Complexity in the fragile young patient: difficulty in assistance and attention

Authors

  • Marcos Guzmán-García Hospital San Juan de la Cruz, Úbeda (Jaén), España
  • María Luisa Fernández-Ávila Hospital Universitario de Puerto Real, Cádiz, España
  • Esmeralda Ramiro-Ortega Hospital San Juan de la Cruz, Úbeda (Jaén), España
  • Mirian Moreno-Conde Hospital San Juan de la Cruz, Úbeda (Jaén), España

DOI:

https://doi.org/10.32818/reccmi.a5s1a8

Keywords:

multiple myeloma, fragility, dependence, myasthenia gravis, comorbidity.

Abstract

A 63-year-old patient with multiple myeloma with chronic renal failure and myasthenia gravis who has acute respiratory infection. Unfavorable evolution is observed by associating with acute hepatitis of drug origin. After a comprehensive assessment of the patient, the finding of possible fronto-temporal dementia is previously masked as a depressive disorder. The use of drugs in this patient implies relevant conditioning, so a therapeutic reconciliation must be carried out to avoid complications related to comorbidities.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Bodenheimer T, Berry-Millett R. Follow the money: controlling expenditures by improving care for patients needing costly services. N Engl J Med. 2009; 361(16): 1521-1523. doi: https://doi.org/10.1056/NEJMp0907185.

Lattanzio F, Landi F, Bustacchini S, Abbatecola AM, Corica F, Pranno L, et al. Geriatric conditions and the risk of adverse drug reactions in older adults: a review. Drug Saf. 2012; 35(Suppl 1): 55-61. doi: https://doi.org/10.1007/BF03319103.

Bernabeu-Wittel M, Barón-Franco B, Nieto-Martín D, Moreno-Gaviño L, Ramírez-Duque N, Ollero-Baturone M. Estratificación pronóstica y abordaje asistencial de los pacientes pluripatológicos. Rev Clin Esp. 2017; 217(7): 410-419. doi: https://doi.org/10.1016/j.rce.2017.01.011.

Contel JC, Muntané B, Camp L. La atención al paciente crónico en situación de complejidad: el reto de construir un escenario de atención integrada. Aten Primaria. 2012; 44(2): 107-113. doi: https://doi.org/10.1016/j.aprim.2011.01.013.

Mian H, Brouwers M, Kouroukis CT, Wildes TM. Comparison of Frailty Scores in newly diagnosed patients with multiple myeloma: a review. J Frailty Aging. 2019; 8(4): 215-221. doi: https://doi.org/10.14283/jfa.2019.25.

Published

2020-03-31

How to Cite

1.
Guzmán-García M, Fernández-Ávila ML, Ramiro-Ortega E, Moreno-Conde M. Complexity in the fragile young patient: difficulty in assistance and attention. Rev Esp Casos Clin Med Intern [Internet]. 2020 Mar. 31 [cited 2024 Dec. 22];5:20-2. Available from: https://www.reccmi.com/RECCMI/article/view/512