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The clinical and therapeutic challenge of treating older patients in clinical practice

Due to the demographic shift complex care management of older multimorbid patients with changing functional capacities has become core clinical business for many stakeholders in western health care systems. It is the aim of the mini‐review to summarise evidence to be translated into clinical practic...

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Autores principales: Roller‐Wirnsberger, Regina, Thurner, Bettina, Pucher, Christian, Lindner, Sonja, Wirnsberger, Gerhard Hubert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495268/
https://www.ncbi.nlm.nih.gov/pubmed/31321798
http://dx.doi.org/10.1111/bcp.14074
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author Roller‐Wirnsberger, Regina
Thurner, Bettina
Pucher, Christian
Lindner, Sonja
Wirnsberger, Gerhard Hubert
author_facet Roller‐Wirnsberger, Regina
Thurner, Bettina
Pucher, Christian
Lindner, Sonja
Wirnsberger, Gerhard Hubert
author_sort Roller‐Wirnsberger, Regina
collection PubMed
description Due to the demographic shift complex care management of older multimorbid patients with changing functional capacities has become core clinical business for many stakeholders in western health care systems. It is the aim of the mini‐review to summarise evidence to be translated into clinical practice for pharmacists and medical doctors and interested readers. The review is based upon a comprehensive literature review in PubMed and EMBASE from 2000 to 2018 and grey literature. Interprofessional exchange and discussion among stakeholders from geriatric medicine and the International Association for Pharmaceutical Technology during a meeting in Graz, Austria 2018, led to the narrowing of the review addressing complex care needs of geriatric patients. In this mini‐review, attention is drawn to a comprehensive therapeutic goal setting according to evidence‐based guidelines: clinical, disease‐related care aspects, functional capacities, evaluated by comprehensive geriatric assessment, and patient's wishes and perspectives as main drivers for personalised complex care of geriatric patients.
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spelling pubmed-74952682020-09-24 The clinical and therapeutic challenge of treating older patients in clinical practice Roller‐Wirnsberger, Regina Thurner, Bettina Pucher, Christian Lindner, Sonja Wirnsberger, Gerhard Hubert Br J Clin Pharmacol Review‐themed Section Due to the demographic shift complex care management of older multimorbid patients with changing functional capacities has become core clinical business for many stakeholders in western health care systems. It is the aim of the mini‐review to summarise evidence to be translated into clinical practice for pharmacists and medical doctors and interested readers. The review is based upon a comprehensive literature review in PubMed and EMBASE from 2000 to 2018 and grey literature. Interprofessional exchange and discussion among stakeholders from geriatric medicine and the International Association for Pharmaceutical Technology during a meeting in Graz, Austria 2018, led to the narrowing of the review addressing complex care needs of geriatric patients. In this mini‐review, attention is drawn to a comprehensive therapeutic goal setting according to evidence‐based guidelines: clinical, disease‐related care aspects, functional capacities, evaluated by comprehensive geriatric assessment, and patient's wishes and perspectives as main drivers for personalised complex care of geriatric patients. John Wiley and Sons Inc. 2019-08-06 2020-10 /pmc/articles/PMC7495268/ /pubmed/31321798 http://dx.doi.org/10.1111/bcp.14074 Text en © 2019 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Review‐themed Section
Roller‐Wirnsberger, Regina
Thurner, Bettina
Pucher, Christian
Lindner, Sonja
Wirnsberger, Gerhard Hubert
The clinical and therapeutic challenge of treating older patients in clinical practice
title The clinical and therapeutic challenge of treating older patients in clinical practice
title_full The clinical and therapeutic challenge of treating older patients in clinical practice
title_fullStr The clinical and therapeutic challenge of treating older patients in clinical practice
title_full_unstemmed The clinical and therapeutic challenge of treating older patients in clinical practice
title_short The clinical and therapeutic challenge of treating older patients in clinical practice
title_sort clinical and therapeutic challenge of treating older patients in clinical practice
topic Review‐themed Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495268/
https://www.ncbi.nlm.nih.gov/pubmed/31321798
http://dx.doi.org/10.1111/bcp.14074
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