Physician Home Visits by Palliative Medicine Fellow.

Ang SK, Legrand SB, Walsh D, Davis MP, Lagman RL.

Am J Hosp Palliat Care. 2011 Jun 10. [Epub ahead of print]

 

Abstract

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.

 

Correspondence author: Ang SK. Department of Internal Medicine, RIPAS Hospital, Bandar Seri Begawan, Brunei. E mail: Sikim2000@gmail.com

 

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