Publications

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Abnormal Cognitive Function Screening and Subsequent Dementia (ADRD) Diagnosis After Heart Failure Hospitalization: Implications for Transitions of Care

JAMDA
June 1, 2022
Consequences of Alzheimer’s disease and related dementias (ADRD) complicate care of patients with heart failure after hospitalization. Skilled Nursing Facility (SNF) admission with routine cognitive assessment could help guide care planning. However...

“Dying of Failure to Thrive”: Caregiver Perspectives on the Unintended Impacts of COVID-19 Isolation

JAMDA
June 1, 2022
The COVID-19 pandemic has profoundly affected skilled nursing facilities (SNFs). Our objective was to understand healthcare workers’ perspectives on the unintended effects of isolation protocols on cognitive and functional decline, SNF responses,...

Exploring Storytelling in Nursing Facilities

JAMDA
June 1, 2022
Admission to a nursing facility often leads to separation from the community. This increased during Covid-19 pandemic, when nursing facilities closed to family and volunteer visitors. The authors attempted to connect residents with others using...

Developing a Screening Tool for Palliative Care Referrals on Admission to Post-Acute Rehab

JAMDA
June 1, 2022
Many patients use the post-acute rehab (PAR) benefit during the last year of life, and a significant number of seriously ill patients die in PAR. PAR patients are often medically fragile and at risk for decompensation. This suggests urgent needs for...

De-Prescribing for Renal Function in Long-Term Care Residents with Chronic Kidney Disease

JAMDA
June 1, 2022
Polypharmacy is commonly encountered in Long-term Care (LTC) residents and associated with adverse drug events (ADEs) and worsening function. Data from a prior PI project1 resulted in an average deprescribing (DeP) of 1.3 medications per resident...

Becoming an Age-Friendly Health System

JAMDA
June 1, 2022
Age -Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the U.S. The purpose of Age-...

Surveying Knowledge Gaps for a Post-Acute Care (PAC) Curriculum Taught by Geriatrics-trained Core Internal Medicine Program Faculty for Internal Medicine and Family Medicine Residents Learners

JAMDA
June 1, 2022
Preventable errors in care transitions for the elderly are responsible for up to one third of costly hospital readmissions. The 2009 Institute of Medicine sentinel report outlined a critical need to expand geriatrics competencies in residencies...

Geriatrics Fellow-led Educational Session for Nursing Home Staff About High-Risk Medications

JAMDA
June 1, 2022
Older adults in skilled nursing facilities are often complex and at high-risk for polypharmacy and adverse medication reactions. To address these issues, an important step is to be able to identify medications that are high-risk for older adults...

Hurdles Faced by Healthcare Providers in Titrating Phenytoin Dosage in Long-Term Care

JAMDA
June 1, 2022
Medications are associated with development of adverse drug events (ADEs), some more than others, due to alteration in pharmacokinetics and dynamics with age. Phenytoin efficacy and toxicity relate to drug levels, interaction with cytochrome P450,...

Cancer as a Consideration for a Non-healing Lower Extremity Wound

JAMDA
June 1, 2022
Lower extremity wounds are common among elderly patients living in assisted living and long-term care facilities, with prevalence in this population ranging from 11-15% (Takahashi et al. "A retrospective cohort study of factors that affect healing...