Multiple Chronic Conditions (MCC) means that a person is living with two or more chronic conditions at the same time. Currently, 1 out of 3 adult Americans have MCCs and for persons 65 and older 4 out of 5 Medicare Beneficiaries and a growing number of children have MCCs. This is the largest patient population and users of healthcare resources accounting for 64% of all clinician visits, 70% of all inpatient stays, 83% of all prescriptions, 71% of all healthcare spending, and 93% of Medicare spending.
Palliative care is symptom management in persons with multiple chronic conditions. The focus is on quality of life and not death. Palliative care should be integrated into the routine management of symptomatic chronic conditions such as heart failure, chronic obstructive pulmonary disease, cancer, chronic kidney disease and others. The effective management of symptoms prevents disease exacerbation, reduces hospitalization, maintains physical functioning, and improves quality of life.
Managing symptomatic multiple chronic conditions, prevents escalation and worsening of the underlying conditions. Proactive interventions to reduce the burden of symptoms such as pain, depression, insomnia, shortness of breath and others improves quality of life and promotes the ability to engage in meaningful and important activities.
News and Updates for Healthcare Professionals
Updated Atrial Fibrillation Guideline from the European Society of Cardiology
Updated Hypertension Guidelines from the European Society of Cardiology
10 key updates from the American College of Cardiology on inpatient heart failure
The Multiple Chronic Conditions Resource Center is excited to announce a new collaboration with Stratis Health.
Stratis Health is a trusted expert in leading health care transformation and quality improvement to make lives better in Minnesota and nationwide. Its thought leaders deliver data-driven insights, evidence-based interventions, and leading-edge improvement methodologies that inspire organizations and communities to achieve solutions to their most complex and diverse health improvement challenges. We have joined forces to enhance care coordination and patient outcomes for individuals with multiple chronic conditions.
This collaboration brings together the expertise of both organizations to develop innovative strategies and solutions to address the challenges faced by individuals with complex health needs. Stay tuned for updates on this exciting partnership.
Medication Safety
Patients have long associated trust and respect with nursing. However, recent incidents of nurses delivering inappropriate medications (wrong drug, wrong dose) have led to catastrophic consequences. Most notoriously, former nurse RaDonda Vaught was stripped of her nursing license and charged with reckless homicide and abuse of an impaired adult.
Anticholinergics, widely used in clinical practice for an extensive range of diseases, exert effects on circulation, respiration, alertness, and vision by blocking the action of acetylcholine (a neurotransmitter) within the cholinergic system.
Providers prescribe benzodiazepines (BZDs)—also known as anxiolytics, hypnotics, muscle relaxants, anticonvulsants, and amnestic medications—to manage several symptoms and conditions, including anxiety, insomnia, alcohol withdrawal, sedation, muscle spasms, agitation, and seizures.
To ensure safety and effective care, nurses must maintain their knowledge and understanding of opioid pharmacologic properties and best practices when caring for patients with acute and chronic non-cancer pain.