Medical care in the nursing home.

With the advent of the graying of the baby boomers, there is an urgent need to enhance care in the nursing home. This article focuses on the areas where high-quality care can improve outcomes.

[1]  M. Shaughnessy,et al.  Delirium is a serious and under-recognized problem: why assessment of mental status should be the sixth vital sign. , 2007, Journal of the American Medical Directors Association.

[2]  S. Akifusa,et al.  Oral Health and Mortality Risk from Pneumonia in the Elderly , 2008, Journal of dental research.

[3]  J. Morley Editorial: Postprandial hypotension--the ultimate Big Mac attack. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[4]  M. S. Haumschild,et al.  The importance of oral health in long-term care. , 2009, Journal of the American Medical Directors Association.

[5]  J. E. Morley,et al.  Sarcopenia: Its assessment, etiology, pathogenesis, consequences and future perspectives , 2008, The journal of nutrition, health & aging.

[6]  John T Chibnall,et al.  Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. , 2005, The American journal of clinical nutrition.

[7]  W. McIlroy,et al.  Effectiveness of Virtual Reality Using Wii Gaming Technology in Stroke Rehabilitation: A Pilot Randomized Clinical Trial and Proof of Principle , 2010, Stroke.

[8]  C. Gottfred Oropharyngeal dysphagia in long-term care: response from ASHA. , 2009, Journal of the American Medical Directors Association.

[9]  Pierre-Hugues Carmichael,et al.  Detecting delirium and subsyndromal delirium using different diagnostic criteria among demented long-term care residents. , 2009, Journal of the American Medical Directors Association.

[10]  J. Morley Diabetes and aging: epidemiologic overview. , 2008, Clinics in geriatric medicine.

[11]  B. Vellas,et al.  Overview of the MNA--Its history and challenges. , 2006, The journal of nutrition, health & aging.

[12]  P. Ponikowski,et al.  Cachexia: a new definition. , 2008, Clinical nutrition.

[13]  Todd A. Lee,et al.  Vitamin d deficiency/insufficiency practice patterns in a veterans health administration long-term care population: a retrospective analysis. , 2009, Journal of the American Medical Directors Association.

[14]  J. Morley Having a CMD is associated with improved nursing home quality of care. , 2009, Journal of the American Medical Directors Association.

[15]  J. Mervis,et al.  Apathy: a common psychiatric syndrome in the elderly. , 2009, Journal of the American Medical Directors Association.

[16]  S. Anker,et al.  Consensus on cachexia definitions. , 2010, Journal of the American Medical Directors Association.

[17]  H. Perry,et al.  Relationship of age and calcitonin gene-related peptide to postprandial hypotension , 1996, Mechanisms of Ageing and Development.

[18]  D. Tolson,et al.  Hearing disability: a source of distress for older people and carers. , 2002, British journal of nursing.

[19]  J. Morley Polypharmacy in the nursing home. , 2009, Journal of the American Medical Directors Association.

[20]  G. Trifirò,et al.  Use of antipsychotics in elderly patients with dementia: do atypical and conventional agents have a similar safety profile? , 2009, Pharmacological research.

[21]  Julie K. Gammack,et al.  Clinical update on nursing home medicine: 2009. , 2009, Journal of the American Medical Directors Association.

[22]  Jean Paul Remon,et al.  Medication administration in nursing homes: pharmacists' contribution to error prevention. , 2010, Journal of the American Medical Directors Association.

[23]  J. Morley Clinical practice in nursing homes as a key for progress , 2010, The journal of nutrition, health & aging.

[24]  D. Tolson,et al.  Listening in the care environment--chaos or clarity for the hearing-impaired elderly person. , 1997, International journal of nursing studies.

[25]  A. Cerulli,et al.  Is drug therapy for urinary incontinence used optimally in long-term care facilities? , 2007, Journal of the American Medical Directors Association.

[26]  S. Horn,et al.  Comparison of air-fluidized therapy with other support surfaces used to treat pressure ulcers in nursing home residents. , 2005, Ostomy/wound management.

[27]  L. Volicer,et al.  Modifiable factors related to abusive behaviors in nursing home residents with dementia. , 2009, Journal of the American Medical Directors Association.

[28]  L. D. de Groot,et al.  Malnutrition and mealtime ambiance in nursing homes. , 2009, Journal of the American Medical Directors Association.

[29]  J. Cohen-Mansfield,et al.  Hearing aid use in nursing homes. Part 2: Barriers to effective utilization of hearing AIDS. , 2004, Journal of the American Medical Directors Association.

