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Case of Creutzfeldt-Jakob: How barriers to diagnosis delay essential care

JAMDA
May 1, 2024
Creutzfeldt-Jakob Disease (CJD) is a fatal, rapidly-progressive dementia, caused by prion proteins. Changes in personality, mood, and motor function, are common in association with CJD. Often a diagnostic challenge, it relies on the clinical exam,...

Bullous Pemphigoid in the Elderly

JAMDA
May 1, 2024
Bullous pemphigoid is a chronic autoimmune subepidermal blistering skin disease that primarily affects the elderly [1]. Clinically, it presents as urticaria-like and pruritic erythematous lesions that subsequently develop into large tense bullae [1...

Benefits of Multi-disciplinary Management in a Patient with Mixed Dementia

JAMDA
May 1, 2024
Vascular and neurodegenerative disorders frequently present as mixed dementia phenotype. The most common type of mixed dementia is Alzheimer’s Dementia (AD) with vascular dementia. Dementia symptoms can develop at an earlier age when AD and vascular...

Beer Potomania Post-Skilled Nursing Facility Discharge

JAMDA
May 1, 2024
Patients who are discharged home following prolonged skilled nursing facility (SNF) stay may need re-adjustment to resume living in an unsupervised environment. We present a patient who was readmitted to the hospital within days of discharge from a...

A Case of Refractory Pruritis: Celiac Disease in Older Adults

JAMDA
May 1, 2024
Celiac disease is an autoimmune enteropathy with a wide spectrum of clinical manifestations triggered by the ingestion of gluten. In the assessment of skin changes, weight loss, diarrhea, and abdominal discomfort, celiac disease may be...

Recommendations for Next Steps in Our Understanding of Use of Antipsychotics among Older Adults in the PALTC Environments

JAMDA
May 1, 2024
As many of you are likely aware, we are mourning the sudden and untimely death of Dr Steven Levenson. Dr Levenson was a vital part of AMDA: The Society for Post Acute and Long Term Care Medicine for over 40 years, Dr Levenson held a number of...

Placing a Spotlight on Behavioral Health Within PACE

JAMDA
May 1, 2024
The Program of All-Inclusive Care for the Elderly (PACE) is a well-established health care model that serves older adults who are eligible for nursing home–level of care but are living in the community. Significantly, PACE has been recognized as a “...

Frailty Predicts Dementia and Death in Older Adults Living in Long-Term Care

JAMDA
May 1, 2024
To investigate how the accumulation of deficits traditionally related and not traditionally related to dementia predicts dementia and mortality.

Symptomatic and Preventive Medication Use before and after Alzheimer's Disease Diagnosis: A 10-Year Matched Cohort Study

JAMDA
April 30, 2024
To investigate longitudinal changes in symptomatic and preventive medication use among community-dwelling people with and without Alzheimer's disease (AD) 5 years pre- and post-AD diagnosis.

COVID-19 Pandemic and Stroke Care in Patients with Dementia Compared to Other Stroke Patients

JAMDA
April 30, 2024
The primary objective of this study was to examine the impact of the COVID-19 pandemic on the quality of stroke care for patients with preexisting dementia, compared with patients who had only stroke. The secondary aim was to investigate how the...