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10.1016/j.cjca.2016.04.003 http://scihub22266oqcxt.onion/10.1016/j.cjca.2016.04.003 C5003648!5003648!27378591     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Can+J+Cardiol 2016 ; 32 (9): 1097-107 Nephropedia Template TP {{tp|p=27378591|t=2016. Patient-Centered Care of Older Adults with Cardiovascular Disease and Multiple Chronic Conditions |pdf=|usr=}}{{27378591}} gab.com Text Patient-Centered Care of Older Adults with Cardiovascular Disease and Multiple Chronic Conditions JO: Can J Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=27378591 #FOAvip Multimorbidity, defined as the presence of 2 or more chronic conditions, is common among older adults with cardiovascular disease. These individuals are at increased risk for poor health outcomes and account for a large proportion of healthcare utilization. Clinicians are challenged with the heterogeneity of this population, the complexity of the treatment regimen, limited high-quality evidence, and fragmented healthcare systems. Each treatment recommended by a clinical practice guideline for a single cardiovascular disease may be rational, but the combination of all evidence-based recommendations can be impractical or even harmful to individuals with multimorbidity. These challenges can be overcome with a patient-centered approach that incorporates the individual?s preferences, relevant evidence, the overall and condition-specific prognosis, clinical feasibility of treatments, and interactions with other treatments and coexisting chronic conditions. The ultimate goal is to maximize benefits and minimize harms by optimizing adherence to the most essential treatments, while acknowledging trade-offs between treatments for different health conditions. It may be necessary to discontinue therapies that are not essential or potentially harmful to decrease the risk of drug-drug and drug-disease interactions from polypharmacy. A decision to initiate, withhold, or stop a treatment should be based on the time horizon to benefits vs. the individual?s prognosis. In this review, we illustrate how cardiologists and general practitioners can adopt a patient-centered approach to focus on the aspects of cardiovascular and non-cardiovascular health that have the greatest impact on functioning and quality of life in older adults with cardiovascular disease and multimorbidity. Twit Text FOAVip Patient-Centered Care of Older Adults with Cardiovascular Disease and Multiple Chronic Conditions ????Can J Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=27378591 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27378591 #FOAvip English Wikipedia <ref>{{Cite pmid|27378591}}</ref> Patient-Centered Care of Older Adults with Cardiovascular Disease and Multiple Chronic Conditions #MMPMID27378591 Kim DH; Rich MW Can J Cardiol 2016[Sep]; 32 (9): 1097-107 PMID27378591show ga Multimorbidity, defined as the presence of 2 or more chronic conditions, is common among older adults with cardiovascular disease. These individuals are at increased risk for poor health outcomes and account for a large proportion of healthcare utilization. Clinicians are challenged with the heterogeneity of this population, the complexity of the treatment regimen, limited high-quality evidence, and fragmented healthcare systems. Each treatment recommended by a clinical practice guideline for a single cardiovascular disease may be rational, but the combination of all evidence-based recommendations can be impractical or even harmful to individuals with multimorbidity. These challenges can be overcome with a patient-centered approach that incorporates the individual?s preferences, relevant evidence, the overall and condition-specific prognosis, clinical feasibility of treatments, and interactions with other treatments and coexisting chronic conditions. The ultimate goal is to maximize benefits and minimize harms by optimizing adherence to the most essential treatments, while acknowledging trade-offs between treatments for different health conditions. It may be necessary to discontinue therapies that are not essential or potentially harmful to decrease the risk of drug-drug and drug-disease interactions from polypharmacy. A decision to initiate, withhold, or stop a treatment should be based on the time horizon to benefits vs. the individual?s prognosis. In this review, we illustrate how cardiologists and general practitioners can adopt a patient-centered approach to focus on the aspects of cardiovascular and non-cardiovascular health that have the greatest impact on functioning and quality of life in older adults with cardiovascular disease and multimorbidity. äPatient-Centered Care of Older Adults with Cardiovascular Disease and (epmc).pdf DeepDyve Pubget Overpricing