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Continuous Palliative Sedation in Nursing Home Residents With Dementia and Refractory Neuropsychiatric Symptoms

JAMDA
December 1, 2020
Extreme neuropsychiatric symptoms can be a heavy burden for nursing home (NH) residents, relatives, and caregivers. Sometimes, when extreme neuropsychiatric symptoms are considered refractory, continuous palliative sedation is administered. The aim...

The Case for Consultant Pharmacists as Key Players in Nursing Home Antibiotic Stewardship Programs

JAMDA
November 30, 2020
In 2016, the Centers for Medicare & Medicaid Services issued new Conditions of Participation for nursing homes that required them to establish an antibiotic stewardship program as part of their broader infection prevention and control program.1...

Cross-Cultural Adaptation and Validation of the Italian Version of the Observational Scale of Level of Arousal

JAMDA
November 30, 2020
Along with deficit of attention, level of arousal is a primary criterion for the diagnosis of delirium. The Observational Scale of Level of Arousal (OSLA) is a quick, simple, and observational instrument used to evaluate the variation of arousal for...

Research Needed: Better Quantitative Studies to Identify Causes of COVID-19 Nursing Home Disparities

JAMDA
November 28, 2020
The Coronavirus Disease 2019 (COVID-19) pandemic has brought to light numerous societal inequities, revealing the impacts of multiple layers of disadvantage born most often by racial and ethnic minorities. The examination by The New York Times of...

Weight Loss in COVID-19–Positive Nursing Home Residents

JAMDA
November 28, 2020
Coronavirus Disease 2019 (COVID-19) has had an impact on nutrition at individual, community, national, and global levels.1 COVID-19 has been associated with weight loss and also has been linked to cachexia and sarcopenia.2 Anorexia was the most...

Development of Herd Immunity to COVID-19 in Louisiana Nursing Homes

JAMDA
November 28, 2020
The State of Louisiana Department of Public Health has been publishing the nursing home Coronavirus Disease 2019 (COVID-19) statistics of the 281 nursing homes in the state since April 18, 2020.1,2 The following are the results of analysis of these...

Medications in Post-Acute and Long-Term Care: Challenges and Controversies

JAMDA
November 27, 2020
Pharmaceutical agents are a valuable resource to assist in the care of older persons. Their use in post-acute and long-term care settings is particularly notable—for example, the proportion of nursing home residents taking 9 or more medications...

Social Connection in Long-Term Care Homes: A Scoping Review of Published Research on the Mental Health Impacts and Potential Strategies During COVID-19

JAMDA
November 26, 2020
Good social connection is associated with better health and wellbeing. However, social connection has distinct considerations for people living in long-term care (LTC) homes. The objective of this scoping review was to summarize research literature...

Association Between Plasma 25-hydroxyvitamin D Concentrations and Incident Activities of Daily Living Disability: A Longitudinal Community-Based Cohort Study

JAMDA
November 26, 2020
A few studies of Western populations have found inconsistent results regarding the associations between vitamin D status and physical function. We explored the association between circulating vitamin D status [plasma 25-hydroxyvitamin D, 25(OH)D]...

Mental Health Status of the Older Adults in Japan During the COVID-19 Pandemic

JAMDA
November 24, 2020
The pandemic of coronavirus disease 2019 (COVID-19) has had a serious impact worldwide. Abnormal situations such as the fear of being infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), restrictions on going outdoors,...