Journal of the American Geriatrics Society
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Multicenter Study
Disruptive behaviors in Veterans Affairs nursing home residents: how different are residents with serious mental illness?
To determine the prevalence and correlates of behavior problems of residents of Veterans Affairs (VA) nursing homes and to compare residents with serious mental illness (SMI) with other resident groups. ⋯ Many VA nursing home residents have SMI. Their level of behavior problems is comparable with that of residents with dementia. Clinical practice and nursing home staff training must encompass geriatric mental health and behavior management to meet the needs of residents with SMI.
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Multicenter Study
Indicators of recurrent hospitalization for pneumonia in the elderly.
To identify modifiable risk factors of late unplanned readmissions for elderly with community-acquired pneumonia. ⋯ Although there are limited effective measures to improve functional status, preventive strategies that include smoking cessation and pneumococcal vaccination should be actively pursued. Routine evaluation of swallowing dysfunction and use of pharmacological agents to improve the cough reflex deserve further evaluation in multicenter controlled trials.