1. Early Evaluation of Patients with Chest Pain

Milner KA, Funk M, Richards S, et al. Gender differences in symptom presentation associated with coronary heart disease. Am J Cardiol 1999; 84(4): 396-9.

Lewis WR, Amsterdam EA, Turnipseed S, et al. The immediate exercise testing of low risk patients with known coronary disease presenting to the emergency department with chest pain. J Am Coll Cardiol 1999; 33(7): 1843-7.

Brown DL, Schneider DL, Colbert R, Guss D. Influence of insurance coverage on delays in seeking emergency care in patients with acute chest pain. Am J Cardiol 1998; 82(3): 395-8.

Gaspoz JM, Lovis C, Green Y, et al. Do physicians modify their prehospital management of patients in response to a public campaign on chest pain?

2. Emergency Response to Stroke

Swor R, Rudoni RR. Developing effective emergency systems for stroke. Clin Neurosurg 1999; 45:64-73.

Berger C, Schwab S. Stroke--a medical emergency. Eur J Emerg Med 1999; 6(1): 61-9.

O'Donnell L, Ruhlandt R, Roberts C, Baer LJ. The growth and development of a research study: why stroke survivors wait so long. J Cardiovasc Nurs 1998; 13(1): 88-922.

Daley S, Braimah J, Sailor S, Klongable GL, et al. Education to improve stroke awareness and emergent response. J Neurosci Nurs. 1997; 29(6): 393-6.

3. Evaluating Fever in Elderly Patients

Orr PH, Nicholle LE, Duckworth H, et al. Febrile urinary infection in the institutionalized elderly. Am J Med 1996; 100(1): 71-7.

Gruber PJ, Silverman RA, Gottesfeld S, Flaster E. Presence of fever and leukocytosis in acute cholecystitis. Ann Emerg Med 1996; 28(3): 273-7.

AbuRahma AF, Saiedy S, Robinson PA, Boland JP, et al. Role of venous duplex imaging of the lower extremities in patients with fever of unknown origin. Surgery 1997; 121(4): 366-71.

Trivalle C, Chassagne P, Bouaniche M, Landrin, I, et al. Nosocomial febrile illness in the elderly: frequency, causes, and risk factors. Arch Intern Med 1998; 158(14): 1560-5.

1. Immunizations in the Elderly

Mullahy J. It'll only hurt a second? Microeconomic determinants of who gets flu shots. Health Econ 1999; 8(1): 9-24.

Gellin BG, Curlin GT, Rabinovich NR, LaMontagne JR. Adult immunization: principles and practice. Adv Intern Med; 44:327-52.

Alford DM. How do you carry out the Health People 2000 and the United States Preventive Services Task Force recommendations on immunizations, use of hormone replacement therapy, and prevention of incontinence in your older clients? J Gerontol Nurs. 1998; 24(10): 45-7.

Costa AJ, Gerson LW. Tetanus immunization status and predictors of immunity in older family practice outpatients. J Am Board Fam Pract 1998; 11(4): 315-7.

2. Dealing with Herpes Zoster

Levin MJ, Barber D, Goldblatt E, et al. Use of a live attenuated varicella vaccine to boost varicella-specific immune responses in seropositive people 55 years of age and older: duration of booster effect. J Infec Dis 1998; 178 Suppl 1: S109-12.

Whitley RJ, Weiss HL, Soong SJ, Gnann JW. Herpes Zoster: risk categories for persistent pain. J Infect Dis 1999; 179(1): 9-15.

Unger S, Lynfield Y, Alapati U. An atypical presentation of a common disease. Herpes zoster without vesicles. Arch Dermatol 1998; 1334(10): 1280-1, 1283-4.

Weber DJ, Rutala WA, Hamilton H. Prevention and Control of varicella-zoster infections in healthcare facilities. Infec Control Hosp Epidemiol 1996; 17(10): 694-705.

3. Antibiotic Resistant Organisms

Danila RN, Lexau C, Lynfield R, et al. Addressing emerging infections. The partnership between public health and primary care physicians. Postgrad Med 1999; 106(2): 90-2, 97-8, 103-5.

Lomaestro BM, Briceland LL. Streptogramins and their potential role in geriatric medicine. Drugs Aging 1998; 13(6): 443-65.

Taylor ME, Oppenheim BA. Hospital-acquired infection in elderly patients. J Hosp Infect 1998; 38(4): 245-60.

