Showing papers in "Journal of the American Medical Directors Association in 2012"

TL;DR: The objective of this review was to assess the published effects and effectiveness of robot interventions aiming at social assistance in elderly care, and reported positive effects of companion-type robots on (socio)psychological and physiological parameters.

TL;DR: In this paper, a randomized, double-blind, placebo-controlled trial with two arms in parallel among 62 frail elderly subjects (78 ± 1 year) was conducted to assess the impact of protein supplementation on muscle mass, strength and physical performance during prolonged resistance-type exercise training in frail elderly men and women.

TL;DR: Dietary protein supplementation improves physical performance, but does not increase skeletal muscle mass in frail elderly people.

TL;DR: A collaborative Expert Group of the IAGG and EDWPOP and an International Task Force have explored the key issues that affect diabetes in older people using a robust method comprising a Delphi process and an evidence-based review of the literature.

TL;DR: The present study suggests that among subjects living in a nursing home, sarcopenia is highly prevalent and is associated with a significantly increased risk of all-cause death and supports the possibility that sarc Openia has an independent effect on survival among nursing home residents.

TL;DR: This study supports the feasibility, reliability, and validity of the self-assessment version of the GFI in home-dwelling and institutionalized elderly people and finds frail older persons had higher levels of case complexity, disability, and lower quality of life and life satisfaction.

TL;DR: The HIPFIT intervention reduced mortality, nursing home admissions, and ADL dependency compared with usual care and was associated with reduced nursing home use.

TL;DR: The 6MWD provides prognostic information that may be useful for identifying high-risk patients with COPD and the discriminatory thresholds, especially for mortality, were influenced by age.

TL;DR: Regular exercise, especially mind-body exercise with integrated cognitive and motor coordination, may help with preservation of global ability in elders at risk of cognitive decline; however, logistics to promote long-term practice and optimize adherence needs to be revisited.

TL;DR: The differing fall risk patterns in specific subgroups may help to target preventive measures.

TL;DR: The BIMS, a short performance-based cognitive screener expressly designed to facilitate cognitive screening in MDS assessments, was completed in the majority of NH residents scheduled for M DS assessments in a large sample of NHs, demonstrating its feasibility.

TL;DR: The findings of this review call for the conduction of research and the development of policies directed at reducing antibiotic resistance and its subsequent burden for long term care facilities and their residents.

TL;DR: There are several nonpharmacological interventions that may be effective for NPS in LTC, although there are a limited number of large-scale, high-quality studies in this area.

TL;DR: Significant improvements in muscle strength and functional performance occur in response to progressive resistance training exercise, despite advanced age, presence of chronic diseases, extremely sedentary habits, and functional disabilities in older institutionalized individuals.

TL;DR: A major revision of the Minimum Data Set is designed and evaluated to improve reliability, accuracy, and usefulness of the MDS, and to evaluate whether the revision improves reliability, validity, resident input, clinical utility, and decreases collection burden.

TL;DR: The long term care spectrum includes understanding the resources needed to allow older persons to “age in place” or to choose living facilities that are different from nursing homes and how to prevent further deterioration in their health.

TL;DR: Significant clinical changes found in the Minimum Data Set 3.0 are highlighted, including new structured resident interviews to assess mood, preferences, pain and cognition; inclusion of the Confusion Assessment Method to screen for delirium; revised psychosis and behavior items; and changes to race/ethnicity item and language report.

TL;DR: The lack of a strong association between problematic ADLs and clinical determinants emphasizes the need for individualized assessment of theseADLs to allow tailored intervention.

TL;DR: It is suggested that physical exercise is effective in preventing the progression of frailty and further disability in older adults living in the community and could save heath care costs by the care prevention program.

TL;DR: Frequency of psychotropic and especially antipsychotic medication is substantial in nursing home residents in Germany and Austria, and the high number of prescriptions is likely to be an indicator for a perceived or actual lack of strategies to handle behavioral and psychological symptoms of dementia.

TL;DR: The meta-sensitivity analysis indicates that randomized controlled trials of fall-prevention programs conducted within the past 10 years (2000-2009) are effective in overall reduction of fall rates of 9% with a reduction of falls rates of 10% in multifactorial interventions, 9% in community settings, and 12% in Model I interventions.

TL;DR: Dignity, spiritual well-being, and food enjoyment remained predictors of overall nursing home satisfaction and provided one possible path in the culture change journey based on empirical findings.

TL;DR: The Successful Aging after Elective Surgery (SAGES) study is an innovative, interdisciplinary study that includes biomarkers, neuroimaging, cognitive reserve markers, and serial neuropsychological testing to examine the contribution of delirium to long term cognitive and functional decline.

TL;DR: The majority of NH residents were able to complete the PHQ-9, and most surveyed staff reported improved assessments with the new approach, compared with the MDS 2.0 observational items.

TL;DR: This polypharmacy reduction intervention by physicians used readily available tools, demonstrated a significant decrease in medication-related costs, and provided training in the core competencies of practice-based learning and improvement and systems-based practice to geriatric medicine fellows in long term care.

TL;DR: The SNAZ is a poor screening tool to predict older people with an abnormal MNA score, however, an abnormal SNAQ might identify those who will lose weight earlier than will the MNA.

TL;DR: The threefold variation in polypharmacy rates suggests a role for this measure in guiding drug review at the facility level in the long term care (LTC) setting, particularly residents with multiple chronic conditions.

TL;DR: Findings showed that a cutoff value of 2 should serve as a trigger for a trial with pain treatment, and it is recommended that a PAINAD score of 2 or more can be used as an indicator of probable pain.

TL;DR: Providing futile and inadequate care contributes to moral distress more than euthanasia and believing to hasten an unconscious patient's death by increasing morphine in geriatric end-of-life care is found.

TL;DR: A gap in KT research pertaining to the care of older adults is identified and intervention research focusing on organizational, financial, and regulatory areas is warranted.