Evaluation of a patient with several chronic diseases in primary care: a case report
Keywords:
PRIMARY HEALTH CARE, CHRONIC DISEASE, NONCOMMUNICABLE DISEASES, QUALITY OF LIFE.Abstract
Introduction: chronic non-communicable diseases combined with an increase in life expectancy, often result in patients with multiple chronic non-communicable diseases, which requires action and comprehensive assessment by health personnel to reduce the burden of care and improve the quality of life of the patient.
Case presentation: we present the case of a female patient, 65 years of age, illiterate, bedridden for two years due to obesity, sedentary. She has a history of arterial hypertension, chronic gastric ulcer and diabetes mellitus. A comprehensive evaluation of the patient was carried out by primary health care using different tools. Treatment readjustment is performed, and follow-up plans are established together with pending charts.
Conclusions: patients with chronic diseases constitute a challenge for the primary care physician, requiring strategic preventive planning focused on avoiding the complications of these diseases that lead to more personal stress for the family and more outflow of resources for the state. The follow-up plans together with the pending tables are a basic and indispensable tool to follow the chronology of what to do with the patient and his family, together with a general panorama of the patient's life and prognosis. The adaptation of programs and guidelines according to the patients and their diseases and the collaboration of the patients themselves helps the primary care physician to offer a better care to the patient.
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