Journal of the American Medical Directors Association
EditorialInappropriate Drug Prescribing and Polypharmacy Are Major Causes of Poor Outcomes in Long-Term Care
References (73)
- et al.
Polypharmacy and mortality among nursing home residents with advanced cognitive impairment: Results from the SHELTER study
J Am Med Dir Assoc
(2013) - et al.
Reducing polypharmacy: Evidence from a simple quality improvement initiative
J Am Med Dir Assoc
(2013) - et al.
Prevalence and associations of the use of proton-pump inhibitors in nursing homes: A cross-sectional study
J Am Med Dir Assoc
(2013) - et al.
Improving medication use in the nursing homes: A European perspective
J Am Med Dir Assoc
(2013) - et al.
Indicators of benzodiazepine use in nursing home residents in France: A cross-sectional study
J Am Med Dir Assoc
(2013) - et al.
Reducing cost by reducing polypharmacy: The polypharmacy outcomes project
J Am Med Dir Assoc
(2012) - et al.
Exploring variation in rates of polypharmacy across long term care homes
J Am Med Dir Assoc
(2012) - et al.
Physician intervention for medication reduction in a nursing home: The polypharmacy outcomes projects
J Am Med Dir Assoc
(2011) - et al.
An analysis of the interactions between individual comorbidities and their treatments—implications for guidelines and polypharmacy
J Am Med Dir Assoc
(2010) - et al.
Polypharmacy in the elderly: A multicenter study
J Am Med Dir Assoc
(2009)
Polypharmacy in the nursing home
J Am Med Dir Assoc
The consultant pharmacist and the physician in the nursing home: Roles, relationships, and a recipe for success
J Am Med Dir Assoc
Predictors of rehospitalization among elderly patients admitted to a rehabilitation hospital: The role of polypharmacy, functional status, and length of stay
J Am Med Dir Assoc
Reducing potentially avoidable hospitalizations of nursing home residents: Results of a pilot quality improvement project
J Am Med Dir Assoc
Reducing potentially preventable hospital transfers: Results from a thirty nursing home collaborative
J Am Med Dir Assoc
The interventions to reduce acute care transfers (INTERACT) quality improvement program: An overview for medical directors and primary care clinicians in long term care
J Am Med Dir Assoc
Climbing out of the black hole of subacute care
J Am Med Dir Assoc
International survey of nursing home research priorities
J Am Med Dir Assoc
Burdensome transitions at the end of life among long-term care residents with dementia
J Am Med Dir Assoc
Nursing home research: The first International Association of Gerontology and Geriatrics (IAGG) research conference
J Am Med Dir Assoc
Project ReEngineered Discharge (RED) lowers hospital readmissions of patients discharged from a skilled nursing facility
J Am Med Dir Assoc
Recent health care transitions and emergency department use by chronic long term care residents: A population-based cohort study
J Am Med Dir Assoc
Transitions in long-term care and potential implications for quality reporting in Ontario, Canada
J Am Med Dir Assoc
Transitions
J Am Med Dir Assoc
Frailty consensus: A call to action
J Am Med Dir Assoc
Frailty, falls, and fractures
J Am Med Dir Assoc
A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans
J Nutr Health Aging
Frailty screening comes of age
J Nutr Health Aging
Frailty: Diagnosis and management
J Nutr Health Aging
Reductions of antipsychotic and hypnotic medications in Namaste Care
J Am Med Dir Assoc
Is your nursing home a battlefield?
J Am Med Dir Assoc
Meaningful activities in the nursing home
J Am Med Dir Assoc
Cognitive and physical stimulation therapy
J Am Med Dir Assoc
Exercise for falls and fracture prevention in long term care facilities: A systematic review and meta-analysis
J Am Med Dir Assoc
Physical activity and Alzheimer’s disease: From prevention to therapeutic perspectives
J Am Med Dir Assoc
Overmedicating “difficult” patients
J Am Med Dir Assoc
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2018, Journal of the American Medical Directors AssociationJAMDA Maintains Excellent Impact Factor
2017, Journal of the American Medical Directors AssociationRapid Geriatric Assessment: Secondary Prevention to Stop Age-Associated Disability
2017, Clinics in Geriatric MedicineCitation Excerpt :The RGA computer-assisted management system not only recommends the exercise and nutrition program but if the person answers positive for fatigue suggests that person be investigated for sleep apnea,37 hypotension including postural hypotension,38 depression,39 hypothyroidism,40 vitamin B12 deficiency,41 and anemia.42 The health professional is prompted to consider polypharmacy as a cause if the person has more than 5 illnesses,43–46 with an emphasis on medications that are inappropriate for older persons.38 If the person has weight loss, the physician is asked to check for reversible causes using the MEALS-ON-WHEELS mnemonic47,48:
Rapid Geriatric Assessment: A Tool for Primary Care Physicians
2017, Journal of the American Medical Directors AssociationPrevention of Functional Decline by Reframing the Role of Nursing Homes?
2017, Journal of the American Medical Directors AssociationCitation Excerpt :Policies to promote reframing of the focus in NHs need to be in alignment with the highest practicable level of care. Nursing home residents are at risk of falls,27 malnutrition,28 weight loss,29 pressure ulcers,30 restraints,31,32 polypharmacy, and inappropriate drug prescribing.33 In fact, some NHs themselves may be a risk factor for the residents.
The author declares no conflicts of interest.