Living with Multiple Health Problems – A Common Situation for Older Adults
Many older adults have more than one health problem. In fact, more than half of all adults 65 and older have three or more ongoing health problems. Heart disease, diabetes, arthritis, and high blood pressure are some examples of these health problems.
Taking care of older adults with multiple health problems can be tricky, even for healthcare professionals who specialize in caring for older adults. Having multiple health problems can mean you take several medications that may interact with one another in potentially harmful ways. Also, most clinical guidelines for healthcare providers focus on how to manage a single disease or condition, instead of how to manage multiple health problems. In addition, older adults with multiple health problems are often not included in research studies to test new drugs and other treatments. This means that there is less information (often called “evidence”) about how medications and other treatments affect people with multiple health problems.
Guiding Principles on Caring for Older Adults with Multiple Health Problems
To help healthcare providers better care for older adults with multiple health problems, the American Geriatrics Society has identified five essential elements of quality care that should help your provider keep the focus on the best alternatives for you.
- Considering patient preferences: Share your preferences and values. Your healthcare provider should help you understand your care options and choices. (They should also include your caregivers or other people you’ve asked to help you make healthcare decisions in these discussions.) Given the available options, your provider should work with you to make decisions that are in line with your preference and values, focusing on the outcomes that are most important to you.
- Considering available medical research: Expect your healthcare provider to look at the available research to see whether a given treatment approach is suitable for you. Your provider should understand – and explain to you—the uncertainty about whether a specific approach is likely to work for you.
- Making treatment decisions based on possible risks, benefits, and prognosis: Keep in mind the possible risks and benefits of treatment, and the prognosis. Your healthcare provider should discuss with you what is likely to happen—both with and without each available treatment—and how long it will likely take to benefit from treatment.
- Assessing treatment options: Consider what each treatment involves. Adults with multiple health problems are more likely to stick to their treatment if the plans are not too complicated, confusing, or difficult.
- Optimizing treatments and care plans: Your healthcare provider should try to maximize benefits and minimize risks from therapy, within the overall treatment plan. For example, your provider should prescribe non-drug treatments whenever appropriate to reduce potentially harmful drug interactions and other side effects.
Each of the principles above is intended to help improve the health care of older adults with multiple health problems. They keep in mind that each person is unique, and their preferences are important and will vary.
What You Can Do
- Click on the Tools and Tips section to your left to find some great tips on how to live with multiple health problems and how to work with your healthcare provider in making decisions about your care.
- If you are an older adult with complex health problems and care needs, you may want to consider seeing a specialist in geriatric care.
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