JAMDA
Volume 9, Issue 1 , Pages 1-3 , January 2008

Caring for the Vulnerable Elderly: Are Available Quality Indicators Appropriate?

  • John E. Morley, MB, BCh

      Affiliations

    • Corresponding Author InformationAddress correspondence to John E. Morley, MB, BCh, Division of Geriatric Medicine, Saint Louis University Medical Center, 1402 S. Grand Boulevard, M238, St. Louis, MO 63104.

References 

  1. Wenger NS, Shekelle P. Measuring medical care provided to vulnerable elders: The Assessing Care of Vulnerable Elders-3 (ACOVE-3) quality indicators. J Am Geriatr Soc. 2007;55(S2):S247–S487
  2. Flaherty JH, Morley JE, Murphy DJ, Wasserman MR. The development of outpatient Clinical Glidepaths. J Am Geriatr Soc. 2002;50:1886–1901
  3. Min LC, Mehrotra R, Fung CH. Quality indicators for the care of hypertension in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S359–S365
  4. Levenson SA, Morley JE. Evidence rocks in long-term care, but does it roll?. J Am Med Dir Assoc. 2007;8:493–501
  5. Messinger-Rapport BJ, Morley JE, Thomas DR, Gammack JK. Intensive session: new approaches to medical issues in long-term care. J Am Med Dir Assoc. 2007;8:421–433
  6. United Kingdom Prospective Diabetes Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ. 1998;317:707–713
  7. United Kingdom Prospective Diabetes Study Group. Efficacy of atenolol and captopril in reducing risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 39. BMJ. 1998;317:713–720
  8. Morley JE. Editorial: Postprandial hypotension—the ultimate Big Mac Attack. J Gerontol A Biol Sci Med Sci. 2001;56:M741–M743
  9. Gueffyher F, Bulpitt C, Boissel J-P INDIANA Group. Antihypertensive drugs in very old people (A subgroup meta-analysis of randomized controlled trials). Lancet. 1999;353:793–796
  10. Bulpitt CJ, Beckett NS, Cooke J. Results of the pilot study of hypertension in the very elderly trial. J Hypertens. 2003;21:2409–2417
  11. Shepherd J, Blauw GJ, Murphy MB, et al. Pravastatin in elderly individuals at risk of vascular disease (PROSPER): A randomized controlled trial. Lancet. 2002;360:1623–1630
  12. Roberts CG, Guallar E, Rodriguez A. Efficacy and safety of statin monotherapy in older adults: A meta-analysis. J Gerontol A Biol Sci Med Sci. 2007;62:879–887
  13. Heart Protection Study Collaborative Group. MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: A randomized placebo-controlled trial. Lancet. 2002;360:7–22
  14. Grossman J, MacLean CH. Quality indicators for the care of osteoporosis in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S392–S402
  15. Morley JE. Should all long-term care residents receive vitamin D?. J Am Med Dir Assoc. 2007;8:69–70
  16. Munir J, Wright RJ, Carr DB. A quality improvement study on calcium and vitamin D supplementation in long-term care. J Am Med Dir Assoc. 2007;8(3 Suppl 2):e19–e23
  17. Hamid Z, Riggs A, Spencer T, Redman C, Bodenner D. Vitamin D deficiency in residents of academic long-term care facilities despite having been prescribed vitamin D. J Am Med Dir Assoc. 2007;8:71–75
  18. Sright RM. Use of osteoporosis medications in older nursing facility residents. J Am Med Dir Assoc. 2007;8:453–457
  19. Kamel HK. Update on osteoporosis management in long-term care: Focus on bisphosphonates. J Am Med Dir Assoc. 2007;8:434–440
  20. Morley JE, Perry HM. Androgen treatment of male hypogonadism in older males. J Steroid Biochem Mol Biol. 2003;85:367–373
  21. Morley JE. Androgens and aging. Maturitas. 2001;38:61–71
  22. Yueh B, Shekelle P. Quality indicators for the care of hearing loss in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S335–S339
  23. Shekelle P, Vijan S. Quality indicators for the care of diabetes mellitus in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S312–S317
  24. Haas LB. Optimizing insulin use in type 2 daibetes: Role of basal and prandial insulin in long-term care facilities. J Am Med Dir Assoc. 2007;8:502–510
  25. Mazza AD, Morley JE. Update on diabetes in the elderly and the application of current therapeutics. J Am Med Dir Assoc. 2007;8:489–492
  26. Reuben DB. Quality indicators for the care of undernutrition in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S438–S442
  27. Rolland Y, Kim MJ, Gammack JK, Wilson MM, Thomas DR, Morley JE. Office management of weight loss in older persons. Am J Med. 2006;119:1019–1026
  28. Thomas DR, Ashmen W, Morley JE, Evans WJ. Nutritional management in long-term care: development of a clinical guideline (Council for Nutritional Strategies in Long-Term Care). J Gerontol A Biol Sci Med Sci. 2000;55:M725–M734
  29. Morley JE. Is weight loss harmful to older men?. Aging Male. 2006;9:135–137
  30. Morley JE. Weight loss in the nursing home. J Am Med Dir Assoc. 2007;8:201–204
  31. Kalantar-Zadeh K, Horwich TB, Oreopoulos A, et al. Risk factor paradox in wasting diseases. Curr Opin Clin Nutr Metab Care. 2007;10:433–442
  32. Nakajima GA, Wenger NS. Quality indicators for the care of depression in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S302–S311
  33. Feil DG, MacLean C, Sultzer D. Quality indicators for the care of dementia in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S293–S301
  34. Flaherty JH, Tariq SH, Raghavan S, et al. A model for managing delirious older inpatients. J Am Geriatr Soc. 2003;51:1031–1035
  35. Flaherty JH, Rudolph J, Shay K, et al. Delirium is a serious and under-recognized problem: Why assessment of mental status should be the sixth vital sign. J Am Med Dir Assoc. 2007;8:273–275
  36. Lorenz KA, Rosenfeld K, Wenger N. Quality indicators for palliative and end-of-life care in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S318–S326
  37. Tariq SH. Constipation in long-term care. J Am Med Dir Assoc. 2007;8:209–218
  38. Morley JE. Constipation and irritable bowel syndrome in the elderly. Clin Geriatr Med. 2007;23:823–832
  39. Chang JT, Ganz DA. Quality indicators for falls and mobility problems in vulnerable elders. J Am Geriatr Soc. 2007;(S2):S327–S334
  40. Wenger NS, Solomon DH, Roth CP, et al. The quality of medical care provided to vulnerable community-dwelling older patients. Ann Intern Med. 2003;139:740–747
  41. Higashi T, Shekelle PG, Adams JL, et al. Quality of care is associated with survival in vulnerable older patients. Ann Intern Med. 2005;143:274–281

PII: S1525-8610(07)00482-3

doi: 10.1016/j.jamda.2007.11.002

JAMDA
Volume 9, Issue 1 , Pages 1-3 , January 2008

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