The assessment and treatment of a complex geriatric patient by an interprofessional primary care team.
Mr K is an 89-year-old married man with a number of comorbid conditions and multiple recent falls. He was referred to the IMPACT clinic (Interprofessional Model of Practice for Aging and Complex Treatments) as his primary care physician was concerned about his declining health and the growing care giver burden on his wife. Mr K's condition was deteriorating while the complexity of his case was increasing; therefore, an in-depth team assessment was sought to determine the best management plan and to assess his capacity to remain at home (his expressed preference). The IMPACT team met with Mr K and his wife for a 2 h interprofessional assessment. A comprehensive care plan was developed including specific recommendations for implementing change. After the visit to the IMPACT clinic, Mr K's care was returned to his regular family physician.
Primary Care Research Unit, Department of Family and Community Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Stephanie H
SH
Bell
C Shawn
CS
Tracy
Ross E G
RE
Upshur
D000369:Aged, 80 and over; D017028:Caregivers; D015577:Geriatric Assessment / Q000379:methods*; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D057187:Independent Living; D008297:Male; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team