Discussion Guide: Managing Multicomplexity-Discussion Guide for Managing Multicomplexity Course

Discussion Guide for Managing Multicomplexity Course

Pdf Summary

The "Managing Multicomplexity in the Homebound Patient – Discussion Guide with Facilitator Notes" is designed for facilitators to lead discussions on treating homebound patients with multiple chronic diseases after completing the HCCI online education course. The discussion aims to reinforce a treatment model conducive to managing such complex cases.<br /><br />### **Purpose**<br />The purpose is to emphasize treatment models for homebound patients with multiple chronic diseases like diabetes mellitus (DM), congestive heart failure (CHF), chronic pulmonary disease (COPD), and chronic kidney disease (CKD).<br /><br />### **Audience**<br />This guide is intended for healthcare professionals who have completed the specified online education activity. The discussion duration is approximately 60 minutes.<br /><br />### **Materials Needed**<br />- Hard copies of the "Next Steps" handout.<br />- Optional: A flipchart to capture comments and ideas.<br /><br />### **Learning Objectives**<br />1. Recognize the challenges of treating homebound patients with multiple chronic diseases.<br />2. Apply a management model for such patients.<br />3. Describe treatment and medication management for DM, CHF, COPD, and CKD.<br />4. Identify challenges faced by caregivers and resources to support them.<br /><br />### **Agenda Breakdown**<br />1. **Introduction (5 min):**<br />   Discuss the complexity of co-morbidities in patients and compare home-based primary care to inpatient settings.<br />2. **Treatment Challenges (5 min):**<br />   Identify other commonly seen chronic conditions, the most challenging to treat, and effective strategies.<br />3. **Managing Multicomplexity Model (10 min):**<br />   Discuss the 4Ms in the care of older adults, the PDCA model, and potential additional actions.<br />4. **Disease-Specific Management Strategies (20 min):**<br />   Cover detailed strategies and offer practical advice for DM, CHF, COPD, and CKD management.<br />5. **Caring for the Caregiver (5 min):**<br />   Discuss available resources and ways to support caregivers more effectively.<br />6. **Debrief (5 min):**<br />   Review the "Next Steps" handout and share implementation ideas.<br /><br />Each topic includes specific question prompts to guide the discussion, focusing on real-world application and improvement of practical skills for caregivers and health providers. A central theme is the personalization of care to meet the unique needs of homebound patients through incremental improvements and responsive strategies. This guide ensures participants leave with actionable insights and a better understanding of complex home care cases.

Keywords

homebound patients

chronic diseases

diabetes mellitus

congestive heart failure

chronic pulmonary disease

chronic kidney disease

caregiver support

treatment model

healthcare professionals

management strategies