Publications

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Implementation Outcomes for the SLUMBER Sleep Improvement Program in Long-Term Care

JAMDA
March 14, 2024
To describe the implementation of a mentored staff-delivered sleep program in nursing facilities.

Improving Sleep Using Mentored Behavioral and Environmental Restructuring (SLUMBER)

JAMDA
March 14, 2024
To evaluate the impact of a mentoring program to encourage staff-delivered sleep-promoting strategies on sleep, function, depression, and anxiety among skilled nursing facility (SNF) residents.

High-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study

JAMDA
March 7, 2024
For nursing home residents with severe dementia, high-intensity medical treatment offers little possibility of benefit but has the potential to cause significant distress. Nevertheless, mechanical ventilation and intensive care unit (ICU) transfers...

Continuous Glucose Monitoring-Guided Insulin Administration in Long-Term Care Facilities: A Randomized Clinical Trial

JAMDA
March 6, 2024
To evaluate the efficacy of real-time continuous glucose monitoring (rt-CGM) in adjusting insulin therapy in long-term care facilities (LTCF).

Association between Age at Diagnosis of Hyperlipidemia and Subsequent Risk of Dementia

JAMDA
March 4, 2024
The relationship between age at diagnosis of hyperlipidemia and dementia remains unclear. We examined whether younger age at diagnosis of hyperlipidemia is associated with higher risk of subsequent dementia.

Screening and Recognition of Cognitive Impairment in Older People Visiting Hearing Aid Dispensers in the Netherlands

JAMDA
March 2, 2024
This study aims to determine how prevalent suspected cognitive impairment is in older people visiting hearing aid dispensers, and to assess whether hearing aid dispensers’ judgment on cognition was in accordance with the outcome of a cognitive...

How Nursing Home Leadership Strengthens the Workforce Pipeline Through the Teaching Nursing Home Collaborative

Caring for the Ages
March 1, 2024
I have been privileged to have a 40-year career in and around long-term care and aging. While there have been challenges around quality, cost, and policy for all those years, recent years have seen unprecedented workforce challenges in recruitment,...

Caregivers, the Secret Sauce in Care Transitions

Caring for the Ages
March 1, 2024
The challenge of care transitions between post-acute and long-term care and other care settings was illustrated in the graphic article “A Hidden Crisis” (N Engl J Med 2022;387:1157–1159). The daughter of a man with dementia served as his support...

QAPI Alert — Do We Still Need to Discuss the Call Bell?

Caring for the Ages
March 1, 2024
Dear Dr. Diane: I have a situation that keeps occurring during our QAPI meeting. The administrator is asking that we conduct another call bell performance improvement plan. But the issue is that this building continuously has a problem with call...

Moving Needles: Increasing Rates of Immunization in PALTC

Caring for the Ages
March 1, 2024
Individuals enter assisted living and long-term care facilities for a number of reasons. Primary on their minds, and the minds of their loved ones, is safety. They expect — rightly so — that they or their loved one will be protected. One way to keep...