Journal of the American Medical Directors AssociationThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2 3 4

192 records returned

Directions & ConnectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Author GuidelinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

General InformationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Subject IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Source Type: journals

Author IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Source Type: journals

Insulin Glargine Induced Persistent Intractable Hypoglycemia, with Variable Presentations in Older Diabetic Patients: An Experience of 4 CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report our experience with the recent use of glargine in older diabetic patients and the development of persistent and intractable hypoglycemia, including delayed recovery; the presentations varied markedly. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Authors: Jaishree Kumari, T.S. Dharmarajan Tags: Letter to the Editor Source Type: journals

Functional Mobility, Depressive Symptoms, Level of Independence, and Quality of Life of the Elderly Living at Home and in the Nursing HomeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: These findings are thought to be important and of benefit for health care professionals and caregivers as indicating the areas that need to be supported for the elderly living at home (functional mobility and independence) and in the nursing home (depressive symptoms and quality of life). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Authors: Mehmet Gürhan Karakaya, Sevil Çuvalci Bilgin, Gamze Ekici, Nezire Köse, Ayşe Saadet Otman Tags: Long-Term Care Around the Globe Source Type: journals

Vitamin D Deficiency/Insufficiency Practice Patterns in a Veterans Health Administration Long-Term Care Population: A Retrospective AnalysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Vitamin D levels were measured infrequently in long-term care patients. Among those monitored, the rate of vitamin D deficiency/insufficiency is high. Few patients with low vitamin D status received proper treatment and follow-up. These data support the need to educate physicians regarding the high prevalence of vitamin D insufficiency/deficiency among long-term care patients to ensure that patients with low vitamin D levels are identified and treated appropriately. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Authors: Kathryn K. Braddy, Syed N. Imam, Kavita R. Palla, Todd A. Lee Tags: Original Studies Source Type: journals

Erythropoiesis-Stimulating Agents in Anemia: Use and MisuseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Erythropoiesis-stimulating agents (ESAs) have been in use for 2 decades. After the initial introduction for their use in anemia of end-stage renal disease, indications for the use of ESAs have widened to anemia of predialysis chronic kidney disease, cancer chemotherapy, HIV disease and orthopedic surgery. Along with the considerable benefits associated with the use of ESAs, adverse events have become apparent, in large part from overcorrection of the anemia. Data from recent studies have prompted several FDA warnings imposing the health provider to follow stringent criteria for the use of ESAs; these include close follow-u...
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Authors: T.S. Dharmarajan, David Widjaja Tags: Review Source Type: journals

Reducing Unnecessary Hospitalizations: Apple Pie!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. Ouslander and colleagues' study in this issue is on a subject near and dear to all of our hearts in long-term care; namely, how to reduce unnecessary hospitalizations and emergency department (ED) visits for the residents under our care. I use the term apple pie because (like Mom and God) everybody loves it: Truly, what's not to love about helping avoid transfer trauma, pressure ulcers from lying on a gurney in the emergency room for 12 hours, delirium in an otherwise reasonably well-compensated dementia patient, often unnecessary and ill-advised treatments and medications, IV and Foley catheter placement, and all of t...
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Authors: Karl E. Steinberg Tags: Editorials Source Type: journals

Behavioral Interventions to Reduce Risk of Falls in Nursing Home ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Interventions to reduce the risk of falls have a long history in geriatrics and gerontology. This concern is appropriate because falls remain a central problem in geriatric management and a key threat to health and function for older adults. Often-cited statistics show how difficult it is to avoid falls. About a third of people older than 65 fall each year, about half of people older than 80, about half of nursing home residents, and more than half of people older than 90. Falls remain a major risk factor for nursing home admission, injuries and emergency department admissions, hip fracture, and death. Hospital stays are l...
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Authors: Steven M. Albert Tags: Editorials Source Type: journals

