The value of the yearly medical evaluation in a nursing home

Gambert, Steven; Duthie, Edmund H.; Wiltzius, Francille

doi:10.1016/0021-9681(82)90031-5

Cited by 17 publications

(7 citation statements)

References 12 publications

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“…This represents the first study of utilization of fecal occult blood testing in a nursing home. Other studies have examined the yield of annual physical examinations and laboratory screening tests in nursing home patients but have not separated out fecal occult blood testing 16–20 . Our study found considerable variation in the utilization of FOBT among the institutionalized elderly.…”

Section: Discussionmentioning

confidence: 60%

The Utilization of Fecal Occult Blood Testing in the Institutionalized Elderly

Klos

Drinka

Goodwin

1991

J American Geriatrics Society

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Section: Discussionmentioning

confidence: 60%

The Utilization of Fecal Occult Blood Testing in the Institutionalized Elderly

Klos

Drinka

Goodwin

1991

J American Geriatrics Society

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“…A literature search resulted in five studies examining the yield of screening tests in nursing homes. Three reported no significant clinical benefit 1 – 3 . The three negative studies were all performed in facilities with strong academic affiliations and intensive medical coverage with daily presence of physicians and/or nurse practitioners; this situation is very different from that of most community nursing homes.…”

Section: Discussionmentioning

confidence: 99%

Routine Laboratory Assessment of Nursing Home Patients

Joseph¹,

Lyles²

1992

J American Geriatrics Society

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Little is known about protocols for routine laboratory testing in nursing homes. To determine what laboratory protocols are employed by community nursing homes, directors of nursing service in the 73 long-term-care facilities in Portland, Oregon were surveyed. One-hundred percent responded, and 56% reported having laboratory testing protocols. Ninety percent of protocols employed screening tests, and 88% employed monitoring tests, but content varied widely. Although physicians are ultimately responsible for ordering laboratory tests, protocols were derived from various sources including nursing staff, pharmacy and laboratory consultants, and Department of Health and Human Service guidelines. It is recommended that physicians take a leadership role in helping nursing homes develop clinically useful, cost-effective testing strategies.

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“…The only study in the American literature to report the yield of any annual examination in an institutionalized population was mainly concerned with physical examinations and only secondarily with some undefined "appropriate laboratory tests"; that study was conducted in an all male veteran population in which 17 of the 96 patients were under 60 years old. 2 The authors concluded that in their nursing home setting, annual physical examinations in male veterans may not always make a significant contribution to patient care.…”

Section: Discussionmentioning

confidence: 99%

Yield of routine annual laboratory screening in the institutionalized elderly.

Domoto¹,

Ben²,

Wei³

et al. 1985

Am J Public Health

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We reviewed the medical records of all patients over the entire four years of the study, noting the date and result of each screening test. Tests were defined as having been performed for screening purposes if they were obtained at the time of admission, or at annual intervals thereafter, without regard to a patient's clinical condition. The admission and annual screening battery usually consisted of a set of 19 tests: hematocrit; white blood count; urinalysis; stool guaiac; chest x-ray; electrocardiogram; and a battery of serum tests-glucose; uric acid; cholesterol; alkaline phosphatase; serum glutamic oxaloacetic transaminase; blood urea nitrogen; lactic dehydrogenase; total bilirubin; total protein; globulin; albumin; calcium; phosphorus.In some patients, not all the tests in the usual battery were obtained at the time of routine screening. Sometimes the test was deliberately omitted from the battery because it

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The value of the yearly medical evaluation in a nursing home

Cited by 17 publications

References 12 publications

The Utilization of Fecal Occult Blood Testing in the Institutionalized Elderly

The Utilization of Fecal Occult Blood Testing in the Institutionalized Elderly

Routine Laboratory Assessment of Nursing Home Patients

Yield of routine annual laboratory screening in the institutionalized elderly.

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