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Prevention of Functional Decline by Reframing the Role of Nursing Homes?

JAMDA
February 1, 2017
Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more...

Nutrition and Aging Well

JAMDA
February 1, 2017
It is now clear that nutrition and physical activity play a major role in allowing persons to age successfully.1–3 Although at the beginning of the 20th century single-nutrient diseases, such as pellagra, beriberi, Wernicke encephalopathy, scurvy,...

A U-shaped Association Between Blood Pressure and Cognitive Impairment in Chinese Elderly

JAMDA
February 1, 2017
Higher or lower blood pressure may relate to cognitive impairment, whereas the relationship between blood pressure and cognitive impairment among the elderly is not well-studied. The study objective was to determine whether blood pressure is...

Pneumococcal Vaccination Guidance for Post-Acute and Long-Term Care Settings: Recommendations From AMDA's Infection Advisory Committee

JAMDA
February 1, 2017
Efforts at preventing pneumococcal disease are a national health priority, particularly in older adults and especially in post-acute and long-term care settings The Advisory Committee on Immunization Practices recommends that all adults ≥65 years of...

General Practitioners' Clinical Impression in the Screening for Frailty: Data From the FAP Study Pilot

JAMDA
February 1, 2017
The progression of frailty is marked by an increased risk of adverse health outcomes in the elderly including falls, physical and/or cognitive disability, hospitalizations, and mortality. In primary care, the general practitioner's (GP's) clinical...

Response to Clemency et al: Significant Errors, Gaps in MOLST Process, and Opportunities for Improvement With eMOLST

JAMDA
February 1, 2017
We appreciate the interest of Clemency et al and JAMDA in both the National Physician Orders for Life-Sustaining Treatment (POLST) Paradigm and New York's Medical Orders for Life-Sustaining Treatment (MOLST) Program. As we lead the MOLST Program in...

News From the Society

Caring for the Ages
February 1, 2017
Last year, the Foundation for Post-Acute and Long-Term Care Medicine (formerly the AMDA Foundation) didn’t just change its name. It expanded its focus in a way that will significantly broaden its impact beyond attracting practitioners to the field...

Journal Highlights From the February Issue of JAMDA

Caring for the Ages
February 1, 2017
Nursing homes, rather than being an endpoint of functional decline, may be able to play a role in its prevention, both in their residents and community dwelling individuals, a task force suggests.

Nurse Practitioners Can Be the MVPs of the Care Team

Caring for the Ages
February 1, 2017
J. Kenneth Brubaker, MD, CMD, medical director at Masonic Villages in Elizabethtown, PA, talks about the value of the nurse practitioner as part of the care team.

Statins Protect Against Alzheimer’s in Most Patients

Caring for the Ages
February 1, 2017
Statins taken to reduce cholesterol also protect most patients against Alzheimer’s disease, but the decrease in risk varies across different statins and by the patient’s gender and race/ethnicity, according to a report published in JAMA Neurology.