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Letters sion of regionalized health care and the episodic shortness of breath, wheeze and Fatigue and general risks of transporting patients to distant cough, are nonspecific in older adults practitioners areas for care. In addition to the risks and are mimicked by other diseases, associated with the actual transportation such as congestive heart failure, emphy- Nijrolder and colleagues described the of the patient, studies also need to sema and chronic bronchitis, chronic diagnoses they found during follow-up address the issues faced by patients prior aspiration, gastroesophageal reflux dis- of patients presenting with fatigue in pri- to “lifting off from home” and what hap- ease and tracheobronchial tumours. Sev- mary care. Our study (prospective, pens at the “other end.” Health care pro- eral things must be taken into account cross-sectional, within a one-year fessionals seeking more advanced care when considering appropriate pharma- period ) was performed to determine for their patients often have to search for cologic therapy in older patients, includ- accompanying reasons for the encounter, significant lengths of time before a ing poor inhaler technique, differences symptoms, diagnostic procedures, recent receiving centre and team can be found. in pharmacodynamics and pharmacoki- diagnoses and therapeutic procedures in netics than
Canadian Medical Association Journal – Unpaywall
Published: Dec 7, 2009
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