Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly

Proactive Care

Individual case mananagement includes :

 

  • Individualised goal setting in collaboration with the patient and carers if appropriate.

This is one of four Read More sectors of the

Proactive Care chapter of this toolkit

Back To : Proactive Care

Proactive Care
Proactive Care
Proactive Care
  • Generation of a personalised care plan.

Case Management

Selecting the appropriate care pathway,  may include :

 

  • a more in-depth CGA, if medical problems dominate, and who will be involved in carrying it out.

  • changes in medication and joint care arrangements with carers and pharmacist

  • referral to allied service providers for further investigation or management of identified needs including

-  optimisation and implementation of  self-management  measures

-  specialist intervention for specific medical needs

-  third-sector/community care and support for issues such as social isolation and loneliness

-  social services care and support  for social and environmental needs

-  Advanced Care Planning support

Go To : Personalised Care Planning

Personalised Care Planning
Personalised Care Planning
Personalised Care Planning

Personalised Care Plan Template

Personalised Care Plan Template
Personalised Care Plan Template
Personalised Care Plan Template

450 KB

Go To : Advance Care Planning

Advance Care Planning
Advance Care Planning
Advance Care Planning