Vitamin D ReduxEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nearly 3 years ago, in an editorial in the Journal, we asked “Should all long-term care residents receive vitamin D?” In this issue, Braddy et al address this question in a Department of Veterans Affairs long-term care population. They found that 51% of the residents had values less than 30 ng/dL. Based on these findings we would suggest that all nursing home residents need to have a 25(OH) vitamin D level measured before being treated. Other studies published in the Journal have confirmed the high prevalence of vitamin D deficiency in nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 1, 2009 Category: Health Management Authors: John E. Morley Tags: Editorials Source Type: journals

Nursing Education and Improvement in Oral Care Delivery in Long-Term CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The oral care educational program did not result in improvement in the delivery of routine oral care to nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Julie K. Gammack, Shailaja Pulisetty Tags: Original Studies Source Type: journals

Reducing Potentially Avoidable Hospitalizations of Nursing Home Residents: Results of a Pilot Quality Improvement ProjectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The quality improvement strategies and tools tested in this pilot project show promise for assisting NHs in reducing potentially avoidable hospitalizations. The results must be interpreted cautiously because this was not a controlled study, and was conducted in only 3 highly selected NHs. Refinement of the tools and implementation strategies and testing in a larger and more diverse sample of NHs is under way. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Joseph G. Ouslander, Mary Perloe, JoVonn H. Givens, Linda Kluge, Tracy Rutland, Gerri Lamb Tags: Original Studies Source Type: journals

A Comparison of the Nursing Home Evacuation Experience Between Hurricanes Katrina (2005) and Gustav (2008)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: NH ADs felt more prepared to evacuate their residents for Gustav, owing partly to improved communication and collaboration with state agencies; however, significant morbidity and logistical problems remain with evacuating frail NH residents before hurricanes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Gary Blanchard, David Dosa Tags: Original Studies Source Type: journals

Nursing Home Procedures on Transitions of CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The results of this survey demonstrate that although direct verbal communication is not the norm, communication via paper documentation of transfer information is highly common. There was a statistically significantly increased likelihood of the SNF receiving the discharge/transfer sheet and the last medication list when it was directly affiliated with the transferring hospital. These affiliations would increase as a result of proposed payment changes that would bundle Medicare Part A acute hospital payments with the SNF payment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Paula Lester, Richard G. Stefanacci, Ding-Geng Chen Tags: Original Studies Source Type: journals

Falls Reduction in Long-Term Care Facilities: A Preliminary Report of a New Internet-Based Behavioral TechniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Behavioral treatment of risk factors related to falls within a structured delivery using Internet-based intervention may be an effective and efficient mechanism for treating fall risk in long-term care settings. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Irwin J. Mansdorf, Ravil Sharma, Melanie Perez, Anne-Marie Lepore Tags: Original Studies Source Type: journals

Predictors of Discharges to a Nursing Home in a Hospital-Based CohortEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In conclusion, these results could help develop hospital-based interventions to postpone or prevent NH placement among high-risk patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Emily R. Smith, Alan B. Stevens Tags: Original Studies Source Type: journals

Modifiable Factors Related to Abusive Behaviors in Nursing Home Residents With DementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Abusive behaviors may develop from lack of understanding leading to resistiveness to care. Behavioral interventions preventing escalation of resistiveness to care into combative behavior and the treatment of depression can be expected to decrease or prevent abusive behavior of most nursing home residents with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Ladislav Volicer, Jenny T. Van der Steen, Dinnus H.M. Frijters Tags: Original Studies Source Type: journals

The Basis for Improving and Reforming Long-Term Care. Part 3: Essential Elements for Quality CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is a pervasive effort to reform nursing homes and improve the care they provide. Many people are trying to educate and inform nursing homes and their staff, practitioners, and management about what to do and not do, and how to do it. But only some of that advice is sound.After more than 3 decades of such efforts, and despite evidence of improvement in many facets of care, there are still many issues. Despite improvements, the overall public, political, and health professional perception of nursing homes is often still negative.To date, no tactic or approach has succeeded nationwide in consistently facilitating good p...
Source: Journal of the American Medical Directors Association - October 12, 2009 Category: Health Management Authors: Steven A. Levenson Tags: Special Article Source Type: journals

