When it comes to chronic diseases, older adults are the experts, hands down, with as many as three out of four seniors impacted by multiple conditions that are ongoing, require extensive medical treatment, and place limitations on activities. With the never-ending barrage of bloodwork and other tests, doctors’ appointments and procedures, and medications, managing chronic diseases can take both a physical and emotional toll, and can quickly become overwhelming.
Dr. Mary Tinetti, chief of geriatrics and internist at Yale School of Medicine, explains, “Once you get three, four, or five and six diseases, several things happen: Number one, almost guaranteed, trying to get one of these diseases under control is going to make one of the other diseases worse. Number two: The more we ask people to do, the more overwhelmed they get and the less they are likely to do.”
For these reasons, Dr. Tinetti has developed the Patient Priorities Care approach, with the goal to reduce the burden of treatment by empowering patients to voice their personal health care goals – identifying what matters most to them. A plan of care is then developed to best meet those goals. For instance, one person’s goal may be to improve quality of life in the short-term, while another person may seek to increase longevity of life. It also takes into consideration activities the person enjoys and how to find a way for him or her to continue to engage in them.
The Patient Priorities Care method builds upon the Minimally Disruptive Medicine strategy developed a decade ago, which also seeks to relieve the burden of chronic condition treatment, but which did not include the key aspect of including input from patients to understand what means the most to them.
Ultimately, what many older adults determine is that they want to minimize “unwanted care,” which they believe to require more trouble than the benefit they will receive, such as with diagnostic tests and procedures. To that end, seniors and their families can utilize these helpful resources for more effective, self-directed care, including a conversation guide, summary of health priorities, and more.
At Generations at Home, we’re fully committed to learning what is most important to the seniors in our care, and to providing the level of care that helps them to thrive and achieve their goals. It’s why our care is highly personalized, and always begins with learning as much as possible about each individual and what his or her goals entail – and then developing a plan of care to help achieve those goals. Call us at 727-940-3414 to learn more.