1 / 14

Challenging Patient

Challenging Patient. The Older Patient with Multiple Co-Morbidities. Objectives for the Day. Role of FM in caring for an aging population Aging Chronic disease and aging Prescribing for older adults. 70 million. 35 million. 21 million. 3 million. 4.2 million.

tuari
Download Presentation

Challenging Patient

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Challenging Patient The Older Patient with Multiple Co-Morbidities

  2. Objectives for the Day • Role of FM in caring for an aging population • Aging • Chronic disease and aging • Prescribing for older adults

  3. 70 million 35 million 21million 3 million 4.2 million

  4. Increases in the Oldest OldU.S. Population Aged 85+ (millions) Source of data: U.S. Census Bureau, “We the American Elderly,” September 1993.

  5. Percentage of Americans Age 65 Expected to Survive Age 90 Source of data: US Census Bureau

  6. Prevalence of Chronic Conditions NHIS, 2000, 2007

  7. Percentage of Medicare Beneficiaries with  2 Chronic Conditions Medicare Beneficiary Survey, 2000

  8. Health Affairs, 2004

  9. Health Affairs, 2004

  10. Case 1 • Mr. D is a 70 y/o patient with h/o HTN and hyperlipidemia. • Recent lab includes FBS of 140 and 176. • He presents for follow-up of lab. Your task: “Outline” your visit - what will you ask, look for on exam what is your initial assessment? Your plan?

  11. Case 1 - More data • Meds: HCTZ 25, Simvastatin 20 mg • VS: BP 144/84, P 72, Wt 85 kg, Ht 170 cm • Lab: BUN 18, Cr 0.8, TC 200, LDL 130, HDL 44

More Related