TY - CHAP M1 - Book, Section TI - Common Geriatric Problems A1 - Bicket, Daphne P. A2 - South-Paul, Jeannette E. A2 - Matheny, Samuel C. A2 - Lewis, Evelyn L. PY - 2015 T2 - CURRENT Diagnosis & Treatment: Family Medicine, 4e AB - The syndromes of failure to thrive, pressure ulcers, and falls share features that make them particularly challenging. Their etiologies are multifactorial; they require an interdisciplinary approach to maximize care; and they often herald disability, institutionalization, and death. Interventions in multiple domains can improve outcomes. However, in patients with low functional reserve the physician should be prepared to transition from cure to palliative care. Open and frank communication is vital and should employ the skills needed to address life-changing diagnoses while continuing to supply hope and support. Eliciting patient’s goals, what they want and what they want to avoid, is fundamental to crafting an end-of-life framework that is consistent with their values and preferences. The physician can and should maintain a therapeutic relationship with the patient and the family beyond the time when medical therapies are effective. Home visits enhance this relationship and often reveal opportunity for interventions and support. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1106851406 ER -