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Table 2 Fact sheet and variability of types of recommendations made by the study GPs for case vignette no.2 (Data from 1st Delphi round Part 1)

From: Need-based care of multi-morbid patients – supporting general practitioners with algorithm-generated recommendations of healthcare services (telemedicine-project ATMoSPHÄRE)

Fact sheet case vignette no.2:

female, 89 years, living alone, *18 diagnoses, **7 prescription drugs

Identified health problems by the geriatric assessments:

Daily activities and coping with ailments

more than 5 prescription drugs, regularly receives Support through familiy and friends

Mobility

a “Timed Up & Go”- Value of 25 s indicates limited mobility, employs forearm crutches considers himself severely limited in exercising moderately difficult tasks and climbing landings

Cognition and mood

a MMSE-Score of 25 points indicates mild Dementia, according to the “clock test” (3 Points) a more detailed examination of dementia should be considered, patient has difficulties remembering items and names, mentioned psychological problems

Senses

has difficulties hearing despite hearing aid

*diagnoses: idiopathic gout, Hyperuricemia, osteoporosis, varices on the lower limbs, spondylosis, scoliosis, thyroid nodules, gastro-oesophageal reflux disease, hypertension, hypercholesterolemia, multi-nodular goiter, senility, Presbycusis, vertigo, fatty liver

**prescription drugs: Allopurinol, Pantoprazole, Torasemide, Ramipril, Ibandronic acid, Biotin, Calcium+vitamin D3

Original recommendations by GPs (Part 1)

GP

1

GP

2

GP

3

GP

4

GP

5

GP

6

GP

7

GP

8

Everyday Help / Everyday Companion

x

    

x

  

Housekeeper / Home Assistant

    

x

 

x

x

Occupational Therapy

 

x

x

x

x

x

x

 

Check of prescription drugs

     

x

  

Nursing Service (mainly preparing medication)

 

x

x

 

x

 

x

x

Pill Box

 

x

      

Walker/ Walker Training

 

x

x

x

x

  

x

Sports Group

 

x

  

x

   

Physiotheraphy / Remedial Gymnastics

 

x

  

x

 

x

 

Personal Emergency Response System

 

x

  

x

x

x

 

Audiologist

 

x

      

Assistive products for personal hygiene

  

x

 

x

   

Mobile-Care Services (1–2 times weekly)

      

x

x

Meals on Wheels

      

x

 

Mapping of available Support-network

     

x

  

Local non-profit support services

    

x

x