• Am J Hosp Palliat Care · Nov 2016

    A Home-Based Palliative Care Consult Service for Veterans.

    • Adam G Golden, Charles Antoni, and Denise Gammonley.
    • University of Central Florida College of Medicine, Orlando, FL, USA Orlando Veterans Affairs Medical Center, Orlando, FL, USA adam.golden@ucf.edu.
    • Am J Hosp Palliat Care. 2016 Nov 1; 33 (9): 858-862.

    AbstractWe describe the development and implementation of a home-based palliative care consult service for Veterans with advanced illness. A retrospective chart review was performed on 73 Veterans who received a home-based palliative care consult. Nearly one-third were 80 years of age or older, and nearly one-third had a palliative diagnosis of cancer. The most common interventions of the consult team included discussion of advance directives, completion of a "do not resuscitate" form, reduction/stoppage of at least 1 medication, explanation of diagnosis, referral to home-based primary care program, referral to hospice, and assessment/support for caregiver stress. The home-based consult service was therefore able to address clinical and psychosocial issues that can demonstrate a direct benefit to Veterans, families, and referring clinicians.© The Author(s) 2015.

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