Article
Geriatrics & Gerontology
Corinna Vossius, Sverre Bergh, Geir Selbaek, Jurate Saltyte Benth, Janne Myhre, Eivind Aakhus, Bjorn Lichtwarck
Summary: This study explores the impact of different subtypes of dementia on the mortality rate of nursing home residents. The findings suggest that there is no difference in mortality rate among the subtypes of dementia, except for individuals with unspecified dementia or without dementia who have a higher mortality rate. Nursing home residents are typically in the final stage of their lives, requiring palliative care and medical follow-up. Identifying the subtype of dementia may help caregivers better understand and address neuropsychiatric symptoms and customize medical treatment.
Article
Geriatrics & Gerontology
Meghan Hendricksen, Daniel Habtemariam, Erika M. C. D'Agata, Susan L. Mitchell
Summary: Around 13.7% of nursing home residents with advanced dementia received antimicrobials in the 2 months prior to the study. Facility-level characteristics, such as having a full time nurse practitioner/physician assistant and fewer existing infectious disease practices, were significantly associated with antimicrobial use, while resident characteristics were not independently associated.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
M. A. Kromhout, N. Rius Ottenheim, H. Putter, M. E. Numans, W. P. Achterberg
Summary: This study aimed to investigate the relationship between caffeine consumption and behavioral symptoms in 206 older individuals with both diabetes and dementia in Dutch nursing homes. Results showed that an increase in caffeine consumption was associated with a decrease in affect and agitation symptoms, but differences were observed in disinhibition and depression. Additionally, dementia severity influenced agitation, anxiety, and affect and psychomotor symptoms.
JOURNAL OF NUTRITION HEALTH & AGING
(2021)
Article
Geriatrics & Gerontology
Kimberly R. Gromek, Carolyn T. Thorpe, Sherrie L. Aspinall, Laura C. Hanson, Joshua D. Niznik
Summary: This study investigated the co-prescribing of anticholinergics and cholinesterase inhibitors (ChEIs) and found that younger, healthier older adults with dementia were more likely to be prescribed both medications. Discontinuation of ChEIs was associated with a reduced likelihood of discontinuing other medications with anticholinergic properties. Further research is needed to understand prescribers' ability to recognize and reverse potential prescribing cascades.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Hemalkumar B. Mehta, Yong-Fang Kuo, Mukaila Raji, Shuang Li, Jordan Westra, James S. Goodwin
Summary: The study revealed a decrease in opioid use among nursing home residents from 2011 to 2017, with lower usage among residents with varying severity of dementia. The findings suggest potential issues with pain management in dementia patients.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Tom Borza, Geir Selbaek, Bjorn Lichtwarck, Jurate Saltyte Benth, Sverre Bergh
Summary: The study found that depressive symptoms in newly admitted nursing home residents displayed a nonlinear trend, with most residents exhibiting persistent mild or moderate symptoms. Factors such as more severe dementia, lower levels of functioning, poor physical health, severe pain, antidepressant use, and younger age at admission were associated with higher CSDD scores.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Dennis E. Boer, Shanty Sterke, Charlotte B. Schmidt, Thea P. M. Vliet Vlieland
Summary: This study explored the perceptions, needs, and preferences of informal caregivers of nursing home residents with dementia regarding physical therapy. The results showed that informal caregivers perceived a lack of visibility and familiarity in physical therapy, and they needed more communication and empathic communication skills from the physical therapists. Preferences included enjoyable and accessible physical therapy tailored to the needs of the residents.
Article
Geriatrics & Gerontology
Annelies E. Veldwijk-Rouwenhorst, Martin Smalbrugge, Sytse U. Zuidema, Suzan A. J. Hanssen, Raymond T. C. M. Koopmans, Debby L. Gerritsen
Summary: The study explored the trajectory leading to continuous palliative sedation in NH residents with dementia and refractory neuropsychiatric symptoms, revealing a complex and burdensome journey that ultimately brought relief and contentment to those involved. Continuous palliative sedation was identified as a valuable treatment option for these residents. External consultation and administering intermittent sedation as a preceding step were recommended in the decision-making process.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Kirsty Haunch, Murna Downs, Jan Oyebode
Summary: Effective leadership is essential for meaningful engagement between care workers and residents with advanced dementia. Experience and formal leadership positions are key factors in facilitating care workers to perceive their role, understand the importance of getting to know residents, and express their own caring attributes.
