Geriatric Assessment Tools & Readings

Assessment Instruments

ADL's/IADL's (English) ADL's/IADL's (Spanish)	Hospice Eligibility Criteria
CLOX	Mini-COG
Geriatric Depression Scale	Mini-Mental State Examination
FAST Scale	Pain Management Guide Card
Hearing Handicap Inventory for the Elderly (HHIE)	Tinetti Gait & Balance Score

 

Guidelines

• CHART: Parenteral Drugs for Treatment of Hypertensive Emergencies

 

Geriatric Recommended Readings

Medicine

Anticoagulation Guidelines

• "Warfarin Therapy : Evolving Strategies in Anticoagulation", Jon D. Horton, PharmD. and Bruce M. Bushwick,MD.; York Hospital, York, Pennsylvania.

Coronary Disease

• COMMENTARY: "Approach to symptomatic coronary disease in the elderly: Time to change?", The Lancet, Volume 358, September 22, 2001.

Dehydration

• "Hyponatremia and Hypernatremia in the Elderly", John P. Kugler, Col, MC, USA and Thomas Hustead, CPT, MC, USA. Dewitt Army Community Hospital, Fort Belvoir, Virginia. AAFP's America Family Physician, Vol. 61/No. 12, June 15, 2000.

Hypertension

• "Treatment of Hypertension in Patients 80 Years of Age or Older", Nigel S. Beckett, M.B., Ch.B., Ruth Peters, Ph.D., Astrid E. Fletcher, Ph.D., Jan A. Staessen, M.D., Ph.D., Lisheng Liu, M.D., Dan Dumitrascu, M.D., Vassil Stoyanovsky, M.D., Riitta L. Antikainen, M.D., Ph.D., Yuri Nikitin, M.D., Craig Anderson, M.D., Ph.D., Alli Belhani, M.D., Françoise Forette, M.D., Chakravarthi Rajkumar, M.D., Ph.D., Lutgarde Thijs, M.Sc., Winston Banya, M.Sc., and Christopher J. Bulpitt, M.D., for the HYVET Study Group; The New England Journal of Medicine, Vol. 358: No. 18, May 1, 2008.

Infection

• "Clostridium difficile - More Difficult Than Ever ", Ciaran P. Kelly, MD and J. Thomas LaMont, MD; Gastroenterology Division, Dept. of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical Schools; The New England Journal of Medicine, Vol. 359: No. 18, October 30, 2008.

• "Infections in Residents of Nursing Homes", Catharina Mathei, MD, PhD, Luc Niclaes, MD, Carl Suetens, MD, PhD, Beatrice Jans, Frank Buntinz, MD, PhD; Dept. of Gen. Practice, KU Leuven, Belgium, Dept. of Epidemiology, Scientific Institute of Public Health, Brussels, Belgium. Infectious Disease Clinics of North America, 21 (2007), 761-772.
  
  
• "Clinical Practice Guidelines for the Evaluation of Fever and Infection in Older Adult Residents of Long-Term Care Facilities: 2008 Update by the Infectious Diseases Society of America", Kevin P. High, MD, MS, Suzanne F. Bradley, MD, Stefan Gravenstein, MD, David R. Mehr, MD, Vincent J. Quagliarello, MD, Chesley Richards, MD and Thomas T. Yoshikawa, MD. Journal of the American Geriatrics Society, March 2009, Vol.57, No. 3

Osteoporosis

• "Diagnosis and Treatment of Osteoporosis", Mary Gayle Sweet, MD; Jon M. Sweet, MD; Michael P. Jeremiah, MD; Sim S. Galazka, MD; American Family Physician, Volume 79, Number 3, February 1, 2009.
  
  
• "Osteoporosis in elderly: Prevention and Treatment", Manish Srivastava, MD (a), Chad Deal, MD (b) ; (a) Section of Geriatric Medicine, A91 Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA; (b) Center for Osteoporosis and Metabolic Bone Disease, Cleveland Clinic Foundation, A50, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Parkinson's Disease

• " Parkinsonian Features, When Are They Parkinson Disease?", Irene Litvan, MD; Contempo 1998, Updates Linking Evidence and Experience.
  
  
• "Upate on Parkinson's Disease", Rosabel Young, MD, MS; King-Drew Medical Center, Los Angeles, California. AAFP's America Family Physician, Vol. 59/No. 8, Apr. 15, 1991.

Polymyalgia Rheumatica and TA

• "Polymyalgia Rheumatica and Giant Cell Arteritis", Carlos Alvarani, MD,; Fabrizio Cantini, MD; Luigi Boiardi, MD, PhD; and Gene G. Hunder, MD.

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GERIATRIC SYNDROMES

• "Geriatric Syndromes: Clinical, Research, and Policy Implications of a Core Geriatric Concept", Sharon K. Inouye, MD, MPH, Stephanie Studenski, MD, Mary E. Tinetti, MD and George A. Kuchel, MD. Journal of the American Geriatrics Society, MAY 2007–VOL. 55, NO. 5; 780-791.

