{"title":"Directions & Connections","authors":"","doi":"10.1016/S1525-8610(26)00284-7","DOIUrl":"10.1016/S1525-8610(26)00284-7","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 7","pages":"Article 106394"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Paratonia in Advanced Dementia: A Frequently Misunderstood Movement Disorder","authors":"Giulia-Anna Perri MD, CCFP (COE) (PC), Hans Hobbelen PhD, Jessica Cuppage MD, CCFP (COE), Gary Naglie MD, FRCPC, Sid Feldman MD, CCFP, Omar Khan MD, FRCPC, Farooq Ismail MD, FRCPC, Chris Boulias MD, FRCPC, Galit Kleiner MD, FRCPC","doi":"10.1016/j.jamda.2026.106284","DOIUrl":"10.1016/j.jamda.2026.106284","url":null,"abstract":"<div><div>Paratonia is a movement disorder characterized by involuntary muscle stiffening that affects nearly all individuals with advanced dementia, yet it remains poorly recognized in routine clinical practice. Often misinterpreted as intentional resistance to care, untreated paratonia may progress to muscle contractures with secondary consequences, including pressure injuries, pain, and difficulty with caregiving. This clinical review provides clinicians with practical guidance in recognizing paratonia as a reflexive phenomenon rather than a behavioral disturbance. Three illustrative cases demonstrate presentations across care settings and clinical presentations. The article addresses bedside assessment, medications to avoid, indications for specialist referral, and both pharmacologic and nonpharmacologic management options.</div></div>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 7","pages":"Article 106284"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"General Information","authors":"","doi":"10.1016/S1525-8610(26)00283-5","DOIUrl":"10.1016/S1525-8610(26)00283-5","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 7","pages":"Article 106393"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dominique Sherburne MSN, APRN, FNP-BC, Josh N. Pierre DNP, Alexander Kaufman MSN, APRN, AGNP-BC, Amitai Sawicki MD, Sarah King MD, Jessica T. Leuchtenburg MD, MPH, Katie Creedon MSN, APRN, ANP-C
{"title":"When the Veteran Can’t Speak- But the Frailty Index Does","authors":"Dominique Sherburne MSN, APRN, FNP-BC, Josh N. Pierre DNP, Alexander Kaufman MSN, APRN, AGNP-BC, Amitai Sawicki MD, Sarah King MD, Jessica T. Leuchtenburg MD, MPH, Katie Creedon MSN, APRN, ANP-C","doi":"10.1016/j.jamda.2026.106282","DOIUrl":"10.1016/j.jamda.2026.106282","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 6","pages":"Article 106282"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Josh N. Pierre DNP, Alexander Kaufman MSN, APRN, AGNP-BC, Dominique Sherburne MSN, APRN, FNP-BC, Jessica T. Leuchtenburg MD, MPH, Katie Creedon MSN, APRN, ANP-C
{"title":"Breathe…It’s Anxiety: Lessons on COPD & Anxiety","authors":"Josh N. Pierre DNP, Alexander Kaufman MSN, APRN, AGNP-BC, Dominique Sherburne MSN, APRN, FNP-BC, Jessica T. Leuchtenburg MD, MPH, Katie Creedon MSN, APRN, ANP-C","doi":"10.1016/j.jamda.2026.106269","DOIUrl":"10.1016/j.jamda.2026.106269","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 6","pages":"Article 106269"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"General Information","authors":"","doi":"10.1016/S1525-8610(26)00226-4","DOIUrl":"10.1016/S1525-8610(26)00226-4","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 6","pages":"Article 106336"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An End-of-Life Care Approach Defining a New Standard of Care","authors":"David N. Hoffman JD","doi":"10.1016/j.jamda.2026.106241","DOIUrl":"10.1016/j.jamda.2026.106241","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 6","pages":"Article 106241"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meghan Mihalik MD, Ana Christina V. Reyes DO, Keerti Sharma MD
{"title":"When Treatment Backfires: A Case of Daptomycin-induced Eosinophilic Pneumonia","authors":"Meghan Mihalik MD, Ana Christina V. Reyes DO, Keerti Sharma MD","doi":"10.1016/j.jamda.2026.106283","DOIUrl":"10.1016/j.jamda.2026.106283","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 6","pages":"Article 106283"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Bukowy DO, Rachel A. Saltness MD, Will Lyon MD
{"title":"Post Acute and Long-Term Care Learner Curriculum","authors":"Elizabeth Bukowy DO, Rachel A. Saltness MD, Will Lyon MD","doi":"10.1016/j.jamda.2026.106238","DOIUrl":"10.1016/j.jamda.2026.106238","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 6","pages":"Article 106238"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Planting the Seeds of PALTC Leadership","authors":"Kelley Bellia MD, Shauna Assadzandi MD","doi":"10.1016/j.jamda.2026.106237","DOIUrl":"10.1016/j.jamda.2026.106237","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 6","pages":"Article 106237"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}