Physician Home Visits by Palliative Medicine Fellow

被引:1
|
作者
Ang, Sik Kim [1 ]
LeGrand, Susan B. [2 ,3 ,4 ]
Walsh, Declan [2 ,3 ,4 ,5 ]
Davis, Mellar P. [2 ,3 ,4 ]
Lagman, Ruth L. [2 ,3 ,4 ]
机构
[1] RIPAS Hosp, Dept Internal Med, Bandar Seri Begawan 1710, BA, Brunei
[2] Cleveland Clin, Sect Palliat Med & Support Oncol, Cleveland, OH 44106 USA
[3] Cleveland Clin, Harry R Horvitz Ctr Palliat Med, Cleveland, OH 44106 USA
[4] Cleveland Clin, Taussig Canc Inst, Dept Solid Tumor Oncol, Cleveland, OH 44106 USA
[5] Cleveland Clin, Harry R Horvitz Chair Palliat Med, Cleveland, OH 44106 USA
来源
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2012年 / 29卷 / 02期
关键词
home care; hospice; education; palliative; fellows; home visit; ELDERLY-PATIENTS; HOUSE CALLS; HEALTH-CARE; TRIAL; TEAM;
D O I
10.1177/1049909111409740
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Physician home visits (HVs) are an important model of care for the terminally ill. Hospice and palliative medicine (HPM) fellows make a minimum of 25 HVs. Objective: To describe HPM fellow hospice HVs in an academic palliative medicine practice. Methods: Retrospective chart review of HVs conducted by 1 HPM fellow. Results: Twenty-five HVs were made to 21 hospice patients. Nineteen had advanced cancer. Indications for visits were symptom management (22) and education (21). On average 2.8 symptoms (+/- SD 1) were addressed on each visit, usually pain. Medications were reviewed at every visit. Conclusions: HVs are an important part for patient care and fellow education, which provided an opportunity for medication revision and symptom education.
引用
收藏
页码:112 / 115
页数:4
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