Constipation

• "Constipation & Fecal Incontinence in the Elderly Population", Yvonne Romero, MD, Jonathan M. Evans, MD, Kevin C. Fleming, MD, and Sydney F. Phillips, MD. Mayo Foundation for Medical Education and Research, Symposium on Geriatrics, Part VII, 1996, Vol 71, pp 81-92.

Delirium

• "Delirium", Ondria C. Gleason, MD, University of Oklahoma College of Medicine, Tulsa, Oklahoma.
  
  
• "Delirium in Hospitalized Older Patients", Sharon K. Inouye, MD, MPH, Acute Hospital Care, Clinics in Geriatric Medicine, Volume 14, No. 4, November 1998.

Dementia

• "Early Diagnosis of Dementia", Karen S. Santacruz, MD and Daniel Swagerty, MD, MPH, University of Kansas Medical Center, Kansas City, Kansas. AAFP's America Family Physician, Vol. 63/No. 4, Feb. 15, 2001.
  

• "Essentials of the Proper Diagnoses of Mild Cognitive Impairment, Dementia, and Major Subtypes of Dementia", David S. Knopman, MD, Bradley F. Boeve, MD and Ronald C. Peterson, Phd, MD. Mayo Clinical Procedures, Mayo Foundation for Medical Education and Research 2003; 78:1290-1308.
  
  
• "Initial Evaluation of the Patient with Suspected Dementia", Alan M. Adelman, MD, MS and Mel P. Daly, MD. AAFP's American Family Physician, Vol. 71/No.9, May 1, 2005.
  
  
• "Dementia with Lewy Bodies: An emerging Disease", Doug Neef, MD and Anne D. Walling, MB, CH.B. AAFP's America Family Physician, Vol. 71/No. 9, May 1, 2005.
  
  
• "Mild Cognitive Impairment in older people", Alistari Burns, Michael Zaudig.

• "Behavior Disorders of Dementia: Recognition and Treatment", Abi V. Rayner, MD, MPH, James G. O'Brien, MD and Ben Schoenbachler, MD'; University of Louisville School of Medicine, Louisville, Kentucky. American Family Physician, Vol. 73, Number 4, February 15, 2006.

Frality

• "Geriatric Failure to Thrive", Russell G. Robertson, MD and Marcos Montagnini, MD, Medical College of Wisconsin, Milwaukee, Wisconsin. AAFP's American Family Physician, Vol. 70/No. 2, July 15, 2004.
  

• "Frailty in older adults: Insights and Interventions", Sara Espinoz, MD and Jeremy D. Walston, MD; Cleveland Clinical Journal of Medicine, Vol. 72/No. 12, December 2005.

Falls in the Elderly

• "Falls in the Elderly", George F. Fuller, Col, MC, USA, White House Medical Clinic, Washington, DC. AAFP American Family Physician, Vol6/No 7, April 1, 2000.

• "Preventing Falls in Elderly Persons", Mary E. Tinetti, MD. The New England Journal of Medicine, 348;1, January 2, 2003.
  
  
• "Prevention of Falls in Older Patients", Shobha S. Rao, MD, University of Texas Southwestern, Dallas, TX; AAFP's American Family Physician, Vol. 72/No. 1, July 1, 2005.

Incontinence

• "Diagnostic Evaluation of Urinary Incontinence in Geriatric Patients", Barry D. Weiss, MD; University of Texas Health Science Center at San Antonio, San Antonio, Texas. AAFP's American Family Physician, Vol. 57/No. 11, June 1998.

Polypharmacy

• Antipsychotics in Elderly :"Pharmacological Treatment of Neuropsychiatric Symptoms of Dementia, A Review of Evidence", Kaycee M. Sink, MD; Karen F. Holden, MD; Kristine Yaffe, MD.
  
  
• "Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults", Donna M. Fick, PhD, RN; James W. Cooper, PhD, RPh; William E. Wade, PharmD, FASHP, FCCP; Jennifer L. Waller, PhD; J. Ross Maclean, MD; Mark H. Beers, MD. Arch Intern Medicine 2003; 163:2716-2724.
  
  
• "Approaches to Appropriate Drug Prescribing for the Older Adult", Kim Petrone, MD, Paul Katz, MD, CMD; St. Ann’s Community, 1600 Portland Avenue, Rochester, NY 14621, USA, University of Rochester School of Medicine, Monroe Community Hospital, 435 East Henrietta Road, Rochester, NY 14620, USA. Primary Care Clinics in Office Practice 32 (2005); 755-775.

Pressure Ulcers

• "Diabetic Foot Ulcers: Pathogenics and Management", Robert G. Frykberg, DPM, MPH; Des Moines University, Des Moines, Iowa. AAFP's America Family Physician, Vol. 66/No. 9, Nov. 1, 2002.
  
  
• "Pressure Ulcer Prevention & Management", Courtney H. Lyder, MD.

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FUNCTION

• "Practical Functional Assessment of Elderly Persons: A Primary-Care Approach", Fleming, Kevin C., MD; Evans, Jonathan M., MD; Weber, David C., MD, Chutka, Darryl S., MD. Mayo Foundation for Medical Education and Research, Symposium on Geriatrics, 1995, Vol 70(9), Sept. 1995, pp 890-910.

