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Barriers to Osteoporosis Treatment in the Nursing Home

JAMDA
March 1, 2016
Osteoporosis is a silent disease, until fractures occur. Based on BMD criteria alone, osteoporosis is widely prevalent, estimated to be 10.2 million among non–institutionalized individuals in the United States in 2010. This prevalence is much higher...

An Unusual Skin Tear

JAMDA
March 1, 2016
Skin tears are very common in the institutionalized elderly. Appropriate wound care and monitoring for skin tears is important. Non-healing skin tears should be biopsied to rule out malignancy.

Adverse Effects of Anticoagulation and Antiplatelet Therapies in a Frail Nursing Home Patient

JAMDA
March 1, 2016
Adverse bleeding events are higher in patients treated with anti-platelet therapy (APT) combined with anti-coagulation therapy (ACT) than with either alone. Currently, there is no clear evidence that the combination of APT and ACT decreases the risk...

A Case for Extending the Duration of VTE Prophylaxis for Post-Acute Care Orthopedic Patients

JAMDA
March 1, 2016
Two cases of VTE were observed within a six month period in geriatric orthopedic patients in the post-acute care setting who received appropriate prophylaxis. We then reviewed the literature and current guidelines to determine if such events could...

Prevalence and Correlates of Neuropsychiatric Symptoms in Nursing Home Patients With Young-Onset Dementia: The BEYOnD Study

JAMDA
March 1, 2016
Young-onset dementia (YOD) is defined as dementia that develops before the age of 65. Neuropsychiatric symptoms (NPS) have important clinical consequences for patients and their family members. To date, knowledge about the prevalence and correlates...

Antipsychotic Drug Use Is Not Associated With Long-Term Mortality Risk in Norwegian Nursing Home Patients

JAMDA
February 28, 2016
To assess the long-term mortality risk associated with antipsychotic drug (AP) use in nursing homes.

Changes in Prescribed Drugs Between Admission and the End of Life in Patients Admitted to Palliative Care Facilities

JAMDA
February 28, 2016
The aim of prescribing medication in palliative end-of-life care should be symptom control. Data are lacking regarding the prescription of medication at the end of life.

Alignment and Simplification of Quality Measures

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Gastrointestinal Disorders, Accountable Care Organization (ACO), Quality, Measures
February 26, 2016
On February 16, the Centers for Medicare & Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP), as part of a broad Core Quality Measures Collaborative of health care system participants, released seven sets of clinical quality...

Ask your members of Congress to support the Improving Access to Medicare Coverage Act!

Policy Snapshot
Skilled Nursing Care, Medicare
February 25, 2016
Many Medicare residents entering into a skilled nursing facility (SNF) are coming from the acute hospital setting. In order to receive the paid Medicare SNF benefit they must have received inpatient status for three consecutive days during their...

Modifiable Risk Factors for New-Onset Slow Gait in Older Adults

JAMDA
February 25, 2016
Despite the growing importance of slow gait as a universal screen of health, systematic investigation of risk factors for incident slow gait is lacking. Our objective was to identify potentially modifiable risk factors for incident slow gait.