Christina L Bell

Summary

Affiliation: University of Hawaii
Country: USA

Publications

  1. doi request reprint Person-centered Feeding Care: A Protocol to Re-introduce Oral Feeding for Nursing Home Patients with Tube Feeding
    C L Bell
    Christina L Bell, MD, PhD, Department of Geriatric Medicine, University of Hawaii John A Burns School of Medicine, 347 N Kuakini St HPM 9, Honolulu HI 96817, Phone 8085238461, Fax 8085281897, Email
    J Nutr Health Aging 20:621-7. 2016
  2. pmc Factors Associated with Nursing Home Admission after Stroke in Older Women
    Christina L Bell
    Department of Geriatric Medicine, University of Hawaii John A Burns School of Medicine, Honolulu, Hawaii Electronic address
    J Stroke Cerebrovasc Dis 24:2329-37. 2015
  3. pmc Prestroke weight loss is associated with poststroke mortality among men in the Honolulu-Asia Aging Study
    Christina L Bell
    The John A Hartford Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI Electronic address
    Arch Phys Med Rehabil 95:472-9. 2014
  4. pmc Prestroke factors associated with poststroke mortality and recovery in older women in the Women's Health Initiative
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96817, USA
    J Am Geriatr Soc 61:1324-30. 2013
  5. doi request reprint Prevalence and measures of nutritional compromise among nursing home patients: weight loss, low body mass index, malnutrition, and feeding dependency, a systematic review of the literature
    Christina L Bell
    The John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96817, USA
    J Am Med Dir Assoc 14:94-100. 2013
  6. pmc Pain outcomes of inpatient pain and palliative care consultations: differences by race and diagnosis
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    J Palliat Med 14:1142-8. 2011
  7. pmc Hospice referrals and code status: outcomes of inpatient palliative care consultations among Asian Americans and Pacific Islanders with cancer
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    J Pain Symptom Manage 42:557-64. 2011
  8. pmc Factors associated with congruence between preferred and actual place of death
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    J Pain Symptom Manage 39:591-604. 2010
  9. doi request reprint Methodological review: measured and reported congruence between preferred and actual place of death
    C L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    Palliat Med 23:482-90. 2009
  10. pmc Factors associated with place of death for elderly Japanese-American men: the Honolulu Heart Program and Honolulu-Asia Aging Study
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96817, USA
    J Am Geriatr Soc 57:714-8. 2009

