{"id":534,"date":"2012-09-19T07:40:12","date_gmt":"2012-09-19T12:40:12","guid":{"rendered":"http:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=534"},"modified":"2012-09-19T09:05:14","modified_gmt":"2012-09-19T14:05:14","slug":"patient-centered-care-for-older-adults-with-multiple-chronic-conditions-a-stepwise-approach-from-the-american-geriatrics-society","status":"publish","type":"post","link":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=534","title":{"rendered":"Patient-Centered Care for Older Adults with Multiple Chronic Conditions: A Stepwise Approach from the American Geriatrics Society"},"content":{"rendered":"<p>By Cynthia Boyd<\/p>\n<p><a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Boyd-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-535\" title=\"Boyd 2\" src=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Boyd-2.jpg\" alt=\"\" width=\"96\" height=\"129\" \/><\/a><\/p>\n<p>A new report issued by the American Geriatrics Society (AGS) outlines how clinicians can tailor care to better meet the unique needs older adults with multimorbidity.\u00a0 More than half of adults 65 and older have at least three chronic conditions, such as heart disease, diabetes, and arthritis.<\/p>\n<p>Entitled <em>Patient-Centered Care for Older Adults with Multiple Chronic Conditions: A Stepwise Approach from the American Geriatrics Society<\/em>, the new report was published in today\u2019s early, online edition of the <em>Journal of the American Geriatrics Society (JAGS) <\/em>and is available at <a href=\"http:\/\/www.americangeriatrics.org\/health_care_professionals\/clinical_practice\/multimorbidity\" target=\"_blank\">www.americangeriatrics.org<\/a>, in conjunction with a longer version of the documents with more complete references.\u00a0 A wealth of related information, tips, and tools for both clinicians and the public are also available on the AGS website.<\/p>\n<p>To help both clinicians and patients make complex treatment decisions, the expert panel that developed the report has outlined five essential elements, or guiding principles, for quality care for older adults with multimorbidity:\u00a0 <em><\/em><\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\">Preferences<\/span><span style=\"text-decoration: underline;\">: <\/span> Elicit and incorporate patient preferences* into medical decision-making for older adults with multimorbidity.<\/li>\n<\/ul>\n<p><em>By using the term \u201cpatient\u201d preferences, we aim to keep the patient central to the decision-making process while recognizing that family and social supports play a vital role in management and decision-making whether or not cognitive impairment is present.<\/em><\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\">Interpreting the evidence:<\/span> Recognizing the limitations of the evidence base, interpret and apply the medical literature specifically to older adults with multimorbidity.<\/li>\n<\/ul>\n<ul>\n<li><span style=\"text-decoration: underline;\">Prognosis: <\/span>Frame clinical management decisions within the context of risks, burdens, benefits, and prognosis (e.g. remaining life expectancy, functional status, quality of life) for older adults with multimorbidity.\n<ul><\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><span style=\"text-decoration: underline;\">Clinical Feasibility<\/span>: Consider treatment complexity and feasibility when making clinical management decisions for older adults with multimorbidity.<\/li>\n<\/ul>\n<ul>\n<li><span style=\"text-decoration: underline;\">Optimizing Therapies and Care Plans:<\/span> Utilize strategies for choosing therapies that optimize benefit, minimize harm, and enhance quality of life for older adults with multimorbidity.<\/li>\n<\/ul>\n<p>The report also describes the urgent need for research to develop and implement evidence-based practices for each of these areas.<\/p>\n<p>Cynthia Boyd, MD MPH<br \/>\nAssociate Professor of Medicine<br \/>\nDivision of Geriatric Medicine and Gerontology<br \/>\nJohns Hopkins University School of Medicine<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Cynthia Boyd A new report issued by the American Geriatrics Society (AGS) outlines how clinicians can tailor care to better meet the unique needs older adults with multimorbidity.\u00a0 More than half of adults 65 and older have at least three chronic conditions, such as heart disease, diabetes, and arthritis. Entitled Patient-Centered Care for Older <a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=534\"> read more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":22,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_s2mail":"yes","footnotes":""},"categories":[8],"tags":[],"class_list":["post-534","post","type-post","status-publish","format-standard","hentry","category-care-model"],"_links":{"self":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/534","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=534"}],"version-history":[{"count":8,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/534\/revisions"}],"predecessor-version":[{"id":542,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/534\/revisions\/542"}],"wp:attachment":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=534"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=534"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}