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26 Enhanced- communication skills were seen as necessary in multimorbidity to facilitate clear and concise discussion with patients on the interplay between their chronic diseases and to help with de-prescribing medications, which if carried out badly could be interpreted as withdrawing care.
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It could resolve the debate about measuring a concept as broad as multimorbidity seems to be.
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They do not give sufficient opportunities to provide the desired individualised approach in multimorbidity, which may be considered as more important than adherence to the guidelines.
Consequences of multimorbidity for everyday life proved to be as manifold as multimorbidity itself: For instance, interviewees were restricted in their daily routine through fatigue, shortness of breath, limited mobility, and anxiety.
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In multimorbidity indices, chronic conditions are often weighted according to their severity or their impact on different outcomes.
Very few studies have analyzed trends over time in multimorbidity and/or illustrated trends in single conditions compared to trends in multimorbidity [ 18, 47].
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