A5007070801- Dementia and Cognitive Impairment Research
- Geriatric Care and Nursing Homes
- Pain Management and Opioid Use
- Palliative Care and End-of-Life Issues
- Family Caregiving in Mental Illness
- Healthcare Decision-Making and Restraints
- Hepatitis B Virus Studies
- Hepatitis C virus research
- Musculoskeletal pain and rehabilitation
- Pediatric Pain Management Techniques
- Frailty in Older Adults
- Schizophrenia research and treatment
- Stroke Rehabilitation and Recovery
- Chronic Disease Management Strategies
- Intensive Care Unit Cognitive Disorders
- Liver Disease Diagnosis and Treatment
- Pain Management and Placebo Effect
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health Treatment and Access
- Migration, Aging, and Tourism Studies
- Health, Medicine and Society
- Health disparities and outcomes
- Health Policy Implementation Science
- Emergency and Acute Care Studies
Tuscaloosa VA Medical Center
2015-2024
University of Alabama
2015-2024
Institute on Aging
2015-2024
University of Alabama System
2023
University of Massachusetts Lowell
2020
John Brown University
2020
The University of Texas Health Science Center at Houston
2020
The University of Texas at Austin
2020
The Gordon Hospital
2020
Clinique Hartmann
2018
Pain assessment in older persons with severe cognitive impairment (SCI) is a challenge due to reduced self-report capacity and lack of movement-related pain instruments. The purpose this article was describe the development Mobilization-Observation-Behaviour-Intensity-Dementia Scale (MOBID) investigate aspects reliability validity. MOBID nurse-administered instrument developed for use patients SCI, where presence behavior indicators (pain noises, facial expression, defense) may be observed...
The objective is to test the effectiveness of Partners in Dementia Care (PDC), a care-coordination program that integrates and improves access medical nonmedical services, while strengthening informal care network providing information, coaching, emotional support. PDC was delivered via partnership between Veterans Affairs (VA) Medical Centers (VAMCs) Alzheimer's Association chapters, for caregivers veterans with dementia living community receiving primary from VA. initial sample 486 508...
The Non-Communicative Patient’s Pain Assessment Instrument (NOPPAIN) is a nursing assistant-administered instrument for assessing pain behaviors in patients with dementia. This study investigated the validity of NOPPAIN. Twenty-one assistants (NAs) no prior training using NOPPAIN watched six videos, each portraying bed-bound patient severe dementia receiving personal care from assistant and responding different level intensity. NAs completed rating video. were also presented possible pair...
Emtricitabine is a nucleoside analogue approved for treatment of human immunodeficiency virus 1 with clinical activity against hepatitis B (HBV).To compare the safety and efficacy emtricitabine placebo in patients HBV, we conducted randomized (2:1), double-blind study at 34 sites North America, Asia, Europe that enrolled adults between November 2000 July 2002 who had chronic HBV infection but never been exposed to or nucleotide treatment. Each patient received either 200 mg (n=167) (n=81)...
Current therapies available for the treatment of chronic hepatitis B are limited in their ability to result a cure. Clevudine is new pyrimidine analog with potent anti-hepatitis virus (HBV) activity vitro . A multicenter dose-escalation study evaluated clevudine at 10, 50, 100, and 200 mg once daily 28 days. Eligible patients had HBV DNA levels 3 × 10 6 copies/mL or more, not undergone nucleoside treatment, were without human immunodeficiency C coinfection. Thirty-two enrolled (5, 7 10-,...
Article AbstractObjective: To examine factors predicting development of aggression.Method: Community-dwelling patients over 60 years age in a Veterans Affairs Medical Center who had documented ICD-9-CM code for dementia within 12 months screening and no other codes recorded 2 preceding but aggressive behavior during the study initiation were assessed every 4 24 aggression, depression, pain, patient/caregiver relationship quality (mutuality), involvement pleasant events, caregiver burden. The...
This article provides a detailed description of telephone-based care coordination intervention, Partners in Dementia Care (PDC), for veterans with dementia and their family caregivers. Essential features PDC included (a) formal partnerships between Veterans Affairs (VA) medical centers Alzheimer's Association Chapters; (b) multidimensional assessment treatment approach, (c) ongoing monitoring long-term relationships families, (d) computerized information system to guide service delivery...
AbstractObjectives: The purpose of this pilot study was to conduct limited-efficacy testing the newly developed Preserving Identity and Planning for Advance Care (PIPAC) intervention on self-reported proxy-reported emotional health-related outcomes individuals in early stages dementia.Method: A two-group comparison design implemented. Blocked randomization used assign with mild dementia a family contact either (1) four-session, multi-component group focused reminiscence future planning or...
"Partners in Dementia Care" (PDC) tested the effectiveness of a care-coordination program integrating healthcare and community services supporting veterans with dementia their caregivers. Delivered via partnerships between Veterans Affairs medical centers Alzheimer's Association chapters, PDC targeted both patients caregivers, distinguishing it from many non-pharmacological interventions. Hypotheses posited would improve five veteran self-reported outcomes: 1) unmet need, 2) embarrassment...
ABSTRACT A multicenter, open-label study was performed to evaluate the safety, anti-hepatitis B virus (anti-HBV) activity, and pharmacokinetics of emtricitabine therapy administered once daily for 8 weeks patients infected with HBV. Clinical virologic evaluations were completed at baseline; 7, 14, 28, 42, 56 days during treatment; 24, 48, 28 posttreatment. Forty-nine enrolled in five dose cohorts (doses 25, 50, 100, 200, 300 mg, all which [q.d.]). Peak plasma concentrations occurred within...
<i>Objectives:</i> In an aging population, the number of veterans diagnosed with dementia is likely to increase. Knowledge existing prevalence will be beneficial in planning for future patient care needs. Our objectives were assess diagnosis among those treated at Veterans Affairs (VA) medical centers and determine how it varies across race Integrated Service Network (VISN). <i>Materials Methods:</i> Data collected on all seen within VA system from 1997 through first...
Purpose. Our objectives are to present a conceptual model of the pain assessment process in persons with dementia and discuss methods for validating our within this population. Design Methods. This work is based on an integrative review current theory, research demented nondemented populations, science self-report. Results. We multidimensional that emphasizes role external rater. posits nociceptive stimulus leads sensation, followed by perception, exhibition signs patient, rater's...
Objectives: To investigate the reliability and validity of self‐reported depression in demented elderly patients. Design: This is first study to combine use multiple criteria with dementia control groups. Setting: Houston Veterans Affairs nursing home geropsychiatric inpatient unit outpatient clinic, Baylor College Medicine's Alzheimer's Disease Research Center. Participants: The total sample included 121 volunteer participants, their informants, clinicians, forming four diagnostic groups...
This study examined aggression as a predictor of nursing-home placement, injuries, use restraints, and health services in community-dwelling patients with newly diagnosed dementia. Participants were identified from 2001-2004 Veterans Administration databases; all had new diagnosis dementia no aggression. Patients caregivers evaluated for aggression, using the Cohen-Mansfield Agitation Inventory-aggression subscale, other outcomes 2 years, outcome rates compared between who did or not develop...
Objective: We examined predictors of staff-reported need-driven behaviors and resistiveness to care in nursing home residents with dementia certified assistant (CNA) burden related both constructs. Background proximal factors from the dementia-compromised behavior model [Algase, D.L., Beck, C., Kolanowski, A., Whall, Berent, S., Richards, K., et al. (1996). Need-driven behavior: An alternative view disruptive behavior. American Journal Alzheimer's Disease, 5, 10–19] were as potential (NDBs)...