Advertisement

Telemedicine: Coming to Nursing Homes in the Near Future

  • John E. Morley
    Correspondence
    Address correspondence to John E. Morley, MB, BCh, Division of Geriatric Medicine, Saint Louis University School of Medicine, 1402 S. Grand Boulevard, M238, St. Louis, MO 63104.
    Affiliations
    Divisions of Geriatric Medicine and Endocrinology, Saint Louis University School of Medicine, St. Louis, Missouri
    Search for articles by this author
Published:November 25, 2015DOI:https://doi.org/10.1016/j.jamda.2015.10.012
      With the rapid growth of the aging population worldwide and the shortage of health care professionals trained in the care of older persons, it is becoming clear that this is an area in which the rapid adoption of technology will improve their health care.
      • Morley J.E.
      High technology coming to a nursing home near you.
      • Rolland Y.
      • Resnick B.
      • Katz P.R.
      • et al.
      Nursing home research: The first International Association of Gerontology and Geriatrics (IAGG) research conference.
      • Lattanzio F.
      • Abbatecola A.M.
      • Bevilacqua R.
      • et al.
      Advanced technology care innovation for older people in Italy: Necessity and opportunity to promote health and wellbeing.
      • Michel J.P.
      • Franco A.
      Geriatricians and technology.
      A major technological component is telemedicine, whose time has clearly come! Tele comes from the Greek meaning distance. Thus, telemedicine can be defined as providing medical services to an individual who is at a distance from the provider.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the American Medical Directors Association
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Morley J.E.
        High technology coming to a nursing home near you.
        J Am Med Dir Assoc. 2012; 13: 409-412
        • Rolland Y.
        • Resnick B.
        • Katz P.R.
        • et al.
        Nursing home research: The first International Association of Gerontology and Geriatrics (IAGG) research conference.
        J Am Med Dir Assoc. 2014; 15: 313-325
        • Lattanzio F.
        • Abbatecola A.M.
        • Bevilacqua R.
        • et al.
        Advanced technology care innovation for older people in Italy: Necessity and opportunity to promote health and wellbeing.
        J Am Med Dir Assoc. 2014; 15: 457-466
        • Michel J.P.
        • Franco A.
        Geriatricians and technology.
        J Am Med Dir Assoc. 2014; 15: 860-862
        • Bashshur R.L.
        • Shannon G.W.
        History of telemedicine: Evolution, context and transformation.
        Mary Ann Liebert Inc, New Rochelle, NY2009
        • Gershon-Cohen J.
        • Cooley A.G.
        Telegnosis.
        Radiology. 1950; 55: 582-587
        • Tundel K.M.
        Telemedicine: History, applications and impact on librarianship.
        Bull Med Libr Assoc. 1996; 84: 71-79
        • Murphy R.H.
        • Bird R.J.
        Telediagnosis: A new community health resource.
        Am J Public Health. 1974; 64: 113-119
        • Dellifraine J.L.
        • Dansky K.H.
        Home-based telehealth: A review and meta-analysis.
        J Telemed Telecare. 2008; 14: 62-66
        • Dorsey E.R.
        • Wagner J.D.
        • Bull M.T.
        • et al.
        Feasibility of virtual research visits in Fox Trial Finder.
        J Parkinsons Dis. 2015; 5: 505-515
        • Tzallas A.T.
        • Tsipouras M.G.
        • Rigas G.
        • et al.
        PERFORM: A system for monitoring, assessment and management of patients with Parkinson's disease.
        Sensors (Basel). 2014; 14: 21329-21357
        • Sola-Valls N.
        • Blanco Y.
        • Sepulveda M.
        • et al.
        Telemedicine for monitoring MS activity and progression.
        Curr Treat Options Neurol. 2015; 1: 47
        • Kefaliakos A.
        • Pliakos I.
        • Kalokerinou A.
        • et al.
        The use of telemedicine in patients with multiple sclerosis.
        Stud Health Technol Inform. 2014; 202: 320
        • Lubeek S.F.
        • van der Geer E.R.
        • van Gelder M.M.
        • et al.
        Current dermatologic care in Dutch nursing homes and possible improvements: A nationwide survey.
        J Am Med Dir Assoc. 2015; 16 (714.e1–e6)
        • Delaigue S.
        • Bonnardot L.
        • Olson D.
        • Morand J.J.
        Overview of teledermatology in low-resource settings.
        Med Sante Trop. 2015; ([published online ahead of print October 8, 2015])
        • Landow S.M.
        • Oh D.H.
        • Weinstock M.A.
        Teledermatology within the Veterans Health Administration, 2002–2014.
        Telemed J E Health. 2015; 21: 769-773
        • Hubiche T.
        • Valerio L.
        • Boralevi F.
