The elderly disabled often have numerous chronic conditions and functional disabilities that require clinicians and service providers to take an ongoing cooperative management approach with the patient and family. The goal of this approach is to live the best possible life with chronic problems and avoid preventable deterioration of health and functional ability. In this arena, the patient, the family, and paid or unpaid caregivers often have a significant impact on care and quality of life, although the health center medical provider is still a critical partner in the process of providing and authorizing necessary care
