mitmete meditsiiniliste probleemidega eaka isiku tervisliku, funktsionaalse, psühholoogilise ja sotsiaalse seisundi hindamine ning tulemuste põhjal ravi, hoolduse ja ennetuse tegevusplaani kujundamine
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Eesti Hoolduravivõrgu arengukava 2015 http://rahvatervis.ut.ee/bitstream/1/2048/1/Sotsiaalministeerium2001.pdf
a multidimensional, multidisciplinary process which identifies medical, social and functional needs, and the development of an integrated/co-ordinated care plan to meet those needs
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