Journal ArticleMed Care Res Rev · December 2021
Since 2010, the Veterans Health Administration has initiated a home-based Caring for Older Adults and Caregivers at Home (COACH) program to provide clinical support to dementia patients and family caregivers. But its impact on health care utilization and c ...
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Journal ArticleGerontologist · August 2015
PURPOSE OF THE STUDY: To describe key adaptive challenges and leadership behaviors to implement culture change for person-directed care. DESIGN AND METHODS: The study design was a qualitative, observational study of nursing home staff perceptions of the im ...
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Journal ArticleJ Am Geriatr Soc · June 2015
Caring for Older Adults and Caregivers at Home (COACH) is an innovative care coordination program of the Durham Veteran's Affairs Medical Center in Durham, North Carolina, that provides home-based dementia care and caregiver support for individuals with de ...
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Journal ArticleJ Am Med Dir Assoc · July 2013
Long term care deserves focused attention within a geriatric medicine fellowship curriculum to ensure that graduates are prepared not only for clinical care but also for the leadership, administrative, educational, quality improvement, and health policy as ...
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Journal ArticleOstomy Wound Manage · December 2012
Pressure ulcer prevention is an important aspect of nursing home care. A 20-week, unblinded, randomized, controlled trial was conducted to compare the rate of nursing home-acquired pressure ulcers and adverse events between residents managed using: 1) a si ...
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Journal ArticleJ Am Geriatr Soc · March 2012
OBJECTIVES: To explore the perspectives and priorities of nursing home residents, family members, and frontline nursing staff concerning a broad range of items representing common targets of culture change initiatives. DESIGN: Qualitative study. SETTING: A ...
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Journal ArticleAm J Geriatr Pharmacother · October 2009
BACKGROUND: Medication underutilization, or the omission of a potentially beneficial medication indicated for disease management, is common among older adults but poorly understood. OBJECTIVES: The aims of this work were to assess the prevalence of medicat ...
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Journal ArticleJ Am Geriatr Soc · September 2009
OBJECTIVES: To develop order entry algorithms for five common nursing home problems and to test their acceptance, use, and preliminary effect on nine quality indicators and resource utilization. DESIGN: Pre-post, quasi-experimental study. SETTING: Two Depa ...
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Journal ArticleJ Am Geriatr Soc · March 2009
OBJECTIVES: To report an outbreak of respiratory synctyial virus (RSV) in a long-term care facility (LTCF) during ongoing routine respiratory illness surveillance. DESIGN: Rapid antigen testing, viral culture, direct fluorescent antibody (DFA) testing, and ...
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Journal ArticleAnnals of Long-Term Care · May 1, 2008
As a complementary service to our Geriatric Evaluation and Management Clinic, the geriatrics Post-Hospital Clinic (PHC) was recently established for prompt follow-up assessment and care of our geriatric patients and their caregivers after hospital discharg ...
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Chapter · January 1, 2006
Herpes zoster is a neurocutaneous disease caused by the reactivation of varicella-zoster virus (VZV) from a latent infection of dorsal sensory or cranial nerve ganglia. Nearly all elderly adults in the United States are latently infected with VZV and at ri ...
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Journal ArticleAm J Med · March 15, 2004
PURPOSE: To determine if inpatient or outpatient geriatric evaluation and management, as compared with usual care, reduces adverse drug reactions and suboptimal prescribing in frail elderly patients. METHODS: The study employed a randomized 2 x 2 factorial ...
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Journal ArticleClinics in Family Practice · January 1, 2001
Falls are an important problem in the nursing home. Falls are frequently a sign of a new medical problem or a decline in a chronic condition. They are associated with dementia and confusion, balance and gait abnormalities, psychotropic and cardiac medicati ...
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Journal ArticleAnnals of Long-Term Care · August 15, 2000
The authors report a case of an elderly nursing home resident with dementia and disruptive vocalization (DV) precipitated by undiagnosed pain from gouty arthritis, and the successful treatments carried out through multiple approaches. This case demonstrate ...
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Journal ArticleHypertension · November 1991
Plasma glucose, insulin, and triglyceride concentration, blood pressure, and insulin action on isolated adipocytes were determined in weight-matched Sprague-Dawley, Dahl salt-resistant, and Dahl salt-sensitive rats. Blood pressure and plasma glucose concen ...
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Journal ArticleJ Gerontol · July 1991
We compared the ability of adipocytes isolated from the epididymal fat pads of Sprague-Dawley and Fischer 344 rats of different ages and weights to release glycerol in response to beta-adrenergic stimulation. Twelve-month-old Sprague-Dawley rats weighed ap ...
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