Publications

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The Truth About Authenticity

Caring for the Ages
November 1, 2016
As a health care provider looking after mostly geriatric, or chronically or terminally ill patients, I have many opportunities for meaningful interactions with my patients and their families. And these interactions are a big part of the reason I...

CMS Releases Final Rule Revising Nursing Home Regulations

Caring for the Ages
November 1, 2016
The Centers for Medicare & Medicaid Services has issued the long-awaited final rule that will revise the requirements that long-term care facilities must meet to participate in Medicare and Medicaid programs. This is the first change in the...

Good Nutrition Becoming a Potent Tool to Boost Immune System in Elderly

Caring for the Ages
November 1, 2016
Few nursing home residents have escaped the process of immunosenescence. With age comes a sweeping and well-studied decline in immune responsiveness that leaves older individuals increasingly susceptible to developing infections and more likely to...

Endocrinology of Aging From a Muscle Function Point of View: Results From the Toledo Study for Healthy Aging

JAMDA
November 1, 2016
Aging is a process that involves a reduction in muscle strength and anabolic hormone concentrations, which impacts significantly on health.

Depression Among Nonfrail Old Men Is Associated With Reduced Physical Function and Functional Capacity After 9 Years Follow-up: The Health in Men Cohort Study

JAMDA
November 1, 2016
Older adults with depression have increased risk of frailty and death.

Understanding Mortality of Femoral Fractures Following Low-Impact Trauma in Persons With and Without Care Need

JAMDA
November 1, 2016
Persons with osteoporotic fracture history are subject to an increased risk for subsequent fractures and mortality. The aim of this retrospective study was to investigate the impact of a previous osteoporotic low-impact (fragility) index fracture (...

Reliability and Validity of the Resistiveness to Care Scale Among Cognitively Impaired Older Adults

JAMDA
November 1, 2016
Resistiveness to care is behavior that prevents or interferes with caregivers’ performing or assisting with activities of daily living and puts residents at risk for inappropriate use of antipsychotic drugs, other restraining interventions, social...

Evaluation and Management of the Nursing Home Resident With Respiratory Symptoms and an Equivocal Chest X-Ray Report

JAMDA
November 1, 2016
Pneumonia is a leading cause of morbidity and mortality in nursing home (NH) residents. Chest x-ray evidence is considered a key diagnostic criterion for pneumonia by the Infectious Disease Society of America (IDSA) diagnostic guidelines, the...

Diabetes-Associated Factors as Predictors of Nursing Home Admission and Costs in the Elderly Across Europe

JAMDA
November 1, 2016
To identify the main factors associated with the use of nursing home facilities and to calculate their costs among older people with diabetes in Europe.

Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement

JAMDA
November 1, 2016
Information exchange is critical to high-quality care transitions from hospitals to post-acute care (PAC) facilities. We conducted a survey to evaluate the completeness and timeliness of information transfer and communication between a tertiary-care...