Preventable Injuries

• "Preventable Medical Injuries in Older Patients", Jeffery M. Rothschild, MD, MPH; David W. Bates, MD, MSc; Lucian L. Leape, MD.

Principles of Rehabilitation

• "Principles of Rehabilitation in Older Patients", Stephanie A. Studenski; Pamela Duncan; Joseph H. Maino.

 

ADVANCED PLANNING/END OF LIFE

• End of Life / Palliative Education Resource Center (EPERC) - Fast Facts Index
  Fast Facts and Concepts" is a series of peer-reviewed, one-page outlines of key information on important end-of-life clinical topics for educators and clinicians. The Fast Facts series is produced by the End-of-Life Physician Education Resource Center www.eperc.mcw.edu.
  
  
• "Cultural Diversity at the End of Life: Issues and Guidelines for Family Physicians", H. Russell Searight, PhD, MPH and Jennifer Gafford, PhD; Forest Park Hospital Family Medicine Residency program, St. Louis, Missouri. AAFP's America Family Physician, Vol. 71/No. 3, Feb. 1, 2005.
  
  
• "Making Decisions with Families at the End of Life", Forrest Lang, MD; East Tennessee State University, Johnson City, TN and Timothy Quill, MD; University of Rochester School of Medicine and Denistry, Rochester, NY. AAFP's America Family Physician, Vol. 70/No. 4, Aug. 15, 2004.
  
  
• "Can the Patient Decide? Evaluating Patient Capaciy in Practice", Marc Tunzi, MD; Natividad Medical Center, Salinas, California. AAFP's America Family Physician, Vol. 64/No. 2, July 15, 2001.

• "The Role of the Family Physician in the Referral and Management of Hospice Patients", Michelle T. Weckmann, MD, MS; University of Iowa Hospitals and Clinics, Iowa City, Iowa. American Family Physician, Volume 77, Number 6, March 15, 2008.
  
  
• "Pharmacologic Pearls for End-of-Life Care", Patrick Clary, MD; Exeter Hospital, Exeter, New Hampshire; Philip Lawson, MD; Ammonoosuc Community Health Services & Littleton Regional Hospital, Littleton, New Hampshire. America Family Physician, Volume 79, Number 12, June 15, 2009.
  

INPATIENT CARE

• "Caring for Hospitalized Elderly, Current Best Practices & New Horizons", A Speical Supplement to The Hospitalist, Society of Hospital Medicine.
  
  
• "Delirium in Hospitalized Older Patients", Sharon K. Inouye, MD, MPH, Acute Hospital Care, Clinics in Geriatric Medicine, Volume 14, No. 4, November 1998.
  
  
• "Diagnosis and Treatment of Community-Acquired Pneumonia", M. Nawal Lutfiyya, PhD; Eric Henely, MD, MPH; Linda F. Chang, PharmD, MPH, BCPS; Stephanie Wessel Reyburn, MD, MPH; American Family Physician, Volume 73, Number 3, February 1, 2006.
  
  
• "Aortic Stenosis: Diagnosis and Treatment", Brian H. Grimard, MD and Jan M. Larson, MD; American Family Physician, Volume 78, Number 6, September 15, 2008.

 

LONG TERM CARE

Ethical & Legal Responsibilites

• "Responsibilities of Attending Physicians in Long-Term Care Facilities", Jacob Dimant, MD, CMD; Medical Management, JAMDA; July/August 2002.
  
  
• "Criminal & Civil Liability of Physicians for Institutional Elder Abuse & Neglect"; Marshall B.Kapp, JD, MPH, FCLM; Supplemental, JAMDA; March/April 2002.

Fever Eval uation Guidelines

• "Practice Guideline for Evaluation of Fever and Infection in Long-Term Care Facilities", David M. Bentley; 1 Suzanne Bradley; 2 Kevin High; 4 Stephen Shoenbaum; 3,7 George Taler; 5 and Thomas T. Yoshikawa 6.

Nursing Home Care

• "Nursing Home Care", Joseph G. Ouslander; John F. Schnelle.

• "Infections in Residents of Nursing Homes", Catharina Mathei, MD, PhD, Luc Niclaes, MD, Carl Suetens, MD, PhD, Beatrice Jans, Frank Buntinz, MD, PhD; Dept. of Gen. Practice, KU Leuven, Belgium, Dept. of Epidemiology, Scientific Institute of Public Health, Brussels, Belgium. Infectious Disease Clinics of North America, 21 (2007), 761-772.

• "Clinical Practice Guidelines for the Evaluation of Fever and Infection in Older Adult Residents of Long-Term Care Facilities: 2008 Update by the Infectious Diseases Society of America", Kevin P. High, MD, MS, Suzanne F. Bradley, MD, Stefan Gravenstein, MD, David R. Mehr, MD, Vincent J. Quagliarello, MD, Chesley Richards, MD and Thomas T. Yoshikawa, MD. Journal of the American Geriatrics Society, March 2009, Vol.57, No. 3

Subacute Skilled Nursing Facilty Care

• "Subacute Care", Catherine H. Messick.

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