Because tend to be several diseases in the elderly, and they can also have social or functional problems, they claim the resources of the health system disproportionately. In the US, make people ? 65 years of> 40% of acute hospital bed days> 30% of purchases of prescription and OTC drugs 329 billion $, or almost 44% of the national health budget> 75% of the federal health budget Older people are probably looking for more general practitioners and switch from one medical facility to another. therefore, to provide a consistent, integrated care about specific settings of time, the so-called. Continuity of care is particularly important for elderly patients. The communication between primary care physicians, specialists, other medical professionals and patients and their families is critical, especially when patients are referred between the settings to ensure that patients receive proper care in all settings ensure. Electronic medical records can facilitate communication. Health care framework can be delivered in the following framework: doctor’s office: The most common reasons for doctor visits are routine diagnosis and treatment of acute and chronic problems, health promotion and disease prevention, as well as pre- or postoperative assessment. Patients residence: Home care (home care) is usually after discharge from the hospital, although a hospital stay is not required. Also, a small but growing number of health practitioners provide care for acute and chronic problems and sometimes end-of-life care to a patient at home. Long-term care facilities: These facilities include assisted living facilities (programs for assisted living), nursing homes (board-and-care facilities), nursing homes (Qualified nursing facilities) and Life Care Communities (Life Care Communities). Whether patients need care in a long term care facility depends in part on the wishes and needs of the patient and to meet on the ability of the family, the patient’s needs. Day care facilities: These facilities provide medical, rehabilitative, cognitive and social services over several hours a day, several days a week. Hospitals: Only seriously ill elderly patients should be admitted to hospital (hospital admission). for older patients due to bed rest, immobility, diagnostic procedures and treatments a hospitalization is a certain risk. Hospice: In hospices are dying supervised (The Dying Patient: Hospice). The goal is to relieve symptoms and make it the patient comfortable, not to cure the disease. Hospice care can take place at home, in a nursing home or an inpatient facility. It should i. Gen. the lowest and impairing the least degree are elected to care that meets the needs of the patient. Such an approach protects the financial resources and support the preservation of the independence and functioning of the patient. Interdisciplinary geriatric teams interdisciplinary geriatric teams are formed by professionals from different disciplines that offer a coordinated, integrated care with a common purpose and shared resources and responsibilities. Not all elderly patients need a formal interdisciplinary geriatric team. Have the patient, however, complex medical, psychological and social needs, such teams are more effective in assessing the needs of patients and the creation of an efficient maintenance plan as practitioners working alone. When an interdisciplinary care is available, is an alternative management by aged persons or a family doctor with experience and interest in geriatrics. Interdisciplinary teams aim to ensure: That the patient can easily get safe and from one to another care setting and by a therapist to another. That the most qualified practitioners who care for each problem that providing the care is not redundant To create the care plan to monitor or revise the interdisciplinary team must disclose, communicate freely and regularly. Core team members need to work together on the other confidently and with respect for the contributions and the care plan coordination (eg., By delegating, sharing of responsibilities, joint implementation). Team members can work together in the same place, making communication informally and expeditiously. A team usually includes doctors, nurses, pharmacists, social workers and sometimes a nutritionist, physical and occupational therapists, an ethicist or a hospice doctor. Team members should have knowledge of geriatric medicine, familiarity with the patient commitment to the team process and good communication skills. To function efficiently, the teams need a formal structure. The teams should set deadlines to achieve these goals, meet regularly (to discuss team structure, process and communication) and continuously record their progress (using quality improvement measures). In general, the team leadership should rotate depending on the needs of the patient; the main caregiver reports on the progress of the patient. Is the main concern for. As the patient’s health, a physician guides the session, providing the team the patient and nationals. The doctor determines which medical disorders a patient has informed the team (incl. Differential diagnoses) and explains how these disorders affect the care. The input of the team is involved in the medical arrangements. The physician must submit agreed in the team process medical arrangements and discusses the team decisions with the patient, the family and carers. Is not a formally structured interdisciplinary team available or practical, a virtual team can be used. These teams are usually managed by the family doctor, but can also be organized and supervised by an experienced practice nurse, a care coordinator or case manager. The virtual team uses information technologies (eg. As Organizer, E-mail, video and teleconferencing) to communicate and work with team members in the community or the health system. Participation of the patient and the caregiver team members need patients and carers as active members of the team treat-z. As follows: Patients and caregivers should be possibly involved in team meetings. Patients should be encouraged to set goals as a team to support (z. B. wills, care at the end of life). Patients and caregivers should be involved in discussions about the drug treatment, rehabilitation, nutrition plans and other therapies. Patients should be asked for their ideas and preferences; thus the Cleaning product can be modified accordingly, if patients do not take a particular medication or change certain eating habits. Patients and professionals need to communicate honestly with each other in order to avoid that patients suppress an opinion and approve every proposal. Cognitively impaired patients should be involved in decision making, provided that the doctors bring their communications to a level that understand the patient. The ability to make decisions in health care (capacity (competence), and disability) is specific to each individual decision; Patients who are not able to make complex decisions, are still able to choose less complicated questions. Caregivers, incl. Family members can support this by identifying based on the habits and lifestyle of the patient realistic and unrealistic expectations. Nurses should also specify what kind of support they can provide.

Health Life Media Team

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