Nursing Home Residents Need Physicians' Services
Authors: Richard W. Besdine
Journal: Annals of Internal Medicine (1994)

Editorials1 April 1994Nursing Home Residents Need Physicians' ServicesRichard W. Besdine, MD, Laurence Z. Rubenstein, MD, and Christine Cassel, MDRichard W. Besdine, MDUniversity of Connecticut Health Center, Farmington, CT 06030. University of California, Los Angeles, Los Angeles, CA 90024. University of Chicago, Chicago, IL 60637., Laurence Z. Rubenstein, MDUniversity of Connecticut Health Center, Farmington, CT 06030. University of California, Los Angeles, Los Angeles, CA 90024. University of Chicago, Chicago, IL 60637., and Christine Cassel, MDUniversity of Connecticut Health Center, Farmington, CT 06030. University of California, Los Angeles, Los Angeles, CA 90024. University of Chicago, Chicago, IL 60637.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-120-7-199404010-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail "I am an 84-year-old woman. I have severe arthritis, and about 5 years ago, I broke my hip. As I look around this room, I see the pathetic ones (maybe the lucky ones) who have lost their minds, and the poor souls who should be out but nobody comes to get them, and the sick ones who are in pain. A doctor comes to see me once a month. He spends 3 to 5 seconds with me and then a few more minutes writing in the chart or joking with the nurses (My own doctor doesn't come to convalescent hospitals, ...References1. Ouslander JG, Osterweil D, Morley JE. Medical Care in the Nursing Home. New York: McGraw-Hill; 1992:1-2. Google Scholar2. Hing E. Use of nursing homes by the elderly: preliminary data from the 1985 National Nursing Home Survey. In: Advance Data from Vital and Health Statistics. (PHS) 87-1250. Hyattsville, MD: National Center for Health Statistics; 1987. Google Scholar3. Kemper P, Murtaugh CM. Lifetime use of nursing home care. N Engl J Med. 1991; 324:595-600. Google Scholar4. Manton KG. Mortality and life expectancy changes among the oldest old. In: Suzman R, Willis DP, Manton KG, eds. The Oldest Old. New York: Oxford University Press; 1992:157-82. Google Scholar5. Zedlewski SR, Barnes RO, Burt MK, McBride TD, Meyer J. The Needs of the Elderly in the 21st Century. Washington, DC: The Urban Institute; 1989. Google Scholar6. Doty PJ. The oldest old and the use of institutional long-term care from an international perspective. In: Suzman R, Willis DP, Manton KG, eds. The Oldest Old. New York: Oxford University Press; 1992:251-67. Google Scholar7. Levit KR, Lazenby HC, Cowan CA, Letsch SW. National health care expenditures: 1990. Health Care Financing Review. 1991; 13:29-54. Google Scholar8. Sonnenfeld ST, Waldo DR, Lemieux JA, McKusick DR. Projections of national health expenditures through the year 2000. Health Care Financing Review. 1991; 13:1-27. Google Scholar9. Katz PR, Karuza J, Parker M, Tarnove L. A national survey of medical directors. Journal of Medical Direction. 1992; 2:47-9. Google Scholar10. Ouslander JG, Osterweil D. Physician evaluation and management of nursing home residents. Ann Intern Med. 1994; 120:584-92. Google Scholar11. Ray WA, Federspiel CF, Baugh DK, Dodds S. Experience of a Medicaid nursing home entry cohort. Health Care Financing Review. 1989; 10:51-63. Google Scholar12. Liu K, Manton KG. The characteristics and utilization pattern of an admission cohort of nursing home patients (II). Gerontologist. 1984; 24:70-7. Google Scholar13. Besdine RW. The educational utility of comprehensive functional assessment in the elderly. J Am Geriatr Soc. 1983; 31:651-6. Google Scholar14. Applegate WB, Blass JP, Williams TF. Instruments for the functional assessment of older patients. N Engl J Med. 1990; 322:1207-14. Google Scholar15. American College of Physicians. Comprehensive functional assessment for elderly patients. Ann Intern Med. 1988; 109:70-2. Google Scholar16. National Institutes of Health Consensus Development Statement. Geriatric Assessment Methods for Clinical Decisionmaking. J Am Geriatr Soc. 1988; 36:342-7. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of Connecticut Health Center, Farmington, CT 06030. University of California, Los Angeles, Los Angeles, CA 90024. University of Chicago, Chicago, IL 60637.Corresponding Author: Linda Johnson White, Director, Scientific Policy, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106-1572. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPhysician Evaluation and Management of Nursing Home Residents Joseph G. Ouslander and Dan Osterweil Metrics Cited ByMedication Utilization in an Urban Homebound PopulationInsights from Students Following an Educational Rotation Through Dental GeriatricsThe Primary Care Physician's Role in Nursing Facility CareA Pilot Study of Usefulness of ClinicianâPatient Videoconferencing for Making Routine Medical Decisions in the Nursing HomeCaring for Elderly Long-Term Care Patients: Oral Health–Related Concerns and IssuesInteractive Video Specialty Consultations in Long-Term CareUniversity of Miami Division of Clinical Pharmacology Therapeutic Rounds: Medications Used to Treat Anorexia in the Frail ElderlyTHE USE OF ORAL NUTRITIONAL SUPPLEMENTS AND ANOREXIGENIC MEDICATIONS IN HOMEBOUND OLDER ADULTSCost of Anemia in the ElderlyEvolution of the needs of older personsPractice Guideline for Evaluation of Fever and Infection in Long-Term Care FacilitiesPractice Guideline for Evaluation of Fever and Infection in Long-Term Care FacilitiesGERIATRICS IN MANAGED CAREPractice Guideline for Evaluation of Fever and Infection in Long-Term Care FacilitiesHIV/AIDS and long-term care: A state perspectiveThe physician's role in directing long-term careInappropriate Medication Prescribing in Homebound Older AdultsEfforts to Improve Primary Care Delivery to Nursing Home ResidentsCultural Considerations of Death and Dying in the United StatesMedical Care of Nursing Home Residents 1 April 1994Volume 120, Issue 7Page: 616-618KeywordsAgingDisabilitiesElderlyGeriatric careGeriatricsHealth careMedical educationNursing homesPrimary care physiciansSleep Issue Published: 1 April 1994 CopyrightCopyright © 1994 by American College of Physicians. 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