Managing Multiple Health Problems

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Many older adults have more than one health problem. In fact, more than half of all adults 65 and older have three or more ongoing health problems. Heart disease, diabetes, arthritis, or high blood pressure are some examples of these health problems

Taking care of older adults with multiple health problems can be tricky, even for healthcare professionals who specialize in caring for older adults. Having multiple health problems can mean you take several medications that may interact with one another in potentially harmful ways. Also, most clinical guidelines for healthcare providers focus on how to manage a single disease or condition, instead of how to manage multiple health problems. In addition, older adults with multiple health problems are often not included in medical research studies to test new drugs and other treatments. This means that there is less information (often called “evidence”) about how drugs and other treatments affect people with multiple conditions.

Guiding Principles on Caring for Older Adults with Multiple Health Problems

To help healthcare professionals better care for older adults with multiple health problems, the American Geriatrics Society has developed a set of guiding principles for clinicians, which include five essential elements of quality care for older adults with multiple health problems.

  • Considering patient preferences:  The clinician should help patients, and sometimes their family or friends, understand their care options and choices.  Once they understand these options, the patient and healthcare provider should work together to make decisions that are in line with the patient’s preferences. Although many patients may choose to make decisions on their own, many will want to include others—such as providers, family, friends, or other caregivers—in decisions.
  • Considering available medical research:  Healthcare providers need to look at the available research to be sure a given treatment approach is suitable for a specific patient.  The healthcare provider should also understand how much uncertainty there is about whether the approach is likely to work for older adults with multiple health conditions. When deciding which treatments to choose, professionals and patients should focus on the outcomes that are most important to the patient.
  • Making treatment decisions based on possible risks, benefits and prognosis: When possible, clinicians should discuss with the patient what is likely to happen—both with and without each available treatment. Among other things, healthcare providers should try to determine, and share with the patient, how long it will likely take to benefit from certain treatments. All of this is useful information for patients who are deciding which treatments are more important to them, and which are less important.
  • Assessing treatment options: Healthcare providers should keep in mind that older patients are more likely to stop following treatments if they are too complicated, confusing, or burdensome.
  • Optimizing treatments and care plans: Healthcare professionals should try to maximize benefits and minimize risks from treatments within an overall treatment plan. Among other things, they should prescribe non-drug treatments whenever appropriate to reduce potentially harmful drug interactions and other side effects.

Each of the principles above is intended to help improve the health care of older adults with multiple health problems. They keep in mind that each patient is unique, and their preferences will vary.

Source:  http://www.healthinaging.org

Contact Pure Home Care Services at (586) 293-2457 today! If you live in Warren or the surrounding area, we can help you care for your loved ones.

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