Publications

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Impaired Awareness and Its Relationship with Neuropsychiatric Symptoms in People with Korsakoff Syndrome and other Alcohol-Related Cognitive Disorders Living in Specialized Long-Term Care Facilities

JAMDA
March 1, 2018
Impaired awareness is a common feature in Korsakoff syndrome (KS), but it has hardly been studied. Without accurate awareness, KS patients may reluctant to accept care, and it may have adverse effects such as provoking challenging neuropsychiatric...

High BMI and Functional Dependence in Nursing Facilities: What We Need to Know

JAMDA
March 1, 2018
There is paucity of research on the effects of obesity and its related comorbidities on the care of long-term Care (LTC) residents living in nursing facilities. There is a strong association between higher body mass index (BMI) and greater...

Health Outcomes from Assisted Living Facilities: a Cohort Study of a Primary Care Practice

JAMDA
March 1, 2018
The population of older US adults residing in assisted living facilities (ALFs) is growing, yet health data on this population is relatively sparse. We aimed to describe health outcomes of ALF residents in the greater Rochester, Minnesota area...

Effects of a Story-sharing Intervention on Depression and Well-being in Older Adults Transitioning to Long-term Care

JAMDA
March 1, 2018
The purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the...

Effect of Urinalysis with Reflex Testing on Urine Culture Testing and Treatment

JAMDA
March 1, 2018
Though it is a well-known fact that older patients—particularly women, and particularly in nursing homes—can have bacterial colonization of their uroepithelial tract, an oft-used reflex when a patient has any change in condition—fever, mental status...

Current Prescribing Patterns for Urinary Tract Infections at a Skilled Nursing/Long Term Care Facility (SN/LTCF)

JAMDA
March 1, 2018
In September 2014, the White House developed a “National Strategy for Combating Antibiotic-Resistant Bacteria” that included enhancing antimicrobial stewardship in SN/LTCFs. Urinary tract infections (UTIs) are one of the most frequently diagnosed...

A Study of Remote Medication Management Using Veterans Affairs Clinical Video Telehealth Services

JAMDA
March 1, 2018
Community Based Outpatient Clinics (CBOCs) are centers that allow primary care to be delivered to veterans that are a long distance from a main Veterans Affairs (VA) campus. However, these CBOCs often do not have physicians who are trained in...

A Comparison of Rural and Urban Veterans Health Administration's Home Based Primary Care

JAMDA
March 1, 2018
In the over 40 years since VA Home Base Primary Care Programs (HBPC) were created, the program has expanded to nearly 400 sites serving both urban and rural populations. Our objectives are to compare the current state characteristics, structure,...

Why Won’t Antibiotics Be Used? Developing Tools for Education and Communication Concerning Suspected UTI in Long Term Care (LTC). A Project of the Colorado Long Term Care Research Partnership

JAMDA
March 1, 2018
Preventing infections and reducing antibiotics use in long term care facilities is a public health issue. Urinary tract infections (UTIs) are often misdiagnosed and over treated with antibiotics. Expectations of patients and families can play a role...

V.E.R.C.I. (Veterans Enrolled in Restorative Care plus Intervention) Exercise Project: A Model to Improve Strength, Balance, Mobility, and Decrease Fall Risk in Aging Veterans

JAMDA
March 1, 2018
Older U.S. Veterans in VA Community Living and Rehabilitation Center (CLC) have disproportionately higher rates of sarcopenia, dynapenia, and higher incidences of frailty which result in loss of functional mobility and increased risks of falls and...