[30]  David R. Thomas,et al.  Supervised exercise to reduce agitation in severely cognitively impaired persons. , 2009, Journal of the American Medical Directors Association.

[31]  J. Morley Anabolic steroids and frailty. , 2010, Journal of the American Medical Directors Association.

[32]  Y. Rolland,et al.  Physical activity and Alzheimer's disease: from prevention to therapeutic perspectives. , 2008, Journal of the American Medical Directors Association.

[33]  Richard W Miles A conversation: polypharmacy in the nursing home. , 2010, Journal of the American Medical Directors Association.

[34]  P. Katz,et al.  Impact of medical director certification on nursing home quality of care. , 2009, Journal of the American Medical Directors Association.

[35]  K. Boockvar,et al.  Perceived barriers to communication between hospital and nursing home at time of patient transfer. , 2010, Journal of the American Medical Directors Association.

[36]  J. Morley Managing persons with dementia in the nursing home: high touch trumps high tech. , 2008, Journal of the American Medical Directors Association.

[37]  L. Peng,et al.  Diabetes mellitus, glycemic control, and pneumonia in long-term care facilities: a 2-year, prospective cohort study. , 2011, Journal of the American Medical Directors Association.

[38]  J. Schnelle,et al.  Urinary and fecal incontinence in nursing home residents. , 2008, Gastroenterology clinics of North America.

[39]  L. Rubenstein,et al.  Falls in the nursing home: are they preventable? , 2005, Journal of the American Medical Directors Association.

[40]  J. Morley,et al.  Micronutrient status in diabetes mellitus. , 1987, The American journal of clinical nutrition.

[41]  H. Liu,et al.  Tai Chi as a Balance Improvement Exercise for Older Adults: A Systematic Review , 2010, Journal of geriatric physical therapy.

[42]  J. Morley,et al.  Metformin decreases food consumption and induces weight loss in subjects with obesity with type II non-insulin-dependent diabetes. , 1998, Obesity research.

[43]  J. Morley,et al.  Early detection of cognitive impairment: do screening tests help? , 2010, Journal of the American Medical Directors Association.

[44]  T. Dharmarajan Falls and fractures linked to anemia, delirium, osteomalacia, medications, and more: the path to success is strewn with obstacles! , 2007, Journal of the American Medical Directors Association.

[45]  W. Evans,et al.  Nutritional management in long-term care: development of a clinical guideline. Council for Nutritional Strategies in Long-Term Care. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[46]  J. Morley Depression in nursing home residents. , 2010, Journal of the American Medical Directors Association.

[47]  J. Morley,et al.  Developing novel therapeutic approaches to frailty. , 2009, Current pharmaceutical design.

[48]  N. E. Miller,et al.  Obesity and hypertriglyceridemia produce cognitive impairment. , 2008, Endocrinology.

[49]  D. Kiel,et al.  Adherence to hip protectors and implications for U.S. long-term care settings. , 2010, Journal of the American Medical Directors Association.

[50]  Ronald Rosen,et al.  Status of diabetes management in the nursing home setting in 2008: a retrospective chart review and epidemiology study of diabetic nursing home residents and nursing home initiatives in diabetes management. , 2009, Journal of the American Medical Directors Association.

[51]  H. Gage,et al.  Absorbent products for urinary/faecal incontinence: a comparative evaluation of key product designs. , 2008, Health technology assessment.

[52]  A. Tuckett The care encounter: pondering caring, honest communication and control. , 2005, International journal of nursing practice.

[53]  J. Wishart,et al.  The effects of miglitol on glucagon‐like peptide‐1 secretion and appetite sensations in obese type 2 diabetics , 2002, Diabetes, obesity & metabolism.

[54]  D. Aarsland,et al.  Atypical antipsychotics for the treatment of behavioral and psychological symptoms in dementia, with a particular focus on longer term outcomes and mortality , 2011, Expert opinion on drug safety.

[55]  J. Ouslander,et al.  Clinical practice guidelines, process improvement teams, and performance on a quality indicator for urinary incontinence: a pilot study. , 2008, Journal of the American Medical Directors Association.

[56]  B. Messinger-Rapport,et al.  Falls in the nursing home: a collaborative approach. , 2009, The Nursing clinics of North America.

[57]  J. Ouslander Quality improvement initiatives for urinary incontinence in nursing homes. , 2007, Journal of the American Medical Directors Association.