Directions & ConnectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Author GuidelinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

General InformationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Clinical Update on Nursing Home Medicine: 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This represents the third clinical update based on presentations at the American Medical Directors Association (AMDA) annual meeting. Topics covered this year include hypertension, heart failure, cachexia, dehydration, falls, depression, constipation, and aspiration pneumonia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 30, 2009 Category: Health Management Authors: Barbara J. Messinger-Rapport, David R. Thomas, Julie K. Gammack, John E. Morley Tags: Updates From the AMDA Meeting Source Type: journals

The Basis for Improving and Reforming Long-Term Care, Part 2: Clinical Problem Solving and Evidence-Based CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focuses on processes of clinical problem solving and decision making as a means to enable safe, effective, efficient, and person-centered care that reflects key principles discussed in the initial article in this series. The care delivery process is the means for applying these principles to deliver care.The techniques used in clinical decision-making and problem-solving activities are not unique to health care. Whether or not it is recognized, clinical problem-solving and decision-making activities are occurring continually in all long-term care facilities. But only some staff and practitioners do them well.T...
Source: Journal of the American Medical Directors Association - September 13, 2009 Category: Health Management Authors: Steven A. Levenson Tags: Special Article Source Type: journals

Treatment of Bacteriuria Without Urinary Signs, Symptoms, or Systemic Infectious Illness (S/S/S)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The title includes clinical conditions that justify treatment of bacteriuria with antibiotics. Asymptomatic bacteriuria can be detected in 35% of stable nursing home residents. Higher rates are detected in females and are associated with decline in functional status. Atrophic vaginitis and incomplete bladder emptying from prostatic obstruction, cystocele, or denervation provide a fertile nitch for bacterial growth. Maintaining sterility in a stagnant, nutrient-rich site might be as frustrating as maintaining a sterile colon. The anatomy and pattern of urine flow are variable and may include obstruction, stones, catheters, ...
Source: Journal of the American Medical Directors Association - September 13, 2009 Category: Health Management Authors: Paul Drinka Tags: Editorials Source Type: journals

The Physician's Role in Long-Term Care Culture ChangeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes an approach to nursing home physician care that allows physicians to play a more integral role in the long-term care culture change movement. Through a simple refocusing of the traditional clinical assessment and plan, the physician's role is shaped and redefined, support staff more clearly see how the physician may contribute to the effort, and residents and families are reassured that the entire care team is working together to improve the care provided. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 6, 2009 Category: Health Management Authors: Robert Stall Tags: In Touch Source Type: journals

Diabetes Management in Long-Term Care Facilities: A Practical GuideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To the Editor: Feldman et al in their recent article highlight many issues familiar to those of us who provide care for residents with diabetes who live in long-term care facilities. First, the facilities Feldman surveyed lacked a comprehensive, standardized approach to the care of persons with diabetes. Second, the care provided offered significant areas of potential improvement. Residents often received restrictive diets; they also often received multiple diabetes medications as well as sliding-scale insulin. This care was likely not only unnecessary, but also adversely affected quality of life and used scarce nursing r...
Source: Journal of the American Medical Directors Association - September 3, 2009 Category: Health Management Authors: Roberta M. Meyers, Laurel Reger Tags: Letter to the Editor Source Type: journals

Religiousness, Religious Coping, and Psychological Well-Being in Nursing Home ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Religion was important to most older residents living in 2 religiously affiliated long-term care facilities. Residents for whom religion was somewhat or very important and who did not use negative religious coping strategies are more likely to have better psychological well-being. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 3, 2009 Category: Health Management Authors: Karen Glasser Scandrett, Susan L. Mitchell Tags: Original Studies Source Type: journals

