1. Physician Home Visits by Palliative Medicine Fellow
- Author
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Ruth Lagman, Declan Walsh, Sik Kim Ang, Mellar P. Davis, and Susan B. LeGrand
- Subjects
Adult ,Male ,medicine.medical_specialty ,genetic structures ,Terminally ill ,Patient care ,Professional-Family Relations ,Neoplasms ,Physicians ,Chart review ,medicine ,Humans ,Fellowships and Scholarships ,Aged ,Ohio ,Retrospective Studies ,Physician-Patient Relations ,business.industry ,Symptom management ,Palliative Care ,General Medicine ,Middle Aged ,Hospice and palliative medicine ,Advanced cancer ,House Calls ,Hospice Care ,Home visits ,Education, Medical, Graduate ,Family medicine ,Workforce ,Female ,business - 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.
- Published
- 2011
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