Author in the Room: Medical Care for the Final Years of Life

February 2010 Author in the Room® Teleconference
Author: David Reuben, MD, MSc 
Summary Points:
  • For a conventional evidence-based approach is modified by three important caveats: prognosis, insufficient evidence, and patient goals and preferences.
  • Conceptually, the care of older persons can be divided into three time frames: short-term, which focuses on remediating the current problems; mid-range, focusing on preventive and foreseeable problems; and long-range, which focus on eventual decline and living arrangements.
  • Individual providers need to structure their practices to efficiently and comprehensively accommodate the diverse needs of elderly patients.


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