{"id":3074,"date":"2017-09-30T13:06:18","date_gmt":"2017-09-30T11:06:18","guid":{"rendered":"https:\/\/blog.uchceu.es\/medicina\/?p=3074"},"modified":"2020-07-13T13:15:46","modified_gmt":"2020-07-13T11:15:46","slug":"improving-the-treatment-of-fragile-patients","status":"publish","type":"post","link":"https:\/\/blog.uchceu.es\/medicina\/en\/improving-the-treatment-of-fragile-patients\/","title":{"rendered":"Improving the treatment of fragile patients"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">In our university, all the lectures and practical lessons we have learned will not be enough unless we understand real cases with real patients. It is even more important in Health Science degrees &#8211; that is why we have <\/span><b>&#8216;On Wednesdays&#8230;we talk about health&#8217;<\/b><span style=\"font-weight: 400;\">. This is a series of sessions organized by our <a href=\"https:\/\/www.uchceu.com\/en\/studies\/health-sciences-area\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>faculty<\/strong><\/a> in order to strengthen students understanding about a specific disease or health concept studied in theoretical lessons. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Last topic was the\u00a0<\/span><b>therapeutic approach to fragile patients<\/b><span style=\"font-weight: 400;\">. We were happy to meet Mr Juan F. Peris, a <strong>CEU Alumni<\/strong>, who finished his PhD here 26 years ago. He told us about the difficulties in receiving chronic patients, in more details, dependence patients and old population.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-3075\" src=\"https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1.jpg 1920w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-315x236.jpg 315w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-650x488.jpg 650w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-768x576.jpg 768w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-1536x1152.jpg 1536w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-696x522.jpg 696w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-1068x801.jpg 1068w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-560x420.jpg 560w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-80x60.jpg 80w, https:\/\/blog.uchceu.es\/medicina\/wp-content\/uploads\/sites\/25\/2020\/07\/27.09-1-265x198.jpg 265w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/>The overview of 1st category patients<\/h2>\n<p><span style=\"font-weight: 400;\">Present data have shown that the elderly population (or so-called\u00a01st category patients) in 2050 will double from 2010, which is going to represent 10% (more than 80 years old) and 30% (from 60 to 80 years old) of the world&#8217;s population. As people get older, diseases will appear, and normally the appearance of the first leads to what we call <\/span><b>poly-pathology<\/b><span style=\"font-weight: 400;\">. All of these diseases are known as chronic diseases, which remain and progress during a long period of time and slowly decrease life quality. The intensity of it can be from morbidity, co-morbidity, fragility, disability and finally, death. Moreover, 80% of hospital bills are based on these dynamic diseases.<\/span><\/p>\n<h2><strong>Why is it hard to heal chronic diseases?<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">There are 3 main reasons.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><\/td>\n<td><span style=\"font-weight: 400;\"> The multimorbidity<\/span><\/td>\n<td><span style=\"font-weight: 400;\">The polymedication<\/span><\/td>\n<td><span style=\"font-weight: 400;\">The complexity<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Definition<\/span><\/td>\n<td><span style=\"font-weight: 400;\">When the patient presents<\/span><i><span style=\"font-weight: 400;\"> 2 or more diseases<\/span><\/i><span style=\"font-weight: 400;\"> at the same time.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">When the patient has to take <\/span><i><span style=\"font-weight: 400;\">more than 5 medications<\/span><\/i><span style=\"font-weight: 400;\"> at the same time<\/span><\/td>\n<td><span style=\"font-weight: 400;\">When doctors and pharmacists cannot apply <\/span><b>the Clinical guidance<\/b><span style=\"font-weight: 400;\"> to the patient.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Consequences<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Greater mortality rate<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Association with cardiometabolic, mental and musculoskeletal diseases<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Higher demand of medications<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The combination of more curing methods<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Very hard to make decisions as it is not a fixed healing procedure<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">In overall, it\u00b4s not possible to treat each disease separately. <\/span><\/p>\n<h2><strong>Focusing on the patients<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">As Voltaire said: <\/span><i><span style=\"font-weight: 400;\">\u201cThe art of medicine consists of amusing the patient while nature cures the disease\u201d<\/span><\/i><span style=\"font-weight: 400;\">, so instead of just making the healing part the central point, Juan and his colleagues are making the patient active. At\u00a0<\/span><b>socio-sanitary centres<\/b><span style=\"font-weight: 400;\"> in Valencia, they are using something called <\/span><b>Comprehensive geriatric assessment<\/b><span style=\"font-weight: 400;\">, formed by a list of the deficits that a person could have accumulated during his\/her life. Then, the doctors are going to calculate the percentage of suffering, <\/span><b>the index of frangibility (IF)<\/b><span style=\"font-weight: 400;\">. The range goes from 0 to 1, meaning that from an index of 0.2 up to 0.7 &#8211; is ringing an alarm for your health; more than 0.7 is not a good condition. It is a tool that they are still improving now in order to diagnose statically many chronic patients, thus to perform a change in medicament uses. As you can see, it is both the responsibility of medicine and pharmacy branch. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the end, Juan showed us an example of an old woman and how to vary her IF by changing the different medicaments. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">You know which day we have those talks because there are posters around the building, and the place is the biggest conference room- <\/span><i><span style=\"font-weight: 400;\">the assembly hall<\/span><\/i><span style=\"font-weight: 400;\">. I hope that in the future sessions there will be <strong>more international students attending<\/strong> as you feel like your Spanish level is good and you have the motivation to come to learn more about the people that you want to cure in 5 years. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In our university, all the lectures and practical lessons we have learned will not be enough unless we understand real cases with real patients. It is even more important in Health Science degrees &#8211; that is why we have &#8216;On Wednesdays&#8230;we talk about health&#8217;. This is a series of sessions organized by our faculty in [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":3075,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[239],"tags":[],"class_list":["post-3074","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-training"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Improving the treatment of fragile patients<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.uchceu.es\/medicina\/en\/improving-the-treatment-of-fragile-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improving the treatment of fragile patients\" \/>\n<meta property=\"og:description\" content=\"In our university, all the lectures and practical lessons we have learned will not be enough unless we understand real cases with real patients. 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