Integrated care for older people (‎ICOPE)‎: guidance for person-centred assessment and pathways in primary care

    Año de publicación: 2019

    The guidance in this handbook will help community health and care workers to put the Integrated care for older people (ICOPE) recommendations into practice. It ofers care pathways to manage priority health conditions associated with declines in intrinsic capacity – loss of mobility, malnutrition, visual impairment, hearing loss, cognitive decline, depressive symptoms. These pathways start with a screening test to identify those older people who are most likely to be experiencing some losses in intrinsic capacity already. Health and social care workers can easily carry out this screening in the community. This is the doorway to a more in-depth assessment of the health and social care needs of older people. This assessment leads, in turn, to a personalized care plan that integrates strategies to reverse, slow or prevent further declines in capacity, treat diseases and meet social care needs.

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