Detail Information

Publications25

  1. doi request reprint Person-centered Feeding Care: A Protocol to Re-introduce Oral Feeding for Nursing Home Patients with Tube Feeding
    C L Bell
    Christina L Bell, MD, PhD, Department of Geriatric Medicine, University of Hawaii John A Burns School of Medicine, 347 N Kuakini St HPM 9, Honolulu HI 96817, Phone 8085238461, Fax 8085281897, Email
    J Nutr Health Aging 20:621-7. 2016
    ..However, the literature contains little guidance on a systematic interdisciplinary team approach to the oral feeding reassessment of patients with TF, who are admitted to NHs...
  2. pmc Factors Associated with Nursing Home Admission after Stroke in Older Women
    Christina L Bell
    Department of Geriatric Medicine, University of Hawaii John A Burns School of Medicine, Honolulu, Hawaii Electronic address
    J Stroke Cerebrovasc Dis 24:2329-37. 2015
    ..We examined the social and economic factors associated with nursing home (NH) admission in older women, overall and poststroke...
  3. pmc Prestroke weight loss is associated with poststroke mortality among men in the Honolulu-Asia Aging Study
    Christina L Bell
    The John A Hartford Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI Electronic address
    Arch Phys Med Rehabil 95:472-9. 2014
    ..To examine baseline prestroke weight loss and poststroke mortality among men...
  4. pmc Prestroke factors associated with poststroke mortality and recovery in older women in the Women's Health Initiative
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96817, USA
    J Am Geriatr Soc 61:1324-30. 2013
    ..To examine prestroke lifestyle factors associated with poststroke mortality and recovery in older women...
  5. doi request reprint Prevalence and measures of nutritional compromise among nursing home patients: weight loss, low body mass index, malnutrition, and feeding dependency, a systematic review of the literature
    Christina L Bell
    The John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96817, USA
    J Am Med Dir Assoc 14:94-100. 2013
    ..Additional studies are needed, reporting the prevalence of the MDS weight loss definition among international nursing home residents...
  6. pmc Pain outcomes of inpatient pain and palliative care consultations: differences by race and diagnosis
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    J Palliat Med 14:1142-8. 2011
    ..Pain management disparities exist among patients not receiving palliative care. We examined pain outcomes for disparities among patients receiving palliative care...
  7. pmc Hospice referrals and code status: outcomes of inpatient palliative care consultations among Asian Americans and Pacific Islanders with cancer
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    J Pain Symptom Manage 42:557-64. 2011
    ..Intensive palliative care consultations for plan of care may reduce racial differences in end-of-life care...
  8. pmc Factors associated with congruence between preferred and actual place of death
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    J Pain Symptom Manage 39:591-604. 2010
    ..Research in this important area must consider potential sources of bias, the method of eliciting patient preference, and the absence of a single ideal place of death...
  9. doi request reprint Methodological review: measured and reported congruence between preferred and actual place of death
    C L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    Palliat Med 23:482-90. 2009
    ..Cross-study comparison would be enhanced by the use of similar questions to elicit preference, tables of preferred versus actual places of death, and kappa statistics of agreement...
  10. pmc Factors associated with place of death for elderly Japanese-American men: the Honolulu Heart Program and Honolulu-Asia Aging Study
    Christina L Bell
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96817, USA
    J Am Geriatr Soc 57:714-8. 2009
    ..Attitudes of elderly Japanese Americans and their families regarding place of care at the end of life, particularly in the setting of dementia, merit future study...
  11. pmc Factors associated with physician decision-making in starting tube feeding
    Christina Bell
    Department of Geriatric Medicine, University of Hawaii, Honolulu, Hawaii 96817, USA
    J Palliat Med 11:915-24. 2008
    ..Because tube-feeding decisions are sometimes difficult, we examined physician, institutional, and patient factors associated with these decisions...
  12. pmc Describing Hawai'i's nursing home physicians: the results of a survey
    Christina Bell
    John A Hartford Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawai i, Honolulu, HI 96813, USA
    Hawaii Med J 67:126-30. 2008
    ..Despite a growing need for physicians providing care to nursing home patients, the characteristics of physicians providing such care are not well described...
  13. doi request reprint Factors associated with weight loss, low BMI, and malnutrition among nursing home patients: a systematic review of the literature
    Bruce K Tamura
    The John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI Electronic address
    J Am Med Dir Assoc 14:649-55. 2013
    ..Weight loss and poor nutrition are important quality measures in long term care. Long term care professionals need to identify factors associated with weight loss and poor nutrition to target high-risk patients...