Chou T. Emerging infectious diseases and pathogens. Nurs Clin North Am 1999; 344(2): 427-42.

1. Loss of Home: "Never going Home Again"

Wilson SA. The transition to Nursing home life: a comparison of planned and unplanned admissions. J Adv Nurs 1997; 26(5): 864-71.

Brooke V. Meeting the challenge: involuntary residents in the nursing home. Long Term Care Adm. 1991-92;19(4):9-10, 12-4.

Krothe JS. Giving voice to elderly people: community-based long-term care. Public Health Nurs 1997; 14(4): 217-26.

Morris JN, et al. Nursing rehabilitation and exercise strategies in the nursing home. J Gerontol A Biol Sci Med Sci. 1999;54(10): M494-500.

2. Loss of Loved Ones

Mendes deLeon MF, et al. A prospective study of widowhood and changes in symptoms of depression in a community sample of the elderly. Psychol Med 1994;; 24(3): 613-24.

Turvey CL, et al. Conjugal loss and syndromal depression in a sample of elders aged 70 years or older. Am J Psychiatry 1999; 156(10): 1596-601.

Chen JH, et al. Gender differences in the effects of bereavement-related psychological distress in health outcome Psychol Med. 1999;29(2):367-80.

Zisook S, et al. The spectrum of depressive phenomena after spousal bereavement. J Clin Psychiatry. 1994; 55 Suppl: 29-36.

3. Loss of Independence

Noro A, Aro S. Health-related quality of life among the least dependent institutional elderly compared with the non-institutional elderly population. Qual Life Res 1996; 5(3): 355-66.

Greiner PA, et al. The loss of independence in activities of daily living: the role of low normal cognitive function in elderly nuns. Am J Public Health. 199; 86(1): 62-6.

Forbes S, et al. Elders' decision making regarding the use of long-term care services: a precarious balance. Qual Health Res. 1998; 8(6): 736-50.

Keeffe JE, et al. Impact of vision impairment on functioning. Aust N Z J Ophthalmol. 1998; 26 Suppl 1:S16-8.

1. Cross Culture -- Treating Elderly African-American Patients

Moadel A, et al. Seeking meaning and hope: self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psychooncology. 1999; 8(5): 378-85.

Corbie-Smith G, et al. Attitudes and beliefs of African Americans toward participation in medical research. J Gen Intern Med. 1999; 14(9): 537-46.

Cooper-Patrick L, et al. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999; 282(6): 583-9. Wan GJ, et al. The impact of socio-cultural and clinical factors on health-related quality of life reports among Hispanic and African-American cancer patients. J Outcome Meas. 1999; 3(3): 200-15.

2. Cross Culture -- Treating Hispanic Older Adults

Ontiveros JA, et al. Ethnic variation in attitudes toward hypertension in adults ages 75 and older. Prev Med. 1999; 29(6 Pt 1): 443-9.

Cella D, et al. Spanish language translation and initial validation of the functional assessment of cancer therapy quality-of-life instrument. Med Care. 1998; 36(9): 1407-18.

Hunt LM, et al. Porque me toco a mi? Mexican American diabetes patients' causal stories and their relationship to treatment behaviors. Soc Sci Med. 1998; 46(8): 959-69.

Perez-Stable EJ, et al. The effects of ethnicity and language on medical outcomes of patients with hypertension or diabetes. Med Care. 199; 35(12): 1212-9.

3. Treating the Rural White Elderly

Michielutte R, et al. Skin cancer prevention and early detection practices in a sample of rural women. Prev Med. 199; 25(6): 673-83.

Zweig S, et al. Factors predicting mortality in rural elderly hospitalized for pneumonia. J Fam Pract. 1990; 30(2): 153-9.

Thompson MP, et al. Comparison of dietary intake of urban and rural elderly patients in family practice centers. South Med J. 1987; 80(10): 1216-9.

Salber EJ, et al. Access to health care in a southern rural community. Med Care. 1976; 14(12): 971-86.

Note: We at the UF-GEC highly recommend Cultural Issues in End-of-Life Decision Making edited by Kathryn L. Braun, James H. Pietsch and Patricia L. Blanchette. The book, published by Sage Publications(2000), deals with a wide variety of ethnic cultures and their attitudes toward healthcare professionals, treatment, illness and death, with emphasis on religious beliefs and the effect they have on you and your patients.

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Last modified 7/31/02