        • et al.
        Visualization of patients' skin lesions on their smartphones: A new step during dermatology visits.
        JAMA Dermatol. 2015; ([published online ahead of print October 7, 2015])
        • Chang A.L.
        • Wong J.W.
        • Endo J.O.
        • Norman R.A.
        Geriatric dermatology review: Major changes in skin function in older patients and their contribution to common clinical challenges.
        J Am Med Dir Assoc. 2013; 14: 724-730
        • Volicer L.
        Nursing home telepsychiatry.
        J Am Med Dir Assoc. 2015; 16: 7-8
        • Jones A.M.
        • Shealy K.M.
        • Reid-Quiñones K.
        • et al.
        Guidelines for establishing a telemental health program to provide evidence-based therapy for trauma-exposed children and families.
        Psychol Serv. 2014; 11: 398-409
        • O'Reilly R.
        • Bishop J.
        • Maddox K.
        • et al.
        Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial.
        Psychiatr Serv. 2007; 58: 836-843
        • Harrell K.M.
        • Wilkins S.S.
        • Connor M.K.
        • Chodosh J.
        Telemedicine and the evaluation of cognitive impairment: The additive value of neuropsychological assessment.
        J Am Med Dir Assoc. 2014; 15: 600-606
        • Martin-Khan M.
        • Flicker L.
        • Wootton R.
        • et al.
        The diagnostic accuracy of telegeriatrics for the diagnosis of dementia via video conferencing.
        J Am Med Dir Assoc. 2014; 13 (487.e19–e24)
        • Anguish I.
        • Locca J.F.
        • Bula C.
        • et al.
        Pharmacologic treatment of behavioral and psychological symptoms of dementia in nursing homes: Update of the 2008 JAMDA recommendations.
        J Am Med Dir Assoc. 2015; 16: 527-532
        • Brodaty H.
        • Connors M.H.
        • Xu J.
        • et al.
        The course of neuropsychiatric symptoms in dementia: A 3-year longitudinal study.
        J Am Med Dir Assoc. 2015; 16: 380-387
        • Thompson Coon J.
        • Abbott R.
        • Rogers M.
        • et al.
        Interventions to reduce inappropriate prescribing of antipsychotic medications in people with dementia residents in care homes: A systematic review.
        J Am Med Dir Assoc. 2014; 15: 706-718
        • Zwijsen S.A.
        • Smalbrugge M.
        • Eefsting J.A.
        • et al.
        Coming to grips with challenging behavior: A cluster randomized controlled trial on the effects of a multidisciplinary care program for challenging behavior in dementia.
        J Am Med Dir Assoc. 2014; 15 (531.e1–e10)
        • Liperoti R.
        • Landi F.
        The management of behavioral and psychological symptoms of dementia: The need for tailored interventions.
        J Am Med Dir Assoc. 2013; 14: 306-307
        • Catic A.G.
        • Mattison M.L.
        • Bakaev I.
        • et al.
        ECHO-AGE: An innovative model of geriatric care for long-term care residents with dementia and behavioral issues.
        J Am Med Dir Assoc. 2014; 15: 938-942
        • DeLuca R.
        • Bramanti A.
        • De Cola M.C.
        • et al.
        Tele-health-care in the elderly living in nursing home: The first Sicilian multimodal approach.
        Aging Clin Exp Res. 2015; ([published online ahead of print September 29, 2015])
        • Ramos-Rios R.
        • Mateos R.
        • Lojo D.
        • et al.
        Telepsychogeriatrics: A new horizon in the care of mental health problems in the elderly.
        Int Psychogeriatr. 2012; 24: 1708-1724
        • Snowden J.
        Mental health service delivery in long-term care homes.
        Int Psychogeriatr. 2010; 22: 1063-1071
        • Yeung A.
        • Johnson D.P.
        • Trinh N.H.
        • et al.
        Feasibility and effectiveness of telepsychiatry services for Chinese immigrants in a nursing home.
        Telemed J E Health. 2009; 15: 336-341
        • Thakur M.
        • Blazer D.G.
        Depression in long-term care.
        J Am Med Dir Assoc. 2008; 9: 82-87
        • Chan S.
        • Parish M.
        • Yellowlees P.
        Telepsychiatry today.
        Curr Psychiatry Rep. 2015; 17: 89
        • Egede L.E.
        • Acierno R.
        • Knapp R.G.
        • et al.
        Psychotherapy for depression in older veterans via telemedicine: A randomized, open-label, non-inferiority trial.
        Lancet Psychiatry. 2015; 2: 693-701
        • Agboola S.O.
        • Ju W.
        • Elfiky A.
        • et al.
        The effect of technology-based interventions on pain, depression, and quality of life in patients with cancer: A systematic review of randomized controlled trials.
