Think about the following description of a typical (older) patient in primary care: [L]ater she developed diabetes ... we controlled her blood pressure with tablets which worsened her renal function....

Think about the following description of a typical (older) patient in primary care: [L]ater she developed diabetes ... we controlled her blood pressure with tablets which worsened her renal function. A statin lowered her cholesterol, but her liver function went haywire ... Beta blockers made her breathing worse and her warfarin had to be stopped after a gastric bleed ... there always seemed to be a new symptom or drug side effect to deal with. 7 How well does the system you have described in (1) meet the needs of this patient? What would need to change to improve the care provided to this type of patientand where would you start to introduce such changes? Please also consider the role of the patient as a key actor.