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The “Leap Forward” in Nursing Home Development in Urban China: Future Policy Directions

JAMDA
May 29, 2015
In the past decade, the number of nursing beds in China has increased annually by an average of 10%, reaching 4.3 million in 2013. Although the State Council pushed for further increases to a ratio of 30 nursing home beds per 1000 persons by 2015,...

Geriatric Screening Tools to Select Older Adults Susceptible for Direct Transfer From the Emergency Department to Subacute Intermediate-Care Hospitalization

JAMDA
May 29, 2015
Early transfer to intermediate-care hospitals, low-tech but with geriatric expertise, represents an alternative to conventional acute hospitalization for selected older adults visiting emergency departments (EDs). We evaluated if simple screening...

From Evidence to Action: Promoting a Multidimensional Approach to Mild Cognitive Impairment

JAMDA
May 28, 2015
Mild cognitive impairment (MCI) is commonly indicated as an intermediate state between normal cognitive functioning and dementia, and represents the object of growing scientific and clinical interest.1 This entity was originally proposed for...

Are Staffing, Work Environment, Work Stressors, and Rationing of Care Related to Care Workers' Perception of Quality of Care? A Cross-Sectional Study

JAMDA
May 28, 2015
To describe care worker–reported quality of care and to examine its relationship with staffing variables, work environment, work stressors, and implicit rationing of nursing care.

Effect of a Novel Interdisciplinary Teaching Program in the Care-continuum on Medical Student Knowledge and Self-Efficacy

JAMDA
May 23, 2015
Medical students report that they receive inadequate training in different levels of care, including care transitions to and from post-acute (PA) and long-term care (LTC). The authors implemented the Medical Students as Teachers in Extended Care (...

Diabetes and Risk of Frailty and Its Potential Mechanisms: A Prospective Cohort Study of Older Adults

JAMDA
May 16, 2015
There is emerging evidence of the role of diabetes as a risk factor for frailty. However, the mechanisms of this association are uncertain.

Components of the Frailty Phenotype in Relation to the Frailty Index: Results From the Toulouse Frailty Platform

JAMDA
May 13, 2015
The frailty phenotype proposed by Fried and colleagues is a widely used frailty screening instrument, consisting of 5 components: weight loss, exhaustion, low grip strength, slow gait speed, and low physical activity. Although equally considered in...

Day Care Centers for Seniors in Singapore: Looking Back and Looking Ahead

JAMDA
May 13, 2015
The burden of care for frail elderly persons on families and the society is ever real as our population ages. Given the dual-income nature of many working families, day care centers offer a strong alternative to nursing homes for families wishing to...

Medication Use Among Nursing Home Residents With Severe Dementia: Identifying Categories of Appropriateness and Elements of a Successful Intervention

JAMDA
May 13, 2015
Seniors with severe dementia residing in nursing homes (NHs) frequently receive large numbers of medications. With disease progression, the medications' harm-benefit ratio changes and they need to be reviewed, adjusted, or discontinued. Evidence on...

Cluster Randomized Controlled Trial of An Aged Care Specific Leadership and Management Program to Improve Work Environment, Staff Turnover, and Care Quality

JAMDA
May 8, 2015
To evaluate the effectiveness of a leadership and management program in aged care.