[58]  Jean-Dominique Bauby,et al.  The Diving Bell and the Butterfly: A Memoir of Life in Death , 1997 .

[59]  J. Morley,et al.  The use of a no-concentrated-sweets diet in the management of type 2 diabetes in nursing homes. , 2001, Journal of the American Dietetic Association.

[60]  P. Bruckenthal,et al.  Pain assessment in nursing home residents with dementia: psychometric properties and clinical utility of the CNA Pain Assessment Tool (CPAT). , 2009, Journal of the American Medical Directors Association.

[61]  J. Gammack,et al.  Nursing education and improvement in oral care delivery in long-term care. , 2009, Journal of the American Medical Directors Association.

[62]  J. Morley The magic of exercise. , 2008, Journal of the American Medical Directors Association.

[63]  N. Pandya,et al.  Managing diabetes in long-term care facilities: benefits of switching from human insulin to insulin analogs. , 2010, Journal of the American Medical Directors Association.

[64]  R. Pastor-Barriuso,et al.  Descriptive epidemiology of undetected depression in institutionalized older people. , 2010, Journal of the American Medical Directors Association.

[65]  W. Banks,et al.  Animal-assisted therapy and loneliness in nursing homes: use of robotic versus living dogs. , 2008, Journal of the American Medical Directors Association.

[66]  D. Tolson,et al.  Advanced practice nurses and attending physicians: a collaboration to improve quality of care in the nursing home. , 2011, Journal of the American Medical Directors Association.

[67]  S. Colberg,et al.  Physical activity participation may offset some of the negative impact of diabetes on cognitive function. , 2008, Journal of the American Medical Directors Association.

[68]  Anthony G. Tuckett,et al.  The meaning of nursing-home: 'Waiting to go up to St. Peter, OK! Waiting house, sad but true' — An Australian perspective , 2007 .

[69]  L. Ferrucci,et al.  Nutritional recommendations for the management of sarcopenia. , 2010, Journal of the American Medical Directors Association.

[70]  S. Levenson The basis for improving and reforming long-term care, part 2: clinical problem solving and evidence-based care. , 2009, Journal of the American Medical Directors Association.

[71]  M. Boustani,et al.  A preliminary study of anticholinergic burden and relationship to a quality of life indicator, engagement in activities, in nursing home residents with dementia. , 2009, Journal of the American Medical Directors Association.

[72]  J. Cohen-Mansfield,et al.  Hearing aid use in nursing homes. Part 1: Prevalence rates of hearing impairment and hearing aid use. , 2004, Journal of the American Medical Directors Association.

[73]  L. Fried,et al.  Hip fractures among elderly women: longitudinal comparison of physiological function changes and health care utilization. , 2010, Journal of the American Medical Directors Association.

[74]  L. March,et al.  Improving adherence with the use of hip protectors among older people living in nursing care facilities: a cluster randomized trial. , 2011, Journal of the American Medical Directors Association.

[75]  K. Steinberg Reducing unnecessary hospitalizations: apple pie! , 2009, Journal of the American Medical Directors Association.

[76]  J. Morley,et al.  Mechanism of pain in diabetic peripheral neuropathy. Effect of glucose on pain perception in humans. , 1984, The American journal of medicine.

[77]  J. Morley,et al.  Anorexia, sarcopenia, and aging. , 2001, Nutrition.

[78]  W. Simonson,et al.  Hypertension treatment and outcomes in US nursing homes: results from the US National Nursing Home Survey. , 2011, Journal of the American Medical Directors Association.

[79]  I. Bourdel-Marchasson How to improve nutritional support in geriatric institutions. , 2010, Journal of the American Medical Directors Association.

[80]  J. Morley,et al.  Causes of Weight Loss in a Community Nursing Home , 1994, Journal of the American Geriatrics Society.

[81]  C. van Weel,et al.  Nursing home and nursing home physician: the Dutch experience. , 2004, Journal of the American Medical Directors Association.

[82]  L. Volicer Culture change for residents with dementia. , 2008, Journal of the American Medical Directors Association.

[83]  A. Sanford,et al.  End-of-life care in the nursing home. , 2010, Journal of the American Medical Directors Association.

[84]  F. Landi,et al.  The anorexia of aging: is it a geriatric syndrome? , 2010, Journal of the American Medical Directors Association.

[85]  M. Nolan,et al.  Bringing caring and competence into focus in gerontological nursing: a longitudinal, multi-method study. , 2008, International journal of nursing studies.

