Abstracts » Seniors

Assessment of adherence to renal dosing guidelines in long-term care facilities

Article Abstract:

A cross-sectional chart review for the month 5/99 has been carried out for four long-term care facilities to find out whether dosing guidelines based on creatinine clearance (Ccr) for renally excreted medications are being applied when drugs are prescribed for long-term care residents. It was found that renal function is often overlooked when these medications are prescribed for this population. Approximately one in three prescriptions was found inappropriate for the calculated Ccr for the patient.

Health aspects, Statistical Data Included, Physiological aspects, Creatinine, Long-term care of the sick, Long term care

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Malnutrition in institutionalized seniors: the iatrogenic component

Article Abstract:

A retrospective secondary analysis of nutrient intake and delivery data for 21 consecutive collection days has been carried out at a geriatric teaching facility affiliated with the medical school of the University of Tor onto to give practitioners benchmarks for micronutrient supplementation policies for older residents of long-term care facilities, based on usual energy intake for residents . The traditional approach of developing menus for the facilities using food guides from N orth American governments results in iatrogenic malnutrition so n ew guidelines for this group are needed. They should, in the interim, receive full- sp ectrum vitamin/mineral supplements.

Product standards, safety, & recalls, Science & research, Pharmaceutical Preparation Manufacturing, Management dynamics, Nursing & Rest Homes, Nursing and Residential Care Facilities, Nursing and Personal Care Facilities, Offices of All Other Miscellaneous Health Practitioners, Offices of health practitioners, not elsewhere classified, All Other Outpatient Care Centers, General Medical and Surgical Hospitals, Nutrient Preparations, Residential care, Homes for Aged, Homes for the Elderly, General medical & surgical hospitals, Long-Term Care Hospitals, Nutrition & Diet Programs, Dieticians, Standards, Research, Causes of, Diet, Dietary supplements, Company business management, Long-term care facilities, Long term care facilities, Dietitians, Iatrogenic diseases, Food Pyramid

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Health care quality, the older patient, and the primary care physician

Article Abstract:

A multidimensional strategy in which the role of the primary care physician is important is needed in prescribing for the elderly. Both overuse and underuse of medications in the elderly should be considered when quality of medical care for this population is discussed. Overprescribing would not necessarily be indicated by a patient's using five or more prescribed drugs. Measurement of overprescription is more complicated.

Japan, Editorial, Planning, Measurement, Prevention, Family medicine, Alternative medicine, Physicians (General practice), General practitioners, Experimental design, Research design, Health care rationing, Drug utilization, Drug monitoring, Nonprescription drugs, Medication errors

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