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Evidence rocks in long-term care, but does it roll?
Steven A Levenson1, John E Morley
1Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO 63104, USA.
Journal of the American Medical Directors Association
|October 13, 2007
Summary
Implementing evidence-based care in long-term care facilities faces challenges, as common practices often contradict scientific evidence. Adherence to guidelines for effective treatments and avoiding ineffective ones remains a significant issue in geriatric care.
Area of Science:
- Geriatric Medicine
- Healthcare Policy
- Evidence-Based Practice
Background:
- Long-term care facilities often struggle with implementing evidence-based care.
- Numerous common practices in these settings are not aligned with current scientific evidence.
Purpose of the Study:
- To review the challenges in applying evidence-based care within long-term care settings.
- To identify discrepancies between common medical practices and established evidence.
- To advocate for improved evidence-based care and regulatory changes.
Main Methods:
- Review of current literature and common practices in long-term care.
- Analysis of evidence-based guidelines versus actual implementation.
- Identification of specific areas with problematic treatment choices.
Main Results:
- Many prevalent practices in long-term care are incompatible with scientific evidence.
- Evidence regarding inadvisable or ineffective treatments is frequently disregarded.
- Treatments used often have limited efficacy and increased risk of side effects, including inappropriate application of guidelines for younger populations.
Conclusions:
- There is a critical need to improve the adoption of evidence-based care in long-term care.
- Recommendations are made to enhance the approach to evidence-based practice in these facilities.
- The U.S. Food and Drug Administration (FDA) is urged to mandate drug studies specifically for nursing home populations.
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