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Incorporating a Rapid Geriatric Assessment in Primary Care
(University of Missouri -- Kansas City, 2021)
As patients age, the complexity of their care increases and the likelihood of developing geriatric
syndromes becomes greater. Identification and documentation of geriatric syndromes can be a
helpful first step to ...
Geriatric dizziness
(Family Physicians Inquiries Network, 2010)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of dizziness in the elderly.
Infusing Geropsychiatric Nursing Content into Psychiatric Mental Health Nurse Practitioner Curricula: Challenges and Solutions
(2016-05)
driven health care needs of today’s society. This project meets the APRN consensus models requirement for life span perspective and can be utilized by other PNHNP programs who wish to enhance their curriculum....
Professional practice models in long-term care
(University of Missouri--Columbia, 2010)
presence, and absence, of principles of the Everyday Excellence for Professional Nursing Practice in Long-Term Care Framework. Secondary data from a larger NINR-funded study were analyzed. That larger study was designed to test an intervention focused...
Which anticoagulant is safest for frail elderly patients with nonvalvular A-fib?
(Family Physicians Inquiries Network, 2022-11)
Consider apixaban, which demonstrated a lower adverse event (AE) rate than warfarin regardless of frailty status, for anticoagulation treatment of older patients with nonvalvular atrial fibrillation (AF); by comparison, ...
Visual impairment in the elderly
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of visual impairment in the elderly.
Do standing orders help with chronic disease care and health maintenance in ambulatory practice?
(Family Physicians Inquiries Network, 2010)
Studies of standing orders tend to examine their effect on compliance with preventive interventions for chronic disease rather than disease outcomes. In the ambulatory setting, they improve rates of influenza vaccination ...
Which drugs are best when aggressive Alzheimer's patients need medication?
(Family Physicians Inquiries Network, 2010)
controlled trials [RCTs]). However, evidence of drug-related deaths in patients taking these drugs mandates weighing the benefits against the risks. SSRIs may be a safer, effective alternative (SOR: B, limited studies). Evidence for the efficacy...
Personalized functional health and fall risk prediction using electronic health records and in-home sensor data
(University of Missouri--Columbia, 2021)
personalized functional health tracking models using geriatric assessments in the EHR data. Studies show that higher levels of functional health in older adults lead to a higher quality of life and improves the ability to age-in-place. Even though several...
Should we use appetite stimulants for malnourished elderly patients?
(Family Physicians Inquiries Network, 2007)
Only 1 appetite stimulate, megestrol acetate oral suspension (Megace) at 400 mg or 800 mg daily, has been studied in this population. The data show only limited benefit, mixed outcomes, and potential harm (strength of recommendation: B, based...
What could be behind your elderly patient's subjective memory complaints?
(Family Physicians Inquiries Network, 2008)
Depression, anxiety, and dementia, as well as older age, female gender, lower education level, and decreased physical activity, have all been associated with memory loss reported by patients or family members (strength of ...
Decreasing Stress Through Education for Caregivers of Community-Dwelling Individuals with Dementia
(University of Missouri -- Kansas City, 2019)
People with dementia experience a decline in mental ability that interferes with daily life. The
behavioral and psychological symptoms of dementia affect the majority of individuals suffering
from dementia and cause ...
Transitional Care Interventions to Reduce Readmission in Patients with Heart Failure
(University of Missouri -- Kansas City, 2020)
Heart failure affects millions of people in the United States and serves as a significant economic
burden on the health care system. The chronic nature of illness serves as a challenge for heart
failure patients to ...
Which late-stage Alzheimer's patients should be referred for hospice care?
(Family Physicians Inquiries Network, 2005)
Medicare guidelines are used to determine eligibility for hospice care (strength of recommendation [SOR]: C, based on expert opinion), but they correlate with 6-month mortality no better than an experienced clinician's judgment (SOR: B, based on 1...
Transitional Care Intervention to Reduce 30-day Readmission Rate in Cardiac Transplant Patients
(2016-05)
participants. The transitional care interventions consisted of four components conducted by the advanced practice registered nurse: (1) meeting with the participants at the hospital, (2) facsimiles of discharge summaries, (3) scheduling a follow-up appointments...
The effectiveness of cares dementia training modules on delivery of person centered care inside a memory care unit : utilizing the cares observational tool
(University of Missouri--Columbia, 2018)
This study compared the efficacy of using online dementia training modules on both direct and non-direct care providers in long-term care settings and how this impacted their delivery of Person Centered Care (PCC), as well as their knowledge...
How do we decide when a patient with nonmalignant disease is eligible for hospice care?
(Family Physicians Inquiries Network, 2006)
Each hospice has its own policy, but Medicare requires 6 months or less life expectancy for certification of eligibility and reimbursement. Other important criteria include patient and family understanding and wishes. Evidence-based guidelines...
Are antibiotics effective in preventing pneumonia for nursing home patients?
(Family Physicians Inquiries Network, 2004)
. Three measures effectively prevent pneumonia in nursing home patients: influenza vaccination of residents (strength of recommendation [SOR]: B, based on systematic review of homogenous cohort observational studies); influenza vaccination of caregivers...
Missouri hospitalist, issue 26 (2010 February 25)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2010-02)
Improving Advance Directive Completion Rates: Utilizing Technology with a Virtual Platform
(University of Missouri -- Kansas City, 2019)
Advance care planning and advance directives guide patients in remaining autonomous when
considering and planning for future healthcare. Improving the regularity of advance care
planning as a preventative measure and ...