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Type: Conference paper
Title: Evidence rocks in long-term care, but does it roll?
Author: Levenson, S.
Morley, J.
Citation: Proceedings of the 30th Annual Symposium of the American Medical Directors Association (AMDA 2007), as published in Journal of the American Medical Directors Association, 2007 / vol.8, iss.8, pp.493-501
Publisher: Elsevier
Publisher Place:
Issue Date: 2007
ISSN: 1525-8610
Conference Name: 30th Annual Symposium of the American Medical Directors Association (AMDA 2007) (29 Mar 2007 - 30 Mar 2007 : Hollywood, FL)
Statement of
Steven A. Levenson, and John E. Morley
Abstract: This article reviews the problems with the implementation of evidence-based care in long-term care. It highlights the fact that many common practices are incompatible with evidence and that available evidence, including evidence about inadvisable and ineffective treatments, is often not followed. Often, there is a tendency to follow recommendations for younger persons (for example, the management of hypertension and elevated cholesterol), or to use questionable interventions (for example, choices for treating constipation). In many cases, the treatments used have only marginal efficacy and increased potential for side effects. This article makes recommendations for improving the approach to evidence-based care in long-term care and strongly urges the FDA to require drug studies in nursing homes.
Keywords: Nursing home; quality improvement; evidence- based care; best practices; cholesterol; hypertension; constipation; Alzheimer’s disease
Rights: Copyright ©2007 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
RMID: 0030088003
DOI: 10.1016/j.jamda.2007.007.003
Appears in Collections:Medicine publications

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