Fig. 3
From: Do critical illness survivors with multimorbidity need a different model of care?
Proposed strategy to adapt care pathways to account for critical illness survivors with multimorbidity and related factors including unmet social needs, frailty, and terminal illness. Each critical illness survivor would be screened for the presence of multimorbidity and related factors. Assessment and optimization would prioritize the lowest relevant level (e.g., end of life care, frailty needs, social needs, medical assessment, and then functional needs), given that each subsequent domain is more challenging to address without addressing the previous unmet needs. The final comprehensive optimisation plan should consider several overarching principals including shared decision making, integration of care, minimized treatment burden, and involvement of family or carers