        J Med Internet Res. 2015; 17: e65
        • Titov N.
        • Dear B.F.
        • Ali S.
        • et al.
        Clinical and cost-effectiveness of therapist-guided Internet-delivered cognitive behavior therapy for older adults with symptoms of depression: A randomized controlled trial.
        Behav Ther. 2015; 46: 193-205
        • Christiansen H.
        • Batterham P.
        • Mackinnon A.
        • et al.
        Prevention of generalized anxiety disorder using a web intervention, iChill: Randomized controlled trial.
        J Med Internet Res. 2014; 16: e199
        • Berg-Weger M.
        • Tebb S.
        • Henderson-Kalb J.
        • et al.
        Cognitive stimulation therapy: A tool for your practice with persons with dementia?.
        J Am Med Dir Assoc. 2015; 16: 795-796
        • D'Amico F.
        • Rehill A.
        • Knapp M.
        • et al.
        Maintenance cognitive stimulation therapy: An economic evaluation within a randomized controlled trial.
        J Am Med Dir Assoc. 2015; 16: 63-70
        • Morley J.E.
        • Cruz-Oliver D.M.
        Cognitive stimulation therapy.
        J Am Med Dir Assoc. 2014; 15: 689-691
        • Loraine J.
        • Taylor S.
        • McAllister M.
        Cognitive and physical stimulation therapy.
        J Am Med Dir Assoc. 2014; 15: 140-141
        • Huang H.C.
        • Chen Y.T.
        • Chen P.Y.
        • et al.
        Reminiscence therapy improves cognitive functions and reduces depressive symptoms in elderly people with dementia: A meta-analysis of randomized controlled trials.
        J Am Med Dir Assoc. 2015; 16: 1087-1094
        • Wingbermuehle C.
        • Bryer D.
        • Berg-Weger M.
        • et al.
        Baseball reminiscence league: A model for supporting persons with dementia.
        J Am Med Dir Assoc. 2014; 15: 85-89
        • van Boegart P.
        • Van Grinsven R.
        • Tolson D.
        • et al.
        Effects of SolCos model-based individual reminiscence on older adults with mild to moderate dementia due to Alzheimer disease: A pilot study.
        J Am Med Dir Assoc. 2013; 14 (528.e9–e13)
        • Onder G.
        • Marengoni A.
        • Russo P.
        • et al.
        Advanced age and medication prescription: More years, less medications? A nationwide report from the Italian Medicines Agency.
        J Am Med Dir Assoc. 2015; ([published online ahead of print September 30, 2015])
        • Cherubini A.
        • Corsonello A.
        • Lattanzio F.
        Polypharmacy in nursing home residents: What is the way forward?.
        J Am Med Dir Assoc. 2016; 17: 4-6
        • Jokanovic N.
        • Tan E.C.
        • Dooley M.J.
        • et al.
        Prevalence and factors associated with polypharmacy in long-term care facilities: A systematic review.
        J Am Med Dir Assoc. 2015; 16 (535.e1–e12)
        • Morley J.E.
        Inappropriate drug prescribing and polypharmacy are major causes of poor outcomes in long-term care.
        J Am Med Dir Assoc. 2014; 15: 780-782
        • Cool C.
        • Cestac P.
        • Laborde C.
        • et al.
        Potentially inappropriate drug prescribing and associated factors in nursing homes.
        J Am Med Dir Assoc. 2014; 15 (850.e1–e9)
        • Tamura B.K.
        • Bell C.L.
        • Masaki K.H.
        • Amella E.J.
        Factors associated with weight loss, low BMI, and malnutrition among nursing home patients: A systematic review of the literature.
        J Am Med Dir Assoc. 2013; 14: 649-655
        • Soenen S.
        • Chapman I.M.
        Body weight, anorexia, and undernutrition in older people.
        J Am Med Dir Assoc. 2013; 14: 642-648
        • Morley J.E.
        Anorexia of aging: A true geriatric syndrome.
        J Nutr Health Aging. 2012; 16: 422-425
        • Volicer L.
        • Frijters D.H.
        • van der Steen J.T.
        Apathy and weight loss in nursing home residents: Longitudinal study.
        J Am Med Dir Assoc. 2013; 14: 417-420
        • Morley J.E.
        Frailty screening comes of age.
        J Nutr Health Aging. 2014; 18: 453-454
        • Morley J.E.
        • Malmstrom T.K.
        • Miller D.K.
        A simple frailty questionnaire (FRAIL) predicts outcomes in middle-aged African Americans.
        J Nutr Health Aging. 2012; 16: 601-608
        • Cao L.
        • Chen S.
        • Zou C.
        • et al.
        A pilot study of the SARC-F scale on screening sarcopenia and physical disability in the Chinese older people.
