- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Chapter 30 Integrating geriatrics principles into primary care
- Chapter 31 Clinical interventions in home care
- Chapter 32 Geriatric patients in the emergency department
- Chapter 33 Critical illness and intensive care
- Chapter 34 Older people presenting to acute care hospitals
- Chapter 35 Post-acute care and intermediate care
- Chapter 36 Preoperative assessment and perioperative management
- Chapter 37 Long-term care
- Chapter 38 Dementia specialist care units
- Chapter 39 Transitions between care settings until death
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 215) Principles and organization of care
Care of older people living in the community relies on primary care physicians. When the accumulation of ageing, chronic conditions, or acute problems has an impact on physical or mental function, comprehensive geriatric care has to be incorporated in usual primary care to understand, coordinate, manage, and prevent diseases and disabilities.
Primary care physicians play key roles in the care of older subjects, including prevention and screening for diseases and geriatric problems, management of chronic disease and multimorbidity, detection and management of frailty and early disability, home, end-of-life and nursing home care, and continuity and customization of care. Incorporation of geriatric principles may improve performance and outcomes in each of these tasks.
In addition, using some elements of comprehensive geriatric assessment in primary care management of older patients may help to improve outcomes.
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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Chapter 30 Integrating geriatrics principles into primary care
- Chapter 31 Clinical interventions in home care
- Chapter 32 Geriatric patients in the emergency department
- Chapter 33 Critical illness and intensive care
- Chapter 34 Older people presenting to acute care hospitals
- Chapter 35 Post-acute care and intermediate care
- Chapter 36 Preoperative assessment and perioperative management
- Chapter 37 Long-term care
- Chapter 38 Dementia specialist care units
- Chapter 39 Transitions between care settings until death
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing