Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Principes d'evaluation et de prise en charge des patients agés polymorbides: guide a l'intention des cliniciens [Principles for the assessment and management of polymorbid elderly patients: a guide for clinicians].
Revue Médicale Suisse
Publication types: Case Reports ; English Abstract ; Journal ArticlePublication Status: ppublish
Providing care to multimorbid older patients is complex, not only because of the coexistence of multiple chronic conditions, but also because of their frequent intrication with psychological and social problems. This article describes a guide for clinicians to assess and manage multimorbid older patients. This guide was adapted from the work of a group of expert US geriatricians. It proposes seven steps: identification of the main problem; identification of patients' preferences; setting of goals of care; estimation of life expectancy; identification of relevant evidence in the literature; revision of the plan of care; and discussion of the options with the patient. The use of this guide is illustrated by a clinical case.
Aged, 80 and over, Aging, Algorithms, Diabetes Mellitus, Type 2/complications, Diabetes Mellitus, Type 2/mortality, Geriatric Assessment, Geriatrics, Heart Failure/complications, Heart Failure/mortality, Humans, Hypertension/complications, Hypertension/mortality, Life Expectancy, Male, Myocardial Ischemia/complications, Myocardial Ischemia/mortality, Practice Guidelines as Topic, Pulmonary Disease, Chronic Obstructive/complications, Pulmonary Disease, Chronic Obstructive/mortality, Risk Factors, Sleep Disorders/complications, Sleep Disorders/mortality, Smoking/adverse effects, Treatment Outcome
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