Showing papers in "Journal of the American Medical Directors Association in 2014"

TL;DR: The AWGS consensus report is believed to promote more Asian sarcopenia research, and most important of all, to focus on sarc Openia intervention studies and the implementation of sarcopenian in clinical practice to improve health care outcomes of older people in the communities and the healthcare settings in Asia.

TL;DR: Interventions focusing on advance directives as well as interventions that also included communication about end-of-life care increased the completion of advance directives and the occurrence of end- of- life care discussions between patients and healthcare professionals.

TL;DR: Resistance training significantly improved global cognitive function, with maintenance of executive and global benefits over 18 months, and was higher for Executive Domain compared with combined training.

TL;DR: The SARC-F may be considered a suitable tool for community screening for sarcopenia and has excellent specificity but poor sensitivity for sarc Openia classification; however, all 4 methods have comparable but modest predictive power for 4-year physical limitation.

TL;DR: Women were less likely to decline in frailty status than men and previous stroke reduced the chance of improvement by 78% in frail men and only younger age was associated with improvement in frail women.

TL;DR: The relationship of frailty and sarcopenia to diabetes mellitus is explored and it is shown that persons with diabetes are at increased risk of mobility disability and disability in instrumental activities of daily living and activities ofdaily living.

TL;DR: Effective INTERACT implementation will assist nursing homes in meeting the new requirement for a robust quality assurance performance improvement program, which is being rolled out by the federal government over the next year.

TL;DR: No one-size-fits-all approach can be offered to guide informal caregivers when facing the possibility of institutionalization of the person with dementia, because of a wide variation in reasons between countries.

TL;DR: The Frailty Risk Index is a validated instrument for assessing frailty risk in community-living older persons and may be a useful rapid assessment tool to identify vital body system deficits underlying the frailty syndrome.

TL;DR: The findings demonstrate the necessity for well-designed longitudinal studies to gain a better insight into the relationship between nurse staffing and QoC in nursing homes.

TL;DR: Among community-dwelling older adults, an increasing adherence to the Mediterranean diet was associated with decreasing risk of frailty, and was inversely associated with consumption of fish and fruit.

TL;DR: There are promising impacts on levels of agitation in care home residents with dementia who spend time in a garden, with a focus on key outcomes measured in comparable ways with a separate focus on what lies behind limited accessibility to gardens within the residential care setting.

TL;DR: Strong clinical evidence is identified that weight reduction and/or exercise interventions can improve physical function and biomarkers of physical dysfunction among overweight/obese older adults, supporting the suggestion that excessive adiposity contributes to physical frailty.

TL;DR: This study confirms that sarcopenia is a predictor of fracture risk in this elderly men cohort, establishes that sarc Openia provides incremental predictive value for fractures over the integration of BMD and other clinical risk factors, and suggests that the combination of osteoporosis and sarcopenian could identify a subgroup with a particularly high fracture risk.

TL;DR: DSD is a strong predictor of functional dependence, institutionalization, and mortality in older patients admitted to a rehabilitation setting, suggesting that strategies to detect DSD routinely in practice should be developed and DSD should be included in prognostic models of health care.

TL;DR: There is great variation in QoL and QoC scores among European countries and settings, and more knowledge is needed about the effect of different national health care systems and dementia strategies on QeL andQoC indicators.

TL;DR: A key finding was the prioritization of research to underpin the care of people with cognitive impairment/dementia and of the management of the behavioral and psychological symptoms of dementia within the nursing home.

TL;DR: The data support a significant role of frailty as a predictor of depression in a relatively younger old Chinese population and further observational and interventional studies should explore short-term dynamic and bidirectional associations and the effects ofFrailty reversal on depression risk.

TL;DR: The Frailty Trait Scale associates with many of the factors linked to frailty and has a similar predictive capacity to that provided by the classical instruments, with potential utility in research and clinical practice.

TL;DR: This article is a call-to-action for health caregivers worldwide to increase attention to nutrition care.

TL;DR: Interventions to reduce inappropriate prescribing of antipsychotic medications to people with dementia resident in care homes may be effective in the short term, but longer more robust studies are needed.

TL;DR: In this study, polypharmacy is an independent risk factor for delirium in a population of elderly patients after emergency admission and increased attention is given to the prevention and control of polyphARMacy, which is a predisposing factor forDelirium.

TL;DR: Although the pathophysiology of PPH remains poorly defined, diverse factors, including impairments in sympathetic and baroreflex function, release of vasodilatory peptides, the rate of small intestinal nutrient delivery, gastric distension, and splanchnic blood pooling, appear important.

TL;DR: Using the UK Biobank dataset, new reference values for body composition assessed with BIA were determined in white-ethnic men and women aged 45 to 69 years, of broad interest for overweight and obese populations.

TL;DR: The results suggest that among older nursing home residents the use of anticholinergic drugs is associated with important negative outcomes, such as functional decline, falls, and delirium.

TL;DR: The prevalence of sarcopenia in geriatric hospitalized patients is high and does not differ from those of other older individuals, and Nutritional status is associated with sarc Openia.

TL;DR: Sarcopenia induced by a small number of motoneurons can be identified by applying the MUNIX method to the hypothenar muscle by exploring the reduced number of motor units as a potential mechanism of muscle mass loss.

TL;DR: The Loeb criteria should be updated, by inclusion of isolated fever in those with profound cognitive impairment as well as scrotal or prostate swelling tenderness to be consistent with the updated McGeer criteria by Stone et al.

TL;DR: Dementia is common among older adults with hip fractures and associated with poor prognosis following hip fracture surgery, and specialized services targeting the growing number of older Adults with dementia may help to prevent hip fracturesand optimize postoperative care for this vulnerable population.

TL;DR: The Grip on Challenging behavior program was able to diminish some forms of challenging behavior and the use of psychoactive drugs.