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Article
Geriatrics & Gerontology
Kirsty Haunch, Murna Downs, Jan Oyebode
Summary: The aim of this study was to understand how nursing home staff engaged with residents with advanced dementia and when meaningful engagement occurred. Lack of time was found to be a major barrier to implementing interventions, but staff overcame this by using personal care time for meaningful engagement with residents.
AGING & MENTAL HEALTH
(2023)
Article
Geriatrics & Gerontology
Brian Nguyen, William James Deardorff, Ying Shi, Bocheng Jing, Alexandra K. Lee, Sei J. Lee
Summary: NH residents receive frequent fingersticks regardless of level of cognitive impairment, suggesting that cognitive status is a minor consideration in monitoring decisions.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Geriatrics & Gerontology
Jessica Orth, Yue Li, Adam Simning, Sheryl Zimmerman, Helena Temkin-Greener
Summary: Decedents with ADRD in nonprofit NHs, Alzheimer's units, higher licensed nurse staffing, and more competitive markets had better EOL care/outcomes. State Medicaid NH payments modifications may promote better EOL care/outcomes. Future research on NH care practices associated with Alzheimer's units is needed to identify mechanisms for promoting higher-quality EOL care.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Endocrinology & Metabolism
Joshua D. Niznik, Sherrie L. Aspinall, Laura C. Hanson, Meredith A. Gilliam, Xintong Li, Casey J. Kelley, Carolyn T. Thorpe
Summary: This study found that deprescribing bisphosphonates among nursing home residents with dementia was uncommon, and was more likely to occur in residents with clinical characteristics signifying poor prognosis and decreased likelihood for long-term benefit. Future studies should further evaluate the clinical outcomes of deprescribing bisphosphonates in this population.
OSTEOPOROSIS INTERNATIONAL
(2022)
Correction
Geriatrics & Gerontology
Agnete Nygaard, Liv Halvorsrud, Ellen Karine Grov, Astrid Bergland
Summary: The paper has been amended and the revised version can be accessed through the original article.
Article
Geriatrics & Gerontology
Shekinah A. Fashaw-Walters, Ellen McCreedy, Julie P. W. Bynum, Kali S. Thomas, Theresa Shireman
Summary: The research demonstrated an increase in schizophrenia diagnoses among nursing home residents, especially for those with Alzheimer's and related dementia. After the partnership, there was a significant increase in schizophrenia diagnoses for Black residents with ADRD.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Geriatrics & Gerontology
Jiska Cohen-Mansfield, Hava Golander
Summary: The study aimed to investigate how work characteristics affect the burden/burnout and job satisfaction of migrant live-in care workers. Results indicated that the relationship with the care recipient and employment conditions had a direct impact on burden/burnout, while employment conditions also indirectly affected job satisfaction.
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
(2021)
Article
Geriatrics & Gerontology
Jiska Cohen-Mansfield, Barbara Jensen
Summary: This paper discusses the barriers faced by nursing home residents with dementia in engaging in group activities and identifies their association with negative engagement outcomes. Understanding these barriers is the first step towards addressing and minimizing their effects.