Using Video Images to Improve the Accuracy of Surrogate Decision-Making: A Randomized Controlled TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Patients and surrogates viewing a video decision support tool for advanced dementia are more likely to concur about the patient's end-of-life preferences than when solely listening to a verbal description of the disease. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 3, 2009 Category: Health Management Authors: Angelo E. Volandes, Susan L. Mitchell, Muriel R. Gillick, Yuchiao Chang, Michael K. Paasche-Orlow Tags: Original Studies Source Type: journals

The Importance of Standardized Observations to Evaluate Nutritional Care Quality in the Survey ProcessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Standardized mealtime observations by research staff revealed feeding assistance care quality issues in all 20 study NHs. Surveyors following the instructions in either the standard or revised QIS surveys did not detect most of these care quality issues. Survey staff instructions for observation of nutritional care are not clearly written; thus, these instructions do not permit accurate behavioral measurement. These instructions should be revised in consideration of basic principles that guide accurate behavioral measurement and shared with NH providers to enable them to effectively implement quality improveme...
Source: Journal of the American Medical Directors Association - September 3, 2009 Category: Health Management Authors: John F. Schnelle, Rosanna Bertrand, Donna Hurd, Alan White, David Squires, Marvin Feuerberg, Kelly Hickey, Sandra F. Simmons Tags: Original Studies Source Type: journals

Perceived Barriers to Effective Job Performance Among Nursing Assistants in Long-Term CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The concept of barriers to job performance is a unique construct from work empowerment and satisfaction with one's job. Nursing assistants clearly differentiate various barriers, converging on workload and lack of teamwork as most problematic. Further work is needed to substantiate validity and reliability of the NABS, particularly with respect to NAs' actual job performance, intent to stay on the job versus leave, absenteeism, and turnover. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 3, 2009 Category: Health Management Authors: Patricia A. Parmelee, Mary C. Laszlo, Jo A. Taylor Tags: Original Studies Source Type: journals

Gender Differences and Health Status in Old and Very Old PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Data indicate that on hospital admission gender differences are significant in young old patients, but not in old and very old, suggesting a poor survivorship of males with increasing age. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - September 3, 2009 Category: Health Management Authors: Renzo Rozzini, Intissar Sleiman, Stefania Maggi, Marianna Noale, Marco Trabucchi Tags: Original Studies Source Type: journals

Having a CMD is Associated With Improved Nursing Home Quality of CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A recent article in the Journal found that the presence of a certified medical director (CMD) in a nursing home is an independent predictor of higher quality. The American Medical Directors Association (AMDA) CMD program started in 1991 and has certified more than 2500 medical directors. Approximately 42% of medical directors have a CMD. A large study such as this one showing that a medical director with a CMD can be associated with a 15% better quality than nursing homes without certified medical directors is certainly a gratifying finding. This certainly strongly suggests that nursing home medical directors should obtain...
Source: Journal of the American Medical Directors Association - September 3, 2009 Category: Health Management Authors: John E. Morley Tags: Editorials Source Type: journals

Directions & ConnectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Author GuidelinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

General InformationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Tags: Frontmatter Source Type: journals

Long-Term Care Arrangements in Rural China: Review of Recent DevelopmentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides an overview of the current status of long-term care development in rural China and discussion on the future development of institutional care and its policy implications. Formal long-term care systems are emerging but remain in the preliminary stages of development. Several policy considerations and practical implications deserve further attention: increases in regional and national government funding, integration of long-term care with the acute health care system, and creating more multilevel and multifunctional LTC facilities with a well-trained and skilled workforce. (Source: Journal of the Americ...
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Authors: Bei Wu, Zong-Fu Mao, Renyao Zhong Tags: Review Articles Source Type: journals

