• Am J Hosp Palliat Care · Mar 2012

    Case Reports

    Physician home visits by palliative medicine fellow.

    • Sik Kim Ang, Susan B LeGrand, Declan Walsh, Mellar P Davis, and Ruth L Lagman.
    • Department of Internal Medicine, RIPAS Hospital, Bandar Seri Begawan, Brunei. Sikim2000@gmail.com
    • Am J Hosp Palliat Care. 2012 Mar 1; 29 (2): 112-5.

    BackgroundPhysician 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.ObjectiveTo describe HPM fellow hospice HVs in an academic palliative medicine practice.MethodsRetrospective chart review of HVs conducted by 1 HPM fellow.ResultsTwenty-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.ConclusionsHVs are an important part for patient care and fellow education, which provided an opportunity for medication revision and symptom education.

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