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Neurogeriatrie pp 23–35Cite as

Multimorbidität

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Zusammenfassung

Bei der Multimorbidität liegen mindestens zwei chronische Erkrankungen vor. Mittlerweile konnten typische Krankheitsgruppen identifiziert werden, die gehäuft zusammen auftreten: metabolische und kardiovaskuläre, neurologische und psychische Erkrankungen kombiniert mit Schmerzen oder somatoformen Störungen und muskuloskelettale Erkrankungen zusammen mit Übergewicht. Therapieentscheidungen basieren heutzutage zunehmend auf dem Prinzip der partizipativen Entscheidungsfindung. Problematisch ist die Umsetzung von Leitlinien für jede einzelne dominierende Erkrankung, da hierdurch Therapiekonflikte und Polypharmazie gefördert werden. Hilfreich für dieses Dilemma können neben didaktischen Krankheitsanalysen im Sinne von Einzelfallvignetten (N-of-One-Guideline) das Prinzip „Klug entscheiden“ (Choosing wisely) und selbstverständlich die stete Überprüfung von Diagnosen und Therapien im Behandlungsverlauf unter Berücksichtigung der Patientenpräferenzen sein.

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Authors and Affiliations

  1. Geriatrie/Neurologie, Elisabeth Krankenhaus GmbH, Recklinghausen, Deutschland

    Thomas Günnewig

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  1. Thomas Günnewig
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Correspondence to Thomas Günnewig .

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Editors and Affiliations

  1. Klinik für Neurologie, UKSH, Campus Kiel, Kiel, Germany

    Walter Maetzler

  2. Lehrstuhl für Geriatrie, Universitätsklinikum Essen, Geriatriezentrum Haus Berge, Contilia Group, Essen, Germany

    Richard Dodel

  3. Klinik für Geriatrie mit Neurologie, Johanniter Krankenhaus Bonn, Bonn, Germany

    Andreas H. Jacobs

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Günnewig, T. (2019). Multimorbidität. In: Maetzler, W., Dodel, R., Jacobs, A. (eds) Neurogeriatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57358-7_3

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  • DOI: https://doi.org/10.1007/978-3-662-57358-7_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57357-0

  • Online ISBN: 978-3-662-57358-7

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