Chronic health problem management

Question 1

Challenges with patients having multiple comorbidities

Answer 1

1. Lack of evidence
   * Patients with multimorbidities are often excluded from studies (to
   eliminate confounding variables)
   * Practice guidelines are based off of data that doesn’t include these patients
2. Complex cases usually require complex treatment plans
   * Increases errors & noncompliance
3. The healthcare system fails to adequately compensate providers for the
   time & effort to care for these patients

Question 2

Guidelines for Caring for Older Adults with Multimorbidity

Answer 2

1. Ascertain the prognosis
2. Elicit patient preference
3. Assessment & management of treatment complexity