Screening Tests for Nursing Home Patients

Anthony L. Komaroff, MD
JAMA. 1987;258(14):1941. doi:10.1001/jama.1987.03400140103038.
Text Size: A A A
Published online

Approximately 1.5 million individuals are cared for in more than 18 000 nursing homes in the United States. The number is expected to double in the next ten to 20 years. Admission to a nursing home is a wrenching change for any patient, a change often made more devastating by an interruption in the continuity of medical care. It is uncommon for the patient's previous physician to follow the patient into the nursing home. Furthermore, a well-organized summary of past medical care does not often accompany the patient to the nursing home. Finally, in many nursing homes the initial evaluation by the new physician is often brief. As Golodetz1 has pointed out, the examination often fails to focus on the chief problems of functioning in the elderly: it does not include a detailed evaluation of the musculoskeletal system or assessment of cognition, the functioning of the special senses, or


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.