Diagnostic testing and treatment are determined based on ability to improve disease process or quality of life/goals of care.

Health literacy refers to an individual’s ability to understand his or her health and effectively navigate the health care system.  An older patient with low health literacy might present with repeated provider visits or phone calls, misunderstanding of, or non-adherence to, their medication plan, or exacerbations of chronic illness. 

Identify the specific difficult behavior and apply best practice management strategies.

Adult ICU patients should be routinely monitored for delirium.

Review available home care services and Medicare requirements.