Main description:

As the population of older adults in the U.S. continues to grow, medical house calls are increasingly part of a system of comprehensive home-based care for patients who have difficulty accessing office-.based care. Clinicians who have been trained mostly in office and hospital settings must adapt their usual approaches to accommodate a wide range of environmental, social, and physical circumstances that impact home-limited patients. Ideally, a comprehensive team of clinicians proficient in multiple domains of functional, social, and medical care can work together to address potential gaps in any one clinician's expertise. Unfortunately, such teams are still rare. This book aims to equip individual clinicians with the interdisciplinary knowledge, skills, and perspective they need to provide the best care possible with limited formal interdisciplinary support.

This book offers 20 patient cases drawn from the collective experience of experts in home-based medical care from highly respected academic and clinical programs across the United States. Each case demonstrates