Search Results - "Schleiden, Loren"

Use of high cost care among Veterans with comorbid mental illness and Alzheimer's Disease and related dementias by Shepherd-Banigan, Megan, Miller, Katherine E M, Hastings, S Nicole, Schleiden, Loren J, Thorpe, Joshua M

“…Alzheimer's Disease and Other Related Dementias (AD/ADRD) leads to frequent emergency department (ED) and inpatient use. Mental health symptoms among persons…”
Get full text

Initiation and Persistence of Antipsychotic Medications at Hospital Discharge Among Community-Dwelling Veterans With Dementia by Zhang, Audrey D., Zepel, Lindsay, Woolson, Sandra, Miller, Katherine E.M., Schleiden, Loren J., Shepherd-Banigan, Megan, Thorpe, Joshua M., Hastings, Susan Nicole

“…•What is the primary question addressed by this study?This study examines the rates of new antipsychotic prescribing after hospitalization among veterans with…”
Get full text

Adaptation and Initial Validation of Minimum Data Set (MDS) Mortality Risk Index to MDS Version 3.0 by Niznik, Joshua D., Zhang, Song, Mor, Maria K., Zhao, Xinhua, Ersek, Mary, Aspinall, Sherrie L., Gellad, Walid F., Thorpe, Joshua M., Hanlon, Joseph T., Schleiden, Loren J., Springer, Sydney, Thorpe, Carolyn T.

“…Objectives To evaluate the predictive validity of an adapted version of the Minimum Data Set (MDS) Mortality Risk Index—Revised (MMRI‐R) based on MDS version…”
Get full text

Care cascades following low‐value cervical cancer screening in dually enrolled Veterans by Pickering, Aimee N., Zhao, Xinhua, Sileanu, Florentina E., Lovelace, Elijah Z., Rose, Liam, Schwartz, Aaron L., Hale, Jennifer A., Schleiden, Loren J., Gellad, Walid F., Fine, Michael J., Thorpe, Carolyn T., Radomski, Thomas R.

“…Background Veterans dually enrolled in the Veterans Health Administration (VA) and Medicare commonly experience downstream services as part of a care cascade…”
Get full text

Use and Cost of Low-Value Services Among Veterans Dually Enrolled in VA and Medicare by Radomski, Thomas R., Lovelace, Elijah Z., Sileanu, Florentina E., Zhao, Xinhua, Rose, Liam, Schwartz, Aaron L., Schleiden, Loren J., Pickering, Aimee N., Gellad, Walid F., Fine, Michael J., Thorpe, Carolyn T.

“…Background Over half of veterans enrolled in the Veterans Health Administration (VA) are also enrolled in Medicare, potentially increasing their opportunity to…”
Get full text

Effect of Deintensifying Diabetes Medications on Negative Events in Older Veteran Nursing Home Residents by Niznik, Joshua D, Zhao, Xinhua, Slieanu, Florentina, Mor, Maria K, Aspinall, Sherrie L, Gellad, Walid F, Ersek, Mary, Hickson, Ryan P, Springer, Sydney P, Schleiden, Loren J, Hanlon, Joseph T, Thorpe, Joshua M, Thorpe, Carolyn T

“…Guidelines advocate against tight glycemic control in older nursing home (NH) residents with advanced dementia (AD) or limited life expectancy (LLE). We…”
Get full text

Deintensification of Diabetes Medications among Veterans at the End of Life in VA Nursing Homes by Niznik, Joshua D., Hunnicutt, Jacob N., Zhao, Xinhua, Mor, Maria K., Sileanu, Florentina, Aspinall, Sherrie L., Springer, Sydney P., Ersek, Mary J., Gellad, Walid F., Schleiden, Loren J., Hanlon, Joseph T., Thorpe, Joshua M., Thorpe, Carolyn T.

“…OBJECTIVES Many older adults with limited life expectancy and/or advanced dementia (LLE/AD) are potentially overtreated for diabetes and may benefit from…”
Get full text

Discontinuation of Statins in Veterans Admitted to Nursing Homes near the End of Life by Thorpe, Carolyn T., Sileanu, Florentina E., Mor, Maria K., Zhao, Xinhua, Aspinall, Sherrie, Ersek, Mary, Springer, Sydney, Niznik, Joshua D., Vu, Michelle, Schleiden, Loren J., Gellad, Walid F., Hunnicutt, Jacob, Thorpe, Joshua M., Hanlon, Joseph T.

“…BACKGROUND/OBJECTIVES Geriatric guidelines recommend against statin use in older adults with limited life expectancy (LLE) or advanced dementia (AD). This…”
Get full text

Use and Cost of Low-Value Health Services Delivered or Paid for by the Veterans Health Administration by Radomski, Thomas R, Zhao, Xinhua, Lovelace, Elijah Z, Sileanu, Florentina E, Rose, Liam, Schwartz, Aaron L, Schleiden, Loren J, Oakes, Allison H, Pickering, Aimee N, Yang, Dylan, Hale, Jennifer A, Gellad, Walid F, Fine, Michael J, Thorpe, Carolyn T

“…Within the Veterans Health Administration (VA), the use and cost of low-value services delivered by VA facilities or increasingly by VA Community Care (VACC)…”
Get more information

Hypertension Management in Nursing Homes: Review of Evidence and Considerations for Care by Vu, Michelle, Schleiden, Loren J., Harlan, Michelle L., Thorpe, Carolyn T.

