Current Issue May 2012, Vol. 13, No. 4

Issue Highlights

Mobility in Elderly People With a Lower Limb Amputation: A Systematic Review
Abstract: Elderly people with a lower limb amputation impose a heavy burden on health resources, requiring extensive rehabilitation and long term care. Mobility is key to regaining independence; howev...

A Review of the Effectiveness of Antidepressant Medications for Depressed Nursing Home Residents
Abstract: Background: Antidepressant medications are the most common psychopharmacologic therapy used to treat depressed nursing home (NH) residents. Despite a significant increase in the rate of anti...

Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents
Abstract: Objectives: Lack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of in...

This Month in Caring for the Ages

Pressure on Antipsychotic Prescribing Predicted

Pressure against antipsychotic prescribing in nursing homes will only intensify, say AMDA leaders, as the Centers for Medicare & Medicaid Services and surveyors increase their focus. See "Pressure on Antipsychotic Prescribing Predicted." Read more here

Antipsychotics Do Not Have To Be Used “Off Label” in Dementia
14 May 2012
Ladislav Volicer
Two factors led to the current concern about the use of antipsychotics in nursing home residents with dementia. The first was publication of studies that found serious side effects, including increase...
Measurement Properties of the Groningen Frailty Indicator in Home-Dwelling and Institutionalized Elderly People
14 May 2012
Lilian L. Peters, Han Boter, Erik Buskens, Joris P.J. Slaets
Abstract: Objectives: To enable prevention of poor outcome in elderly people, a valid instrument is required to detect individuals at high risk. The concept of frailty is a better predictor than age a...
A 1-Year Randomized Controlled Trial Comparing Mind Body Exercise (Tai Chi) With Stretching and Toning Exercise on Cognitive Function in Older Chinese Adults at Risk of Cognitive Decline
14 May 2012
Linda C.W. Lam, Rachel C.M. Chau, Billy M.L. Wong, Ada W.T. Fung, Cindy W.C. Tam, Grace T.Y. Leung, Timothy C.Y. Kwok, Tony Y.S. Leung, Sammy P. Ng, Wai M. Chan
Abstract: Objectives: To compare the effectiveness of Chinese-style mind-body exercise (24 forms simplified Tai Chi) versus stretching and toning exercise in the maintenance of cognitive abilities in ...
Prevalence of Atrial Fibrillation in US Nursing Homes: Results from the National Nursing Home Survey, 1985–2004
11 May 2012
Gregory Reardon, Winnie W. Nelson, Aarti A. Patel, Tommy Philpot, Marjorie Neidecker
Abstract: Objectives: To evaluate the prevalence of atrial fibrillation (AFib) in US nursing homes from 1985 to 2004 and to project the prevalence of AFib to 2030. Design: This study is an analysis of...
Antibiotic Use and Resistance in Long-Term Care Facilities
10 May 2012
Laura W. van Buul, Jenny T. van der Steen, Ruth B. Veenhuizen, Wilco P. Achterberg, François G. Schellevis, Rob T.G.M. Essink, Birgit H.B. van Benthem, Stephanie Natsch, Cees M.P.M. Hertogh
Abstract: Introduction: The common occurrence of infectious diseases in nursing homes and residential care facilities may result in substantial antibiotic use, and consequently antibiotic resistance. ...

View More Articles in Press...

Impact of Medical Director Certification on Nursing Home Quality of Care
July 2009 (Vol. 10 | No. 6 | Pages 431-435)
Frederick N. Rowland, Mick Cowles, Craig Dickstein, Paul R. Katz
Objective: This study tests the research hypothesis that certified medical directors are able to use their training, education, and knowledge to positively influence quality of care in US nursing home...
Beyond the Medical Model: The Culture Change Revolution in Long-Term Care
July 2009 (Vol. 10 | No. 6 | Pages 370-378)
E. Foy White-Chu, William J. Graves, Sandra M. Godfrey, Alice Bonner, Philip Sloane
Culture change in long-term care facilities involves a shift in philosophy and practice from an overemphasis on safety, uniformity, and medical issues toward resident-directed, consumer-driven health ...
Effects of High-Intensity Progressive Resistance Training and Targeted Multidisciplinary Treatment of Frailty on Mortality and Nursing Home Admissions after Hip Fracture: A Randomized Controlled Trial
January 2012 (Vol. 13 | No. 1 | Pages 24-30)
Nalin A. Singh, Susan Quine, Lindy M. Clemson, Elodie J. Williams, Dominique A. Williamson, Theodora M. Stavrinos, Jodie N. Grady, Tania J. Perry, Bradley D. Lloyd, Emma U.R. Smith, Maria A. Fiatarone Singh
Abstract: Rationale: Excess mortality and residual disability are common after hip fracture. Hypothesis: Twelve months of high-intensity weight-lifting exercise and targeted multidisciplinary interven...
What Matters Most to Nursing Home Elders: Quality of Life in the Nursing Home
January 2012 (Vol. 13 | No. 1 | Pages 48-53)
Orah R. Burack, Audrey S. Weiner, Joann P. Reinhardt, Rachel A. Annunziato
Abstract: Objective: A growing number of nursing homes across the country are embarking on culture change transformations that focus on maximizing elder residents’ quality of life (QOL). Challenges to...
Natural History of Feeding-Tube Use in Nursing Home Residents With Advanced Dementia
May 2009 (Vol. 10 | No. 4 | Pages 264-270)
Sylvia Kuo, Ramona L. Rhodes, Susan L. Mitchell, Vincent Mor, Joan M. Teno
Objectives: Despite the evidence that feeding-tube use in persons with advanced dementia is not associated with improved outcomes, there remains striking variation in their use. Yet, little is known a...

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JAMDA 2010 Impact Factor 4.492* -- ranked 6th of 44 journals in the Geriatrics & Gerontology category.
* Journal Citation Reports®, published by Thomson Reuters

About JAMDA

JAMDA is the official journal of AMDA - Dedicated to Long Term Care Medicine. JAMDA covers topics such as geriatric medicine, dementia and cognitive impairment, rehabilitation, chronic comorbid conditions, the frail elder, medication management and prescribing issues, multi-resistant organisms and infectious diseases, falls prevention, assisted living risks and challenges, as well as health policy, outcomes evaluation and guidelines for administrators, physicians and staff who work in long-term care and rehabilitation sites. Click here to learn more.

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AMDA - Dedicated to Long Term Care Medicine is the professional association of medical directors, attending physicians, nurses, social workers, nursing aides, and others practicing in the long term care continuum. AMDA is dedicated to improving patient care by providing education, advocacy, information, and professional development. Learn more about AMDA.