[86]  Sarah B Laditka,et al.  Care transitions by older adults from nursing homes to hospitals: implications for long-term care practice, geriatrics education, and research. , 2010, Journal of the American Medical Directors Association.

[87]  C. Trelha,et al.  Psychoactive drugs as risk factors for functional decline among noninstitutionalized dependent elderly people. , 2010, Journal of the American Medical Directors Association.

[88]  A. Khan,et al.  The artificial urinary sphincter , 2007, Expert review of medical devices.

[89]  J. E. Morley Vitamin d redux. , 2009, Journal of the American Medical Directors Association.

[90]  J W Warren,et al.  Catheter-associated urinary tract infections. , 1997, International journal of antimicrobial agents.

[91]  M. Nolan,et al.  Dignity on the ward: promoting excellence in care. , 2000, Nursing times.

[92]  J. Morley,et al.  Characteristics of Learning and Memory in Streptozocin-Induced Diabetic Mice , 1990, Diabetes.

[93]  W. Moyle,et al.  Physical restraint use on people with dementia: a review of the literature. , 2005, The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation.

[94]  Susan C. Miller,et al.  Antipsychotic use and the risk of hip fracture among older adults afflicted with dementia. , 2010, Journal of the American Medical Directors Association.

[95]  J. Morley Rapid cycles (continuous quality improvement), an essential part of the medical director's role. , 2008, Journal of the American Medical Directors Association.

[96]  J. Morley,et al.  A brief history of geriatrics. , 2004, The journals of gerontology. Series A, Biological sciences and medical sciences.

[97]  G. Damiani,et al.  Vacuum-assisted closure therapy for patients with infected sternal wounds: a meta-analysis of current evidence. , 2011, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[98]  M. Maddens,et al.  Cerumen, hearing, and cognition in the elderly. , 2002, Journal of the American Medical Directors Association.

[99]  H. Perry,et al.  Polypharmacy and hospitalization among older home care patients. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[100]  M. Kergoat,et al.  Assessment of visual function in institutionalized elderly patients. , 2009, Journal of the American Medical Directors Association.

[101]  Katrien G Luijkx,et al.  The Tilburg Frailty Indicator: psychometric properties. , 2010, Journal of the American Medical Directors Association.

[102]  J. Morley Alzheimer's disease: future treatments. , 2011, Journal of the American Medical Directors Association.

[103]  Jeffrey M. Hausdorff,et al.  Effects of cognitive function on gait and dual tasking abilities in patients with Parkinson’s disease suffering from motor response fluctuations , 2010, Experimental Brain Research.

[104]  M. Nolan,et al.  Transforming students' views of gerontological nursing: realising the potential of 'enriched' environments of learning and care: a multi-method longitudinal study. , 2008, International journal of nursing studies.

[105]  K. Perryman,et al.  Cortical function in elderly non-insulin dependent diabetic patients. Behavioral and electrophysiologic studies. , 1988, Archives of internal medicine.

[106]  L. Rubenstein Hip protectors in long-term care: another confirmatory trial. , 2008, Journal of the American Medical Directors Association.

[107]  N. Watson,et al.  Oral Care Provided by Certified Nursing Assistants in Nursing Homes , 2006, Journal of the American Geriatrics Society.

[108]  J. Morley Hypertension: is it overtreated in the elderly? , 2010, Journal of the American Medical Directors Association.

[109]  S. Levenson The basis for improving and reforming long-term care. Part 4: identifying meaningful improvement approaches (segment 1). , 2010, Journal of the American Medical Directors Association.

[110]  P. Schluter,et al.  Validation of CARE-Q in residential aged-care: rating of importance of caring behaviours from an e-cohort sub-study. , 2009, Journal of clinical nursing.

[111]  J. Morley,et al.  Update on diabetes in the elderly and the application of current therapeutics. , 2007, Journal of the American Medical Directors Association.

[112]  T. Baydar,et al.  Polypharmacy in the elderly: a multicenter study. , 2009, Journal of the American Medical Directors Association.

[113]  E. Kurtzman,et al.  Fall prevention and injury protection for nursing home residents. , 2010, Journal of the American Medical Directors Association.

[114]  D. Tolson,et al.  Gerontological nursing. 4: Age-related hearing explored. , 2000, British journal of nursing.

[115]  S. Levenson The basis for improving and reforming long-term care, part 1: the foundation. , 2009, Journal of the American Medical Directors Association.

[116]  Catriona M. Steele,et al.  Oropharyngeal dysphagia assessment and treatment efficacy: setting the record straight (response to Campbell-Taylor). , 2009, Journal of the American Medical Directors Association.

