RT Book, Section
A1 Kane, Robert L.
A1 Ouslander, Joseph G.
A1 Resnick, Barbara
A1 Malone, Michael L.
SR Print(0)
ID 1149535932
T1 Chronic Disease Management
T2 Essentials of Clinical Geriatrics, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259860515
LK accessmedicine.mhmedical.com/content.aspx?aid=1149535932
RD 2024/04/19
AB Geriatrics’  forte  is  chronic  disease  management  (Kane  et  al,  2005).  At  a  time  when  medical  care  in  general  is  awakening  to  the  importance  of  good  chronic  disease  care,  geriatrics  has  been  doing  it  for  years.  Many  of  the  principles  of  geriatrics  are  basically  those  of  good  chronic  care.  Chronic  disease  management  has  two  basic  components.  The  first  aims  at  preventing  catastrophes  (ie,  emergency  room  visits  and  hospitalizations)  by  proactively  monitoring  patients’  conditions  and  intervening  at  the  first  sign  of  a  change  in  the  clinical  course.  Ideally  these  interventions  prevent  some  hospitalizations,  primarily  by  providing  more  effective  primary  care  that  prevents  the  event,  but  secondarily  by  managing  crises,  when  they  occur,  without  hospitalization.  Figure  4-1,  illustrates  the  paths  to  chronic  disease  catastrophe.