title: Approaches to the office care of the older adult and the specter of dementia.
abstract: The influx of older patients into the office-based primary care setting is a demographic reality for most practices. A shift from the disease-driven model of care delivery to one that focuses on function and quality of life should occur if primary care clinicians are to provide appropriate services to their aging patients, especially as those patients reach a state of vulnerability as defined in the ACOVE studies. Incremental functional assessment may be a first step in making the shift and probably can be implemented in most office-based practices. The specter of dementia, however, is beginning to materialize and affect the approach to addressing the needs of older adults and the expected outcomes of care.
authors.affiliation: Department of Family Practice, Geriatric Education Center of Michigan, College of Human Medicine, Michigan State University, B 215 West Fee Hall, East Lansing, MI 48824, USA. larry.lawhorne@hc.msu.edu
authors.forename: Larry
authors.initials: L
authors.lastname: Lawhorne
authors.forename: Karen S
authors.initials: KS
authors.lastname: Ogle
mesh_terms: D017677:Age Distribution; D000368:Aged; D003704:Dementia / Q000175:diagnosis* / Q000503:physiopathology; D018450:Disease Progression; D042241:Early Diagnosis; D015577:Geriatric Assessment / Q000379:methods*; D006299:Health Services for the Aged; D006801:Humans; D007357:Insurance, Physician Services; D008501:Medical Records, Problem-Oriented; D009819:Office Visits; D010346:Patient Care Management; D011320:Primary Health Care / Q000379:methods*; D013997:Time Factors