Publications

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Recurrent Falls in Advanced Dementia: Could It Signal Unmet Palliative Needs?

JAMDA
March 1, 2019
Falls in long-term care (LTC) facilities are a major safety and quality concern, and are considered a preventable cause of injury. The majority of falls occur among residents with moderate to severe dementia. A cascade of repeated falls, with or...

Post-Acute Care Utilization and Quality Among High Risk Medicare Enrollees

JAMDA
March 1, 2019
Post-acute care represents important rehabilitation and recuperation services delivered to Medicare beneficiaries after an acute care hospital stay. Of particular interest within the cohort of post-acute users are the frail older adult and other...

Point Prevalence and Characteristics of In-House Antimicrobial Use in Nursing Homes, New Haven and Hartford Counties, Connecticut, 2017

JAMDA
March 1, 2019
National trends indicate an increase in the amount and complexity of healthcare delivery in nursing homes (NH). As this care is provided in relatively limited resource settings, there is concern about the role NH play in the rise of antimicrobial...

Physician Perspectives and Practice Management of Blood Pressure Control in Older Patients with Hypertension

JAMDA
March 1, 2019
The American College of Cardiology (ACC), the American Heart Association (AHA), the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) all differ in their recommendations for hypertension management in older...

Perceived Impact of the Namaste Care Family Program on People with Advanced Dementia, Nursing Staff, and Family Caregivers: A Qualitative Study

JAMDA
March 1, 2019
Many people with advanced dementia die in nursing homes. Family caregivers regularly judge quality of life as poor and may find it difficult to establish meaningful contact with their relative. The daily US Namaste Care program integrates...

Nursing Home Employee Self-Reflection on Life Stressors and Compassion Fatigue

JAMDA
March 1, 2019
Working in a nursing home can be stressful, and can result in compassion fatigue as staff encounter multiple demands, expectations, and requests by residents, patients, families and management. Risk factors of compassion fatigue include irritability...

Medication Reconciliation Errors Among Skilled Nursing Facilities Discharged Patients

JAMDA
March 1, 2019
‘High quality transitional care’ is the safe and efficient transfer of patient care across health settings. It is important not only to prevent harm but also to reduce unnecessary medical expense. Previous studies have found that medication...

Medical Education in the Long-Term Care Setting: Exploring Residents’ Experience of Learning in This Environment

JAMDA
March 1, 2019
Long-Term Care (LTC) education has been shown to increase geriatric knowledge and skills of trainees. Literature on factors influencing learning in the LTC learning environment is sparse. With an aging population and increasing complex...

Measuring Pain in Aphasia: The Reliability and Validity of the PACSLAC-D Observational Scale

JAMDA
March 1, 2019
Self-report pain scales are the most common way to assess pain in stroke patients with aphasia. The use of self-report pain scales in patients with aphasia is challenging due to communication or cognitive problems. A feasible, reliable and valid...

Inter-Professional Learning and Home Visit Experiences of Trainees During Geriatrics Rotation at Riverside University Health System

JAMDA
March 1, 2019
A Geriatrics rotation at Riverside University Health Systems (RUHS) is a 1-month rotation for current trainees. Because of the inter-professional environment of the rotation, pre-clinic and pre-home visit team huddles were introduced to provide a...