  14. pmc Late-life factors associated with healthy aging in older men
    Christina L Bell
    Department of Geriatric Medicine, John A Hartford Center of Excellence in Geriatrics, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii
    J Am Geriatr Soc 62:880-8. 2014
    ..To identify potentially modifiable late-life biological, lifestyle, and sociodemographic factors associated with overall and healthy survival to age 85...
  15. doi request reprint Outcomes of polypharmacy in nursing home residents
    Bruce K Tamura
    Department of Geriatric Medicine, The John A Hartford Center of Excellence in Geriatrics, Honolulu, HI 96817, USA
    Clin Geriatr Med 28:217-36. 2012
    ..The drug-related morbidity and mortality, including those resulting from inappropriate medications and increased staff time, led to increased costs. Use of consultant pharmacists has been shown to decrease polypharmacy costs...
  16. doi request reprint Factors associated with polypharmacy in nursing home residents
    Bruce K Tamura
    The John A Hartford Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96817, USA
    Clin Geriatr Med 28:199-216. 2012
    ..A quality improvement intervention study previously conducted by the authors of this paper demonstrated that polypharmacy can be reduced in the nursing setting as a result of systematic review of medications by physicians...
  17. pmc Combining quality improvement and geriatrics training: the nursing home polypharmacy outcomes project
    Gotaro Kojima
    a The John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
    Gerontol Geriatr Educ 35:395-408. 2014
    ..002) and medication costs (OR = .97, 95% CI [0.96, 0.99], p < .001). Findings suggest that programs planning educational QI projects for trainees may benefit from a multiyear approach to maximize clinical and educational benefits. ..
  18. pmc Proteinuria in midlife and 39-year total mortality: the Honolulu Heart Program
    Gotaro Kojima
    The John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI Electronic address
    Ann Epidemiol 24:407-9. 2014
    ..Previous population-based studies have shown that proteinuria is an independent predictor of total mortality. However, no studies have examined multiple proteinuria measurements or had a follow-up period longer than two decades...
  19. doi request reprint Aging and caregiving in the Republic of Palau
    Ritabelle Fernandes
    The Pacific Islands Geriatric Education Center and the John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI, USA
    J Cross Cult Gerontol 28:167-80. 2013
    ..0001). This successful intervention identified geriatric care needs in Palau and successfully trained family caregivers to meet these needs, and may be used as a model for similar interventions in other Pacific Islands...
  20. doi request reprint "You're being paged!" outcomes of a nursing home on-call role-playing and longitudinal curriculum
    Misuzu Yuasa
    Department of Geriatric Medicine, John A Burns School of Medicine, John A Hartford Foundation Center of Excellence in Geriatrics, Honolulu, Hawaii
    J Am Geriatr Soc 61:1976-82. 2013
    ....
  21. pmc Low dietary vitamin D in mid-life predicts total mortality in men with hypertension: the Honolulu heart program
    Gotaro Kojima
    a The John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii
    J Am Coll Nutr 33:129-35. 2014
    ..Little is known about the effects of dietary vitamin D intake on mortality. We examined the association between mid-life dietary vitamin D intake and 45-year total mortality...
  22. pmc What's the Plan? Needing Assistance with Plan of Care Is Associated with In-Hospital Death for ICU Patients Referred for Palliative Care Consultation
    Ayano Kiyota
    Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawai i, Honolulu, HI AK, CLB, km, DJF
    Hawaii J Med Public Health 75:235-41. 2016
    ..7, 95% CI=1.8-12.4, P=.002). Our findings suggest that ICU patients who require assistance with plan of care need to be identified early to optimize end-of-life care and avoid in-hospital death. ..
  23. pmc Physician intervention for medication reduction in a nursing home: the polypharmacy outcomes project
    Bruce K Tamura
    The John A Hartford Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96817, USA
    J Am Med Dir Assoc 12:326-30. 2011
    ..To examine the effects of a medication review project by geriatricians and geriatric medicine fellows on polypharmacy in a teaching nursing home...
  24. pmc Factors associated with in-hospital death by site of consultation among elderly inpatients receiving pain and palliative care consultations
    Kenji Sekiguchi
    1 The John A Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii
    J Palliat Med 17:1353-8. 2014
    ..Despite palliative care implementation, most deaths still occur in hospitals...
  25. doi request reprint Malnutrition in the nursing home
    Christina L Bell
    aDepartment of Geriatric Medicine, Pacific Islands Geriatric Education Center, University of Hawaii John A Burns School of Medicine bHealth Sciences Library, University of Hawaii John A Burns School of Medicine, Honolulu, Hawaii, USA
    Curr Opin Clin Nutr Metab Care 18:17-23. 2015
    ..This review examines the recent literature and suggests implications for research and practice...