Publications

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JAMDA
May 1, 2023
Novice nurse practitioners (NP) often report anxiety, insecurity, exhaustion, and feelings of professional isolation during their transition to practice period. This leads to role dissatisfaction, suboptimal performance, and potential burnout. With...
JAMDA
May 1, 2023
Approximately 20% of hospital discharges for heart failure (HF) in the United States result in an admission to a skilled nursing facility (SNF). Patients discharged to a SNF with HF are usually older, frailer, with more significant comorbidities...
JAMDA
May 1, 2023
Polypharmacy is common in the nursing home population. Deprescribing programs generally result in 20-30% reductions in the targeted medications. Three categories of medications were chosen for this deprescribing initiative: anticholinergic bladder...
JAMDA
May 1, 2023
In July 2021, the general medicine service at a large academic Veterans Affairs (VA) medical center assumed care of residents of a 110-bed Community Living Center (CLC). We developed a curriculum to help clinicians experienced in the care of...
JAMDA
May 1, 2023
The complications arising from polypharmacy in older adults have been well described in literature. Increasing numbers of prescriptions have led to poor health outcomes, including increasing frailty, loss of independence and worsening nutritional...
JAMDA
May 1, 2023
Symptomatology of transthyretin amyloidosis varies with organ involvement, but it almost invariably presents with the common geriatric syndromes. Transthyretin cardiac amyloidosis causes restrictive cardiomyopathy which if not diagnosed and treated...
JAMDA
May 1, 2023
Major neurocognitive disorder due to brain metastasis in a previously independent veteran who was admitted to our post-acute care with an unrelated illness and noted with disorganized thinking, apathy, lack of hygiene and memory loss during...
JAMDA
May 1, 2023
Benzodiazepines (BDZ) are included in the Beer’s list as a potentially inappropriate drug class for older adults due to risk of confusion, falls, cognitive decline and dependance. Nonetheless, it is common dental practice to prescribe this class of...
JAMDA
May 1, 2023
The striking purple urine in the urine bag and tubing also known as “purple urine bag syndrome” (PUBS) is a rare disorder seen in older patients with chronic urinary catheters in place. The purple color is due to the buildup of indigo and indirubin...
JAMDA
May 1, 2023
We present a root cause analysis of a pressure injury in the setting of transition of care, that highlights need for improvement in SBAR (Situation, Background, Assessment, Recommendation) of wound status, to enhance multidisciplinary delivery of...