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Medical and Mental Health Services in US Assisted Living Settings During COVID-19: Challenges and Opportunities

JAMDA
March 1, 2021
The COVID-19 pandemic has disproportionately affected long-term care settings, staff, residents, and residents’ families across the US; related reports and recommendations highlight the confusion around where assisted living (AL) belongs within the...

Management of Amiodarone in the Long-Term Care Setting

JAMDA
March 1, 2021
Amiodarone is used for ventricular arrhythmias and other cardiac pathologies. Its half-life is ∼47 days in adults aged >65 years and is typically started with large doses to “load” the patient. However, patients may be discharged to a long-term...

Hospital to Nursing Home Transitions of Care for Older Adults With Opioid Use Disorders: A Needs Assessment

JAMDA
March 1, 2021
Opioid related inpatient stays increased 54.4% and the number of opioid-related ED visits doubled among patients aged 65 and older from 2010 to 2015. 29-49% of residents in skilled nursing facilities (SNFs) have a lifetime diagnosis of substance use...

Goals of Care During the COVID-19 Pandemic: Implementing DNI, DNR, and DNH Orders in a Skilled Nursing Facility

JAMDA
March 1, 2021
Knowledge of patient treatment preferences concerning resuscitation, intubation, and hospitalization are critical as hospitals and skilled nursing facilities (SNFs) admit older COVID-19 patients facing uncertain disease trajectories that could turn...

Effect of COVID-19 Pandemic on Depression and Medications Use on Nursing Home Residents

JAMDA
March 1, 2021
Background: The emergence of the new coronavirus (SARS-CoV-2) in 2019 caused a worldwide COVID-19 pandemic, raising many questions for the scientific community and researchers. The infection ranges from asymptomatic to fatal clinical course mainly...

Development of Minimum Data Set-based Individualized Care Pathways for Chronic Obstructive Pulmonary Disease Treatment in Nursing Home Residents

JAMDA
March 1, 2021
Assessment of chronic obstructive pulmonary disease (COPD) severity in nursing home (NH) residents is limited by data requirements and lack of specialty staff, equipment, or resident ability. The Minimum Data Set (MDS) is a clinical assessment of...

Undernutrition and Overnutrition Can Be Identified and Addressed in Long-Term Care Residents: A Performance Improvement Project

JAMDA
March 1, 2021
Malnutrition is a global health problem in older adults, underestimated in health care settings. SNAQ is a validated, reliable tool to identify older people at high risk of malnutrition. SNAQ ≤ 14 indicates reduced appetite and >5% weight loss in...

Student Led Window Art Intervention to Support Long Term Care Facilities During the COVID-19 Pandemic

JAMDA
March 1, 2021
People living in long term care (LTC) are at particularly high risk for the adverse effects of social isolation and loneliness due to the COVID-19 pandemic. Involvement in the arts is an important method for maintaining quality of life. Additionally...

Should We Calculate CrCl in Advance for All Our Patients in Our Nursing Homes to Prepare for Flu Season?

JAMDA
March 1, 2021
Tamiflu is widely used for prophylaxis for influenza in long term care (LTC). Prophylaxis for all residents in LTC experiencing an outbreak regardless of vaccination status is recommended by the CDC. Creatinine Clearance (CrCl) is preferred for...

Screening for Inappropriate Polypharmacy Using STOPP Criteria With Assisted Living Residents

JAMDA
March 1, 2021
Inappropriate polypharmacy is dangerous and disproportionately affects older adults. An estimated 40% of Americans over 65 years old take 5 or more medications and adverse drug events lead to 1.3 million emergency departments within the United...