New horizons in care home medicine

Age and Ageing
Eileen Burns, Sherena Nair

Abstract

Care home medicine has been an under-researched area, but over the last decade there has been a substantial growth in publications. Most of these have focused on the 'geriatric giants' of falls, incontinence and mental health issues (especially dementia, behavioural disturbance and depression) as well as other key topics such as medication use and issues related to death and dying. Other areas of recent interest are around access to health services for care home residents, how such services may most effectively be developed and how the quality of life for residents can be enhanced. While many of the reported studies are small and not always well designed, evidence in several areas is emerging which begins to guide service developments. A common theme is that multi-disciplinary interventions are the most effective models of delivery. The role of care home staff as members of these teams is key to their effectiveness. Recent consensus guidelines around falls prevention in care homes synthesise the evidence and recommend multi-disciplinary interventions, and clarify the role of vitamin D and of exercise in certain populations in the care home. The benefits of pharmacist led medication reviews are beginning to emerge; although stud...Continue Reading

References

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Citations

Apr 3, 2016·Clinical Medicine : Journal of the Royal College of Physicians of London·Jennifer K HarrisonTerence J Quinn
May 9, 2015·Journal of the American Medical Directors Association·Kenneth RockwoodSusan E Howlett
May 18, 2016·BMJ Supportive & Palliative Care·Rebecca J PatrickCharles Wellman
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Nov 29, 2020·International Journal of Clinical Pharmacy·N Molist-BrunetJ Espaulella-Panicot
Sep 4, 2018·Journal of the American Medical Directors Association·Robert Oliver BarkerBarbara Hanratty

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