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Goals of Care and Prevention

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Post-Acute and Long-Term Medicine

Part of the book series: Current Clinical Practice ((CCP))

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Abstract

Your nursing facility (NF) resident has diabetes, hypertension, chronic renal insufficiency, and peripheral arterial disease. Interventions such as aspirin to prevent a cardiac event or stroke, meticulous foot care to prevent infection and subsequent amputation, and tightly controlled diabetes and hypertension can be instituted. But how do these interventions reflect the resident’s goals of care? Does the resident have days, months or years to live? Consider that the resident is a frail 97-year-old female with dementia who frequently refuses her medications and care, and who now has unavoidable weight loss. Her goals of care need to be considered with every intervention. How are her goals of care to be determined?

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Author information

Authors and Affiliations

  1. Department of Geriatrics and Gerontology, Ohio University Heritage College of Osteopathic Medicine, 250 Grosvenor Hall, Athens, Ohio, 45701, USA

    Cynthia Kuttner MD, CMD (Department Chair and Assistant Professor)

Authors
  1. Cynthia Kuttner MD, CMD
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Correspondence to Cynthia Kuttner MD, CMD .

Editor information

Editors and Affiliations

  1. School of Nursing, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA

    Pamela A. Fenstemacher

  2. Department of Family and Preventive Medi, University of Oklahoma Department of Family and Preventive Medi, OKLAHOMA CITY, Oklahoma, USA

    Peter Winn

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© 2016 Springer International Publishing Switzerland

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Kuttner, C. (2016). Goals of Care and Prevention. In: Fenstemacher, P., Winn, P. (eds) Post-Acute and Long-Term Medicine. Current Clinical Practice. Humana Press, Cham. https://doi.org/10.1007/978-3-319-16979-8_10

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  • DOI: https://doi.org/10.1007/978-3-319-16979-8_10

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-16978-1

  • Online ISBN: 978-3-319-16979-8

  • eBook Packages: MedicineMedicine (R0)

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