
April 18, 2017
Although examining point in time prevalence of pain among nursing home (NH) residents has value, there is a lack of evidence describing the actual changes (ie, trajectories) in pain that take place during their last 6 months of life. The main...

Implementation of a Person-Centered Medical Care Model in a Skilled Nursing Facility: A Pilot Evaluation

JAMDA
April 18, 2017
The objective of this study was to evaluate the feasibility and impact of implementing a person-centered medical care model for post-acute care residents within a skilled nursing facility (SNF).