        J Nutr Health Aging. 2014; 18: 277-283
        • Yamada M.
        • Arai H.
        Predictive value of frailty scores for healthy life expectancy in community-dwelling older Japanese adults.
        J Am Med Dir Assoc. 2015; 16 ([published online ahead of print September 15, 2015]): 1002.e7-1002.e11
        • Chen L.K.
        • Liu L.K.
        • Woo J.
        • et al.
        Sarcopenia in Asia: Consensus report of the Asian Working Group for Sarcopenia.
        J Am Med Dir Assoc. 2014; 15: 95-101
        • Morley J.E.
        • von Haehling S.
        • Anker S.D.
        • Vellas B.
        From sarcopenia to frailty: A road less traveled.
        J Cachexia Sarcopenia Muscle. 2014; 5: 5-8
        • Woo J.
        • Leung J.
        • Morley J.E.
        Defining sarcopenia in terms of incident adverse outcomes.
        J Am Med Dir Assoc. 2015; 16: 247-252
        • Mijnarends D.M.
        • Schols J.M.
        • Meijers J.M.
        • et al.
        Instruments to assess sarcopenia and physical frailty in older people living in a community (care) setting: Similarities and discrepancies.
        J Am Med Dir Assoc. 2015; 16: 301-308
        • Cederholm T.
        • Morley J.E.
        Sarcopenia: The new definitions.
        Curr Opin Clin Nutr Metab Care. 2015; 18: 1-4
        • Kojima G.
        Prevalence of frailty in nursing homes: A systematic review and meta-analysis.
        J Am Med Dir Assoc. 2015; 16: 940-945
        • Morley J.E.
        • Adams E.V.
        Rapid Geriatric Assessment.
        J Am Med Dir Assoc. 2015; 16: 808-812
        • Morley J.E.
        Aging successfully: The key to aging in place.
        J Am Med Dir Assoc. 2015; 16: 1005-1007
        • Shah M.N.
        • Wasserman E.B.
        • Gillespie S.M.
        • et al.
        High-intensity telemedicine decreases emergency department use for ambulatory care sensitive conditions by older adult senior living community residents.
        Am J Dir Assoc. 2015; 16: 1005-1007
        • Grabowski D.C.
        • O'Malley A.J.
        Use of telemedicine can reduce hospitalizations of nursing home residents and generate savings for Medicare.
        Health Aff (Millwood). 2014; 33: 244-250
        • Stevens S.
        Preventing 30-day readmissions.
        Nurs Clin North Am. 2015; 50: 123-137
        • Katz P.R.
        • Resnick B.
        • Ouslander J.G.
        Requiring on-site evaluation in the nursing home before hospital transfer: Is this proposed CMS rule change feasible and safe?.
        J Am Med Dir Assoc. 2015; 16: 801-803
        • Ouslander J.G.
        • Handler S.M.
        Consensus-derived interventions to reduce acute care transfer (INTERACT)-compatible order sets for common conditions associated with potentially avoidable hospitalizations.
        J Am Med Dir Assoc. 2015; 16: 524-526
        • Merrell R.C.
        • Doarn C.R.
        Geriatric telemedicine.
        Telemed J E Health. 2015; 21: 767-768
        • Loh P.K.
        • Flicker L.
        • Horner B.
        Attitudes toward information and communication technology (ICT) in residential aged care in Western Australia.
        J Am Med Dir Assoc. 2009; 10: 408-413
        • Cimperman M.
        • Brencic M.M.
        • Trkman P.
        • Stanonik M.L.
        Older adults' perceptions of home telehealth services.
        Telemed J E Health. 2013; 19: 786-790
        • Koru G.
        • Alhuwail D.
        • Topaz M.
        • et al.
        Investigating the challenges and opportunities in home care to facilitate effective information technology adoption.
        J Am Med Dir Assoc. 2016; 17: 53-58
        • Rantz M.J.
        • Skubic M.
        • Miller S.J.
        • et al.
        Sensor technology to support aging in place.
        J Am Med Dir Assoc. 2013; 14: 386-391
        • Morley J.E.
        • Caplan G.
        • Cesari M.
        • et al.
        International survey of nursing home research priorities.
        J Am Med Dir Assoc. 2014; 15: 309-312
        • Rolland Y.
        • Tolson D.
        • Morley J.E.
        • Vellas B.
        The International Association of Gerontology and Geriatrics (IAGG) nursing home initiative.
        J Am Med Dir Assoc. 2014; 15: 307-308
        • Tolson D.
        • Rolland Y.
        • Andrieu S.
        • et al.
        International Association of Gerontology and Geriatrics: A global agenda for clinical research and quality of care in nursing homes.
        J Am Med Dir Assoc. 2011; 12: 184-189