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The Relationship of Nursing Home Medicaid Census to Nurses’ Assessments of Care Quality and Work Environment

JAMDA
March 1, 2020
Medicaid is the largest payer of nursing home (NH) care in the U.S., yet there are long-standing concerns that Medicaid payments are insufficient to cover actual costs of care and contribute to poor care quality. Prior work has shown that low...

The Relationship Between State-Level In-Service Dementia Care Training Requirements and Nursing Home Deficiencies of Care for Inappropriate Psychotropic Medication Use

JAMDA
March 1, 2020
Psychotropic medications are often prescribed to manage behavioral and psychological symptoms of dementia (BPSD) in nursing home (NH) residents, although these medications may lack efficacy for BPSD and can have adverse effects. NHs can receive a...

What’s For Dinner? Nutrition in the Extended Living Facility: Expection vs Reality

JAMDA
March 1, 2020
Nutrition plays a vital role in the older adult, as weight in older adults is used as a marker of health and wellness. Individualization of meals is very limited; therefore, it is essential to offer a well-balanced diet options. In this regard, the...

Practice-Based Perspectives on Good Care for Nursing Home Residents With Korsakoff Syndrome: A Qualitative Study

JAMDA
March 1, 2020
In the Netherlands, people with severe forms of Korsakoff syndrome (KS), a neuropsychiatric disorder with a specific profile of neurocognitive dysfunctioning (in particular, frontal impairments), are generally admitted to a specialized nursing home...

Medication Errors Upon Hospital Discharge to Skilled Nursing Facility

JAMDA
March 1, 2020
Discharge documents are the main means of communication between healthcare settings, and their transmission from hospital to skilled nursing facility (SNF) is essential to assure high-quality care transitions, provide optimal patient care, and...

Leveraging Patient Partners to Disseminate a Long-Term Support Services (LTSS) Planning Tool, PlanYourLifespan.org.

JAMDA
March 1, 2020
Many older adults do not plan for their LTSS needs. When older adults experience a health crisis (e.g. hospitalization, worsening dementia), family members must often react to the crisis. With PCORI funding, we developed PlanYourLifespan.org (PYL...

Hospitalization for Pneumonia Carries High Risk of Severe Disability and Death for Nursing Home Residents

JAMDA
March 1, 2020
Pneumonia is the most common cause of hospitalization for nursing home residents. When deciding whether to treat a resident in the nursing home or transfer to a hospital, it is important to consider risks of hospitalization, including significant...

Evaluation of the Adoption and the Validity and Reliability of the Dementia Observation System (DObs) Web Application in Long-Term Care

JAMDA
March 1, 2020
Most behaviour assessment tools used in long-term care (LTC) involve retrospective reports. These assessments are prone to errors in recall and provide little opportunity to identify the context of behaviours. Furthermore, these assessments are...

Ecological momentary assessment for assessing depression in advanced dementia: a pilot study

JAMDA
March 1, 2020
Up to 38% of individuals with advanced dementia experience clinical depression. Although studies demonstrate lower rates of clinical depression as dementia advances, this may be attributed to the difficulty of assessment at this stage. Clinical...

Comparing Home Healthcare Quality for Urban and Non-Urban Home Health Agencies in the United States

JAMDA
March 1, 2020
Home healthcare is post-acute care services provided to homebound patients in home settings, serving mostly older adults. It is important to ensure and improve home healthcare quality everywhere in the United States. This study leveraged data...