Publications

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Goals of Care During the COVID-19 Pandemic: Implementing DNI, DNR, and DNH Orders in a Skilled Nursing Facility

JAMDA
March 1, 2021
Knowledge of patient treatment preferences concerning resuscitation, intubation, and hospitalization are critical as hospitals and skilled nursing facilities (SNFs) admit older COVID-19 patients facing uncertain disease trajectories that could turn...

Effect of COVID-19 Pandemic on Depression and Medications Use on Nursing Home Residents

JAMDA
March 1, 2021
Background: The emergence of the new coronavirus (SARS-CoV-2) in 2019 caused a worldwide COVID-19 pandemic, raising many questions for the scientific community and researchers. The infection ranges from asymptomatic to fatal clinical course mainly...

Development of Minimum Data Set-based Individualized Care Pathways for Chronic Obstructive Pulmonary Disease Treatment in Nursing Home Residents

JAMDA
March 1, 2021
Assessment of chronic obstructive pulmonary disease (COPD) severity in nursing home (NH) residents is limited by data requirements and lack of specialty staff, equipment, or resident ability. The Minimum Data Set (MDS) is a clinical assessment of...

Undernutrition and Overnutrition Can Be Identified and Addressed in Long-Term Care Residents: A Performance Improvement Project

JAMDA
March 1, 2021
Malnutrition is a global health problem in older adults, underestimated in health care settings. SNAQ is a validated, reliable tool to identify older people at high risk of malnutrition. SNAQ ≤ 14 indicates reduced appetite and >5% weight loss in...

Student Led Window Art Intervention to Support Long Term Care Facilities During the COVID-19 Pandemic

JAMDA
March 1, 2021
People living in long term care (LTC) are at particularly high risk for the adverse effects of social isolation and loneliness due to the COVID-19 pandemic. Involvement in the arts is an important method for maintaining quality of life. Additionally...

Should We Calculate CrCl in Advance for All Our Patients in Our Nursing Homes to Prepare for Flu Season?

JAMDA
March 1, 2021
Tamiflu is widely used for prophylaxis for influenza in long term care (LTC). Prophylaxis for all residents in LTC experiencing an outbreak regardless of vaccination status is recommended by the CDC. Creatinine Clearance (CrCl) is preferred for...

Screening for Inappropriate Polypharmacy Using STOPP Criteria With Assisted Living Residents

JAMDA
March 1, 2021
Inappropriate polypharmacy is dangerous and disproportionately affects older adults. An estimated 40% of Americans over 65 years old take 5 or more medications and adverse drug events lead to 1.3 million emergency departments within the United...

Renaissance in the Nursing Home During the COVID-19 Pandemic: Telemedicine Blooms in a Time of Crisis

JAMDA
March 1, 2021
Prior to the pandemic, telemedicine was not well adopted in nursing facilities in the United States and was nearly non-existent in Hawaii. Many nursing facilities have since acknowledged its value due to the need for stricter infection control...

Reducing Sliding Scale Insulin Use and Fingerstick Glucose Monitoring in a Long-Term Care Facility

JAMDA
March 1, 2021
Diabetes Mellitus (DM) affects many residents in nursing facilities (NF), and sliding scale insulin (SSI) is commonly prescribed even though it is not recommended by the American Diabetes Association, the Society for Post-Acute and Long-Term Care...

Quality Improvement Project to Enhance Knowledge of Hospice Interdisciplinary Team of Post-Acute Care Services

JAMDA
March 1, 2021
Hospice services provided to residents of Post-Acute and Long-Term Care (PALTC) facilities are associated with higher resident and family satisfaction and lower health care cost. One barrier to timely hospice enrollment is limited understanding of...