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY
(2022)
Article
Health Care Sciences & Services
Jiska Cohen-Mansfield, Aline Muff, Guy Meschiany, Shahar Lev-Ari
Summary: Research indicates that older adults are satisfied with web-based activities and wish to continue participation. Participants are primarily motivated by enjoyment from the activity content, with maintaining routine and social interaction also being important. Nonparticipants cited reasons such as unawareness of the program, lack of interest in content, and technical issues.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Correction
Health Care Sciences & Services
Jiska Cohen-Mansfield, Aline Muff, Guy Meschiany, Shahar Lev-Ari
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Netta Bentur, Jiska Cohen-Mansfield, Zorian Radomyslsky
Summary: This study demonstrates the feasibility of improving pain assessment and identification among OPAD by using validated tools by family members and paid care workers. The correlations between family members and paid care workers ratings were statistically significant, especially when family members lived with the OPAD. The moderate and significant correlations between PAINE and PAINAD scores suggest potential for improving quality of care and life for OPAD.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Article
Geriatrics & Gerontology
Jiska Cohen-Mansfield
Summary: This article addresses the lack of human rights for persons living with dementia, drawing on the rights advocated for children by Janusz Korczak. It analyzes the importance of these rights for persons with dementia, linking them to the ethical principles of Beneficence, Autonomy, and Justice. The study provides a comprehensive framework for addressing human rights issues for persons with dementia.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Jiska Cohen-Mansfield, Hava Golander
Summary: This study examined how family caregivers respond to delusions in relatives with dementia, identifying various types of responses including explaining, calming down, agreeing, distracting, and ignoring. Most responses were from family caregivers of persons with dementia, and the frequency of different types of reactions tended to be consistent. Family caregivers develop intuitive intervention techniques to cope with delusions, emphasizing the importance of considering multiple responses and the manner in which responses are conveyed.
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY
(2022)
Article
Geriatrics & Gerontology
Jiska Cohen-Mansfield, Aline Muff
Summary: The study found that different types of community-based intergenerational programs have varying impacts on older and younger participants, with older participants generally reporting more benefits. Learning programs contribute to the happiness of older persons, art programs make older participants more active and younger participants more aware of others, and assistance programs attract older participants with greater need.
JOURNAL OF GERONTOLOGICAL SOCIAL WORK
(2022)
Article
Geriatrics & Gerontology
Jiska Cohen-Mansfield, Guy Meschiany
Summary: This study explores the barriers to quality care for people with dementia as perceived by nursing home employees. The findings suggest that residents' challenging behavior poses difficulties for staff, who commonly resort to physical restraints and psychotropic medication. Insufficient care and funding, as well as unsatisfactory staffing levels and activities, were among the complaints raised by the employees. Rigid care routines and a lack of awareness about the relationship between care practices and resident behavior were also identified. The study highlights the need for additional funding and expertise in dementia care.
Article
Geriatrics & Gerontology
Jiska Cohen-Mansfield, Guy Meschiany
Summary: This article examines the impact of COVID-19 on long-term care residents and their family members in Israel, from the perspective of LTCF administrative staff. The study found that COVID-19 had multiple negative effects on residents, including increased morbidity and mortality, as well as negative reactions to infection control measures. However, the use of communication technologies partially mitigated these adverse effects.
Article
Management
Jiska Cohen-Mansfield
Summary: This study examined the impact of COVID-19 on organizational and management issues at long-term care facilities in Israel. The results showed worsened financial status, increased workload, and negative mental health effects on staff. It highlights the need for improved government directives, more support and guidance, and strategies for future health crises.
JOURNAL OF NURSING MANAGEMENT
(2022)
Article
Environmental Sciences
Jiska Cohen-Mansfield
Summary: Research found that age group and program type have an impact on motivation to participate in intergenerational programs. Older participants were more motivated by interest in specific topics in topic-focused groups, while receiving support was more common in assistance groups. For young persons, motivations relating to obligation, such as financial scholarships, and the wish to help others were the most prevalent motivators. Positive intergenerational relationships and enjoyment were identified as ongoing motivations.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Gerontology
Jiska Cohen-Mansfield, Hava Golander
Summary: This study examines the relationship between employment-related characteristics of migrant live-in caregivers and the quality of care they provide to older care-recipients. The results highlight the significant role of the relationship between caregiver and care-recipient in determining the quality of care. Caregiver perception of work and problematic employment conditions also play a predictive role in the quality of relationship and ultimately the quality of care.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
Article
Psychology, Multidisciplinary
Jiska Cohen-Mansfield, Rinat Cohen, Shai Brill
Summary: This study investigated the levels of awareness of impending death in older patients and their family caregivers. It identified mechanisms that increased caregivers' awareness and explored the relationship between awareness and actual preparation for dying.
OMEGA-JOURNAL OF DEATH AND DYING
(2022)
Meeting Abstract
Geriatrics & Gerontology
Rinat Cohen, Gal Maydan, Shai Brill, Jiska Cohen-Mansfield
INNOVATION IN AGING
(2021)
