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Lack of recognition and treatment of active problems in geriatric nursing home patients. (column)
Abstract
The underrecognition and lack of treatment of active problems in a 72-bed nursing home over a two-year period was studied. Forty-seven cases of therapeutic need without treatment or dosage-schedule change needed were identified via problem list, intensive drug regimen review, and physical and lab assessment of patients by a consulting pharmacist. In decreasing order, cases needed to treat high blood pressure (13), obstipation (10), symptomatic urinary tract infection (5), hypokalemia (4), osteoarthritic joint pain (4), chronic endogenous depression (4), glaucoma by history (2), persistent angina pectoris (2), seizure activity (2), and one case of ...
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