Almost 80 percent of Canadians over the age of 65 years have one chronic medical illness and approximately 70 percent of these people have two or more. The incidence of multi-morbid illnesses is increasing, involving cardiovascular, respiratory, endocrine, neurological and immunological systems, but only a small percentage are genetically predetermined.
The common pathophysiological mechanisms leading to multi-morbidity will be briefly reviewed, as will the impact of environmental exposures, diet, exercise and other multiple determinants of health. Clinical case examples will be used to demonstrate how to perform and integrate the environmental exposure history into routine office practise to identify and manage patients at risk for chronic illness and multi-morbidity. Participants will also learn and practice specific evidence-based strategies to motivate their patients to buy in to health-promoting lifestyle changes, such as environmental control, improved diet, goal-directed exercise and stress reduction techniques.
- List the commonly shared mechanisms of multi-morbid chronic illnesses
- Practise taking the exposure history to identify patients at risk in order to prevent development of and/or manage multi-morbidity
- Integrate skills related to lifestyle modification into the practice to help patients initiate and maintain effective self-management skills
This program meets the accreditation criteria of the College of Family Physicians of Canada and has been accredited for 3.0 CFPC Mainpro-C credits.