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BACKGROUND Investigation of the effects of exercise on frail, institutionalized individuals with dementia has been impeded by concerns about the reliability of physical performance measures when used in this population. METHODS The physical performance of 33 institutionalized subjects with Alzheimer's disease was measured during both the morning and(More)
It has been well documented that education influences the individual's performance on category fluency tasks but it is still unclear how this effect may differ across the different types of category tasks (i.e., animals, fruits, vegetables and clothing). This study aims (1) to analyze the effect of the level of education on four different types of category(More)
A substantial proportion of hospitalizations of nursing home (NH) residents may be avoidable. Medicare payment reforms, such as bundled payments for episodes of care and value-based purchasing, will change incentives that favor hospitalization but could result in care quality problems if NHs lack the resources and training to identify and manage acute(More)
The Mini-Mental State Examination (MMSE) [Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198] has frequently been challenged for its bias against individuals with lower levels of education and the use of(More)
BACKGROUND Existing mood measures for individuals with Alzheimer's disease and related dementias (AD-RD) focus primarily on negative moods, including depression. OBJECTIVE The objectives of this study were to design and test a new measure of both positive and negative moods in individuals aged 55 years or older with mild to severe AD-RD. METHODS Formal(More)
Meaningful conversation with individuals in the later stages of Alzheimer's disease (AD) has been considered difficult if not impossible. Limiting communication to simple concrete subjects and closed-ended questions is frequently recommended. Thirty-five 30 minute conversations with individuals with advanced AD (mean Mini-Mental State Examination [MMSE] =(More)
BACKGROUND Performing root cause analyses (RCA) on transfers of skilled nursing facility (SNF) patients to acute hospitals can help identify opportunities for care process improvements and education that may help prevent unnecessary emergency department (ED) visits, hospitalizations, and hospital readmissions. OBJECTIVES To describe the results of(More)
Most persons with dementia are cared for by family members who are so overwhelmed that their mental and physical health declines. Adult day care programs (ADC) are growing in number to meet caregivers' needs for respite but little is known about their effect on enrollee mental health. We examined mental health of enrollees (stress, anxiety, mood, emotions)(More)