tailieunhanh - HEALTH CARE MAINTENANCE IN THE ELDERLY

Recent disasters in the United States, especially Hurricane Katrina, have proven the inadequacy of planning for the protection and safety of our vulnerable populations. The vulnerable, or special, populations can be categorized in many ways, including those with physical disabilities, who have cognitive impairment or mental illness, who are incarcerated, who speak English as a second language or not at all, and who are elderly. | HEALTH CARE MAINTENANCE IN THE ELDERLY GOALS 1 To improve quality of life. 2 To delay or prevent common conditions of aging 3 To maintain function Objectives 1 To give the learner current recommendations for PRIMARY and SECONDARY prevention. 2 To help the learner assimilate these recommendations into their current practice patterns. 3 Describe the concept of TERTIARY prevention. I Why Preventative care not always done 1 A Confusion over suitable interventions B Insufficient time and support staff in office settings. C Inadequate 3rd party reimbursement D Patient Barriers cost transportation reluctance. E Insufficient training of providers in prevention and aging. A Why CONFUSION over best practices in preventative health care Discrepancies between - current practices of mentors. -evidence based recommendations -cost-political based recommendations B Insufficient time and support staff. Remedies 1 -devise systems to streamline these practices . flow sheets annual exams with check-list for staff to follow. 2 -delegate to ancillary personnel2 successful delegation define goal responsibility and set follow up time and what you expect. . flu immunization program 3 -use the technology . reminders of appointments lists of age groups or disease groups. 4 4 -use of the annual exam3 1 Appendix A. Third . Preventive Services Task Force USPSTF Recommendations and Ratings The USPSTF grades its recommendations according to one of five classifications A B c D. or I reflecting die strength of evidence and magnitude of net benefit benefits minus harms . A. The USPSTF strongly recommends that clinicians routinely provide the service to eligible patients. The USPSTF found good evidence that the service improves important health outcomes and concludes that benefits substantially outweigh harms. B. The USPSTF recommends that clinicians routinely provide the service to eligible patients. The USPSTF found at least fair evidence that the service improves important health .

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