Aging in China: A Challenge or an Opportunity?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aging population in China is growing rapidly and by the middle of this century will peak. In addition, in 2000, elderly people aged 80 and older accounted for 18% of the world's population of oldest old. We identify here ways to begin addressing China's unique aging population needs. Through improving geriatric and gerontology education, supporting elderly institutions and elderly health care, and changing the traditional concept of death by introducing hospice care, these increased needs could begin to be met. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Authors: Birong Dong, Qunfan Ding Tags: Special Articles Source Type: journals

Citation Indexing and JAMDAEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Citation indexing has become a widely accepted method of judging the utility of a publication. This is the first time that our Journal has been included in the ISI Web of Knowledge. The report for 2008 covers articles published in 2006 and 2007. The Journal had a highly impressive Impact Factor of 3.467, which places it 10th among the 36 geriatric and gerontology journals (). Impact factor is the number of citations in 2008 to articles in 2006 and 2007 divided by the number of articles published in 2006 and 2007. In addition, the Journal of the American Medical Directors Association (JAMDA) was fourth in the Immediacy Inde...
Source: Journal of the American Medical Directors Association - August 31, 2009 Category: Health Management Authors: John E. Morley Tags: Editorials Source Type: journals

Pain Assessment in Nursing Home Residents With Dementia: Psychometric Properties and Clinical Utility of the CNA Pain Assessment Tool (CPAT)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This study provides evidence that the CPAT is a reliable and valid pain assessment instrument when used in nursing home residents with dementia. It has also been shown to be a tool with suitable clinical utility and feasibility. Further study is warranted to ascertain if its use will lead to improved resident function and quality of life and whether the results of this study are reproducible in other dementia populations. The CPAT's ability to quantify pain and measure treatment response has not been determined. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 9, 2009 Category: Health Management Authors: Frank A. Cervo, Patricia Bruckenthal, John J. Chen, Lory E. Bright-Long, Suzanne Fields, Guangxiang Zhang, Ian Strongwater Tags: Original Studies Source Type: journals

The Basis for Improving and Reforming Long-Term Care, Part 1: The FoundationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article—the first in a series—identifies those key principles and their relationship to improving attributes of care quality; especially, whether care is safe, effective, and person-centered. It considers the implications for nursing homes as well as the disciplines and individuals who provide care. It then suggests broader implications for public policy—including initiatives to oversee and improve the care—and for evaluating the relevance and effectiveness of those efforts. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 9, 2009 Category: Health Management Authors: Steven A. Levenson Tags: Special Articles Source Type: journals

Long-Term Care and Oral HealthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To the Editor: We read with great interest the article by Boczko and colleagues regarding certified nursing assistants'(CNA) oral health knowledge and patients' oral health in long-term care. They investigated the effects of an educational program provided by speech language pathologists (SLP) for CNAs. The educational program focused, for example, on the definition of oral hygiene, the elements of good oral care, and the identification of risk factors. The post-test data showed both a significant increase in the CNAs' knowledge (n=20) and in their patients' (n=112) oral health. There was, thus, a large gap between the pr...
Source: Journal of the American Medical Directors Association - August 6, 2009 Category: Health Management Authors: Helena Soini, Merja H. Suominen, Seija Muurinen, Kaisu H. Pitkälä Tags: Letters to the Editor Source Type: journals

Do We Need Another Dementia Pain Scale?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Effective treatment of pain is one of the requirements for quality medical care. Assessment of every resident for presence of pain is needed to provide effective treatment. This assessment is straightforward in residents who can provide verbal or nonverbal communication regarding presence and severity of pain but it is much more difficult in residents with advanced dementia who do not comprehend questions regarding pain. With these residents the staff has to rely on observation to detect signs and symptoms that may indicate presence of pain. Observation of residents may utilize a list of indicators demonstrating presence o...
Source: Journal of the American Medical Directors Association - August 6, 2009 Category: Health Management Authors: Ladislav Volicer Tags: Editorials Source Type: journals