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family medicine, primary care, nursing home medicine, long term care, geriatrics

Julie N Thai, Louise C Walter, Catherine Eng, Alexander K Smith
BACKGROUND: To explore clinician choice of whether to discuss prognosis with their frail older patients. DESIGN: Qualitative interview study. SETTING: Primary care clinicians were recruited from nursing homes, community-based clinics, and academic medical centers. PARTICIPANTS: Three geriatric nurse practitioners, nine geriatricians, five general internists, and three family medicine physicians with a mean age of 44 and a mean 12 years in practice...
February 2013: Journal of the American Geriatrics Society
D W Bentley, S Bradley, K High, S Schoenbaum, G Taler, T T Yoshikawa
The elderly population (i.e., persons aged > or = 65 years) in the United States is rapidly expanding and will nearly double in number over the next 30 years. It is estimated that >40% of persons aged > or = 65 years will require care in a long-term care facility (LTCF), such as a skilled nursing facility (SNF), at some point during their lifetime. For the most part, residents of LTCFs are very old and have age-related immunologic changes, chronic cognitive and/or physical impairments, and diseases that alter host resistance; therefore, they are highly susceptible to infections and their complications...
February 2001: Journal of the American Geriatrics Society
M J Levinson, J Musher
The majority of community-based nursing facilities in the United States have part-time medical directors whose basic training is either in primary care, internal medicine, or family practice. Some medical directors have a Certificate of Added Qualification in Geriatric Medicine. Very few have received formal training in medical direction in long-term care. This article presents information on the demographics of community medical staffs and medical directors, administrative and medical staff relationships, committee responsibilities, policies and procedures, teaching and research, community activities, and resources of value that should enhance the ability of part-time medical directors to perform more effectively and increase the knowledge of other health professionals about the complex role of the medical director in community-based nursing facilities...
August 1995: Clinics in Geriatric Medicine
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