“…Purpose of Review We sought to summarize recent evidence regarding optimal blood pressure (BP) treatment targets and antihypertensive regimen intensity for…”
Get full text

Prevalence and Cost of Care Cascades Following Low-Value Preoperative Electrocardiogram and Chest Radiograph Within the Veterans Health Administration by Pickering, Aimee N., Zhao, Xinhua, Sileanu, Florentina E., Lovelace, Elijah Z., Rose, Liam, Schwartz, Aaron L., Oakes, Allison H., Hale, Jennifer A, Schleiden, Loren J., Gellad, Walid F., Fine, Michael J., Thorpe, Carolyn T., Radomski, Thomas R.

“…Background Low-value care cascades, defined as the receipt of downstream health services potentially related to a low-value service, can result in harm to…”
Get full text

Dual Health Care System Use and High-Risk Prescribing in Patients With Dementia: A National Cohort Study by Thorpe, Joshua M, Thorpe, Carolyn T, Gellad, Walid F, Good, Chester B, Hanlon, Joseph T, Mor, Maria K, Pleis, John R, Schleiden, Loren J, Van Houtven, Courtney Harold

“…Recent federal policy changes attempt to expand veterans' access to providers outside the Department of Veterans Affairs (VA). Receipt of prescription…”
Get full text

Over-the-counter medications containing diphenhydramine and doxylamine used by older adults to improve sleep by Abraham, Olufunmilola, Schleiden, Loren, Albert, Steven M.

“…Background The unintentional misuse of over-the-counter sleep aids among older adults is an important public health problem and a focus of Healthy People 2020…”
Get full text

Clinician and Family Caregiver Perspectives on Deprescribing Chronic Disease Medications in Older Nursing Home Residents Near the End of Life by Schleiden, Loren J., Klima, Gloria, Rodriguez, Keri L., Ersek, Mary, Robinson, Jacob E., Hickson, Ryan P., Smith, Dawn, Cashy, John, Sileanu, Florentina E., Thorpe, Carolyn T.

“…Introduction Nursing home (NH) residents with limited life expectancy (LLE) who are intensely treated for hyperlipidemia, hypertension, or diabetes may benefit…”
Get full text

Incidence and Predictors of Aspirin Discontinuation in Older Adult Veteran Nursing Home Residents at End of Life by Springer, Sydney P., Mor, Maria K., Sileanu, Florentina, Zhao, Xinhua, Aspinall, Sherrie L., Ersek, Mary, Niznik, Joshua D., Hanlon, Joseph T., Hunnicutt, Jacob, Gellad, Walid F., Schleiden, Loren J., Thorpe, Joshua M., Thorpe, Carolyn T.

“…OBJECTIVES Continuation of aspirin for secondary prevention in persons with limited life expectancy (LLE) is controversial. We sought to determine the…”
Get full text

Antihypertensive Deprescribing in Older Adult Veterans at End of Life Admitted to Veteran Affairs Nursing Homes by Vu, Michelle, Sileanu, Florentina E., Aspinall, Sherrie L., Niznik, Joshua D., Springer, Sydney P., Mor, Maria K., Zhao, Xinhua, Ersek, Mary, Hanlon, Joseph T., Gellad, Walid F., Schleiden, Loren J., Thorpe, Joshua M., Thorpe, Carolyn T.

“…Geriatric palliative care approaches support deprescribing of antihypertensives in older nursing home (NH) residents with limited life expectancy and/or…”
Get full text

Racial and Ethnic Differences in Initiation and Discontinuation of Antidementia Drugs by Medicare Beneficiaries by Thorpe, Carolyn T., Fowler, Nicole R., Harrigan, Katherine, Zhao, Xinhua, Kang, Yihuang, Hanlon, Joseph T., Gellad, Walid F., Schleiden, Loren J., Thorpe, Joshua M.

“…Objectives To examine racial and ethnic differences in initiation and time to discontinuation of antidementia medication in Medicare beneficiaries. Design…”
Get full text

Caregiver and provider perspectives on dual VA and Medicare Part D medication use in veterans with suspected dementia or cognitive impairment by Schleiden, Loren J, Zickmund, Susan L, Roman, Katie Lynn, Kennedy, Kayla, Thorpe, Joshua M, Rossi, Michelle I, Niznik, Joshua D, Springer, Sydney P, Thorpe, Carolyn T

“…Abstract Purpose Many older veterans with dementia fill prescriptions through both Veterans Affairs (VA) and Medicare Part D benefits. Dual VA/Part D…”
Get full text

Factors contributing to poor satisfaction with sleep and healthcare seeking behavior in older adults by Abraham, Olufunmilola, PhD, MS, BPharm, Pu, Jia, PhD, Schleiden, Loren J., BS, Albert, Steven M., PhD

“…Abstract Objective To identify factors influencing older adults' poor satisfaction with sleep and their current healthcare seeking behaviors. Design…”
Get full text

Managing sleep problems using non‐prescription medications and the role of community pharmacists: older adults’ perspectives by Abraham, Olufunmilola, Schleiden, Loren J., Brothers, Amanda L., Albert, Steven M.

“…Objectives To examine older adults’ perspectives regarding managing sleep problems through selection and use of non‐prescription sleep aids, and the role of…”
Get full text