Managing Multimorbidity in Older Adults: Practical Geriatric Medicine and Deprescribing MTA
Evidence-based approaches to prioritize care, reduce polypharmacy, and improve function in the elderly

About this book:

*Managing Multimorbidity in Older Adults* offers an indispensable guide for healthcare professionals navigating the intricate challenges of caring for an aging population with multiple chronic conditions. This comprehensive resource moves beyond traditional disease-specific guidelines, advocating for a holistic, patient-centered approach that prioritizes individualized care, functional status, and quality of life. From understanding the complexities of multimorbidity and conducting thorough geriatric assessments to mastering shared decision-making and interpreting prognosis, the book equips clinicians with the foundational knowledge needed to optimize care for this vulnerable demographic.

A central theme of this practical guide is the critical issue of polypharmacy and the proactive strategy of deprescribing. It meticulously details the scope, risks, and identification of high-risk patients, providing evidence-based tools and approaches for medication review. Chapters dedicated to deprescribing delve into its rationale, process, and common barriers, offering actionable steps for safe and effective implementation in clinical practice. Beyond medication management, the book provides in-depth guidance on key geriatric syndromes and comorbidities, including fall prevention, cognitive impairment, cardiovascular issues, diabetes, respiratory and renal diseases, pain management, and mental health challenges. Readers will discover how to integrate nonpharmacological interventions, leverage rehabilitation, and ensure seamless care transitions, all while engaging patients and caregivers as essential partners in the care journey. Ultimately, *Managing Multimorbidity in Older Adults* is an essential resource for empowering healthcare providers to deliver compassionate, high-quality geriatric medicine that truly enhances the well-being and dignity of older adults.

What You'll Find Inside:

• Master strategies for identifying and managing polypharmacy, including the systematic process of deprescribing to reduce medication burden and improve patient safety.
• Learn comprehensive geriatric assessment techniques to evaluate frailty, functional status, and cognitive impairment, moving beyond disease-specific diagnoses to holistic patient understanding.
• Discover methods for effective shared decision-making and eliciting patient goals, ensuring care plans are aligned with individual preferences, values, and realistic prognoses.
• Explore nonpharmacological interventions across various chronic conditions, from exercise and diet to behavioral therapies, offering powerful alternatives or complements to medication management.
• Understand how to coordinate care across multiple specialties and settings, improving communication, preventing adverse events during transitions, and supporting patients and caregivers in complex healthcare journeys.

Who's It For:

This book is essential for clinicians, pharmacists, nurses, case managers, and allied health professionals who care for older adults navigating multiple chronic conditions. It is particularly beneficial for those seeking to enhance their skills in holistic geriatric assessment, medication optimization (including deprescribing), and patient-centered care planning to improve function and quality of life in complex elderly patients.