Fact sheet case vignette no.1: male, 81 years, married, *12 diagnoses, **10 prescription drugs | ||||||||
Identified health problems by the geriatric assessments: | ||||||||
Daily activities and coping with ailments more than 5 prescription drugs, daily functions mildly limited by pain, does little shopping and needs assistance, needs assistance for housekeeping, degree of care, regularly receives support from friends and family | ||||||||
Mobility according to the “Timed Up & Go” result of 14 s the patient is mildly impaired, possesses and uses a walker, considers himself severely limited in exercising moderately difficult tasks and climbing landings, needs help leaving home, uses public transportation only accompanied | ||||||||
Cognition and mood has difficulties remembering things or names, considers his health status below average, according to a score of 7 pts. at the geriatric depression scale a depressive disorder is likely | ||||||||
* diagnoses: hypertension, Type 2 diabetes mellitus with renal complications, obesity, aneurysm of the aorta abdominalis, cardiomyopathy, ischemic heart disease, atrial fibrillations and atrial flutter, long-term therapy with anticoagulants, pulmonary emphysema, chronic disorder of the lower pulmonary passages, renal insufficency **prescription drugs: Losartan, Colecalciferol, Xipamid, Phenprocoumon, Torasemid, Tamsulosin, Ezetimib, Allopurinol, Bisoprolol, Pantoprazol | ||||||||
Original recommendations by GPs (Part 1) | GP 1 | GP 2 | GP 3 | GP 4 | GP 5 | GP 6 | GP 7 | GP 8 |
Housekeeper / Home Assistant | x | x | x | x | x | x | x | |
Everyday Help / Everyday Companion | x | x | x | x | x | |||
Occupational Therapy/ Memory Training | x | x | x | x | x | x | ||
Check of prescription drugs | x | x | x | x | ||||
Nursing Service (mainly preparing medication) | x | x | x | x | ||||
Discuss medication regime with life partner | x | x | ||||||
Pick-up and Return Services | x | |||||||
Sports Group | x | x | x | |||||
Physiotheraphy / Gait Training | x | x | x | |||||
Personal Emergency Response System | x | x | x | |||||
Respiration Therapy | x | |||||||
Support Services (public transportation) | x | |||||||
Local guidance office for the elderly | x | |||||||
Psychosocial Counselling | x | |||||||
Nutritional plan and counselling | x | |||||||
Assistive Products for Personal Hygiene | x | x | ||||||
Self-help Group | x | |||||||
Sociotherapy | x | |||||||
Walker/ Walker Training | x |