[117]  R. Meyers,et al.  Diabetes management in long-term care facilities: a practical guide. , 2009, Journal of the American Medical Directors Association.

[118]  J. E. Morley,et al.  The I.A.N.A. task force on frailty assessment of older people in clinical practice , 2008, The journal of nutrition, health & aging.

[119]  O. Beauchet,et al.  How to manage recurrent falls in clinical practice: Guidelines of the French society of geriatrics and gerontology , 2010 .

[120]  T. Wilt,et al.  Treatment interventions in nursing home residents with urinary incontinence: a systematic review of randomized trials , 2008 .

[121]  J. Chibnall,et al.  Under-treatment of pain in dementia: assessment is key. , 2008, Journal of the American Medical Directors Association.

[122]  Richard G Stefanacci,et al.  Understanding clinical dehydration and its treatment. , 2008, Journal of the American Medical Directors Association.

[123]  E. Keeler,et al.  A Controlled Trial of an Intervention to Improve Urinary and Fecal Incontinence and Constipation , 2010, Journal of the American Geriatrics Society.

[124]  P. Spreeuwenberg,et al.  A multilevel analysis of three randomised controlled trials of the Australian Medical Sheepskin in the prevention of sacral pressure ulcers , 2010, The Medical journal of Australia.

[125]  David R. Thomas,et al.  Does pressure cause pressure ulcers? An inquiry into the etiology of pressure ulcers. , 2010, Journal of the American Medical Directors Association.

[126]  J. Morley Weight loss in older persons: new therapeutic approaches. , 2007, Current pharmaceutical design.

[127]  J. Morley,et al.  Abnormal zinc metabolism in type II diabetes mellitus. , 1983, The American journal of medicine.

[128]  D. Tolson,et al.  International Association of Gerontology and Geriatrics: a global agenda for clinical research and quality of care in nursing homes. , 2011, Journal of the American Medical Directors Association.

[129]  D. Tolson,et al.  Evidence Informed Nursing with Older People , 2011 .

[130]  Shah Ebrahim,et al.  Statins for the primary prevention of cardiovascular disease (Review) , 2011 .

[131]  P. Krause,et al.  Determinants of vitamin D levels in nursing home residents. , 2007, Journal of the American Medical Directors Association.

[132]  K. Rockwood,et al.  Delirium in the long-term care setting: clinical and research challenges. , 2008, Journal of the American Medical Directors Association.

[133]  S. Muurinen,et al.  Long-term care and oral health. , 2009, Journal of the American Medical Directors Association.

[134]  M. Hoogendoorn,et al.  Efficacy and costs of nutritional rehabilitation in muscle-wasted patients with chronic obstructive pulmonary disease in a community-based setting: a prespecified subgroup analysis of the INTERCOM trial. , 2010, Journal of the American Medical Directors Association.

[135]  J. Morley,et al.  Effect of liquid dietary supplements on energy intake in the elderly. , 2002, The American journal of clinical nutrition.

[136]  N. Bean,et al.  An analysis of the interactions between individual comorbidities and their treatments--implications for guidelines and polypharmacy. , 2010, Journal of the American Medical Directors Association.

[137]  Daniel Weintraub,et al.  Effectiveness of atypical antipsychotic drugs in patients with Alzheimer's disease. , 2006, The New England journal of medicine.

[138]  J. Morley,et al.  Hospitalization and Mortality of Diabetes in Older Adults: A 3-year prospective study , 1998, Diabetes Care.

[139]  Clemens Becker,et al.  Fall prevention in nursing homes. , 2010, Clinics in geriatric medicine.

[140]  S. Tariq Constipation in long-term care. , 2007, Journal of the American Medical Directors Association.

[141]  M. Pahor,et al.  Anorexia, physical function, and incident disability among the frail elderly population: results from the ilSIRENTE study. , 2010, Journal of the American Medical Directors Association.

[142]  D. Rose,et al.  The role of exercise in fall prevention for older adults. , 2010, Clinics in geriatric medicine.

[143]  John T Chibnall,et al.  Comparison of the Saint Louis University mental status examination and the mini-mental state examination for detecting dementia and mild neurocognitive disorder--a pilot study. , 2006, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[144]  J. Cohen-Mansfield,et al.  Nursing home physicians' knowledge of and attitudes toward nonpharmacological interventions for treatment of behavioral disturbances associated with dementia. , 2008, Journal of the American Medical Directors Association.