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Where to declare poor nursing home care
James W Jones, Laurence B McCullough. Journal of vascular surgery, 2009-07-26
Topic: Health services, long-term care and technology
You have been called to the emergency room to evaluate an elderly nursing home patient sent for consultation who has ischemic gangrene of the right foot. The patient has vasculopathy, has diabetes, and suffers from moderately advanced dementia. The leg ischemia has been severe and the patient had complained repeatedly but was largely ignored. Both heels have ulcerations. A primary care physician usually visits monthly and charged Medicare for a comprehensive visit 2 weeks ago. The facility nurse sent the patient for medical evaluation after his moaning kept other residents from sleeping. He is known only to have an elderly distant cousin. This type of situation has been seen repeatedly from this particular nursing home. What should you do? A. Report the physician to the state medical board. B. Do nothing. You will waste your time and accomplish nothing. C. Encourage the cousin to sue. D. Report the nursing home to the appropriate state agency. E. Call the local newspaper.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Jones, J. W., & McCullough, L. B. (2009). Where to declare poor nursing home care. Journal of vascular surgery. https://doi.org/10.1016/j.jvs.2009.07.003
Vancouver
Jones JW, McCullough LB. Where to declare poor nursing home care. Journal of vascular surgery. 2009. doi:10.1016/j.jvs.2009.07.003. PMID: 19632805.
BibTeX
@article{jones2009-19632805,
author = {Jones, James W and McCullough, Laurence B},
title = {{Where to declare poor nursing home care}},
journal = {Journal of vascular surgery},
year = {2009},
doi = {10.1016/j.jvs.2009.07.003},
pmid = {19632805},
url = {https://doi.org/10.1016/j.jvs.2009.07.003}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- He is known only to have an elderly distant cousin.
- This type of situation has been seen repeatedly from this particular nursing home.
- Report the physician to the state medical board.
- You will waste your time and accomplish nothing.
- Report the nursing home to the appropriate state agency.
Study details
- Evidence strengthLow
How this study scored 38/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 21 of the 56 points we could judge it on, which is 38 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of vascular surgery) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2009 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 19632805) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 21 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 21 of the 56 points we could judge it on is 38 out of 100. |
| Total | 38 / 100 | — |
What each of these 20 components measures, and what this score is not →
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