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. 2021 Jan-Dec:12:21501327211044058.
doi: 10.1177/21501327211044058.

The Care-of-the-Elderly Health Guide

Jean A C Triscott  1 , Bonnie Dobbs  1 , Lesley Charles  1 , James Huang  1 , David Moores  1 , Peter George Jaminal Tian  1
Affiliations

The Care-of-the-Elderly Health Guide

Jean A C Triscott et al. J Prim Care Community Health. 2021 Jan-Dec.

Abstract

Introduction: The Evidence-Based Care of the Elderly Health Guide is a clinical guide with cross-references for care recommendations. This guide is an innovative adaptation of the Rourke Baby Record to support elderly care. In 2003, the guide was published with an endorsement from the Health Care-of-the-Elderly Committee of the College of Family Physicians of Canada. Since then, physicians have used the guide as a checklist and a monitoring tool for care to elderly patients.

Objective: We will update the 2003 Care-of-the-Elderly Health Guide with current published evidence-based recommendations.

Methods: This was a mixed methods study consisting of (1) the creation of a list of topics and corresponding guidelines or recommendations, (2) two focus group discussions among family physicians (n = 12) to validate the list for relevance to practice, and (3) a modified Delphi technique in a group of ten experts in Care of the Elderly and geriatrics to attain consensus on whether the guidelines/recommendations represent best practice and be included.

Results: The initial list contained 43 topics relevant to family practice, citing 49 published guidelines or recommendations. The focus group participants found the list of topics and guidelines potentially useful in clinical practice and emphasized the need for user-friendliness and clinical applicability. In the first online survey of the modified Delphi technique, 93% (63/66) of the references attained consensus that these represented standards of care. The other references (3/66) attained consensus in the second online survey. The final list contained 47 topics, citing 66 references.

Conclusion: The Care-of-the-Elderly Health Guide is a quick reference to geriatric care, reviewed for relevance by family physicians and a panel of experts. The Guide is intended to be used in primary care practice.

Keywords: care; care of the elderly; guidelines.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Phases of the study.
See this image and copyright information in PMC

References

    1. Triscott JA, Handfield-Jones RS, Bell-Irving KA, et al.. Evidence-based care of the elderly health-guide. Geriatr Today. 2003;6:36-42.
    1. Panagiotou L, Rourke LL, Rourke JT, Wakefield JG, Winfield D.Evidence-based well-baby care. part 1: overview of the next generation of the rourke baby record. Can Fam Physician. 1998;44:558-567. - PMC - PubMed
    1. Dent E, Kowal P, Hoogendijk EO.Frailty measurement in research and clinical practice: a review. Eur J Intern Med. 2016;31:3-10. - PubMed
    1. Isautier JMJ, Bosnić M, Yeung SSY, et al.. Validity of nutritional screening tools for community-dwelling older adults: a systematic review and meta-analysis. J Am Med Dir Assoc. 2019;20(10):1351.e13-1351.e25. - PubMed
    1. By the 2019 American Geriatrics Society Beers Criteria® Update Expert Panel. American geriatrics society 2019 updated AGS beers criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2019;67(4):674-694. - PubMed

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