1. Protocolo territorial de adecuación de la intensidad terapéutica. Área Metropolitana Sur de Barcelona
- Author
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Evora Betancor-Santana, Benito J. Fontecha-Gómez, Marina Isabel Ugarte, Daniel Fernández-Ponce, Jordi Amblàs-Novellas, Cristina García-Fortea, María Rotllàn-Terradellas, Gala Serrano Bermúdez, Nuria Gutiérrez Jiménez, Lourdes Rexach-Cano, Araceli López-Pérez, Rosario Casas Floriano, and Kenneth Planas
- Subjects
03 medical and health sciences ,Aging ,0302 clinical medicine ,Nursing ,030502 gerontology ,Medicine (miscellaneous) ,Continuity of care ,030212 general & internal medicine ,Geriatrics and Gerontology ,0305 other medical science ,Psychology - Abstract
The identification of patients with advanced and complex chronic diseases, and the fragmentation of care towards the end of life, requires the drawing up a long-term therapeutic plan. This should take into account the values and preferences of the patients, as well as the vital and functional prognosis. Having an adjustment tool for determining the diagnostic and therapeutic effort is helpful in the continuity of care, as well as in decision-making in the transitions and dynamic changes of patients as they approach the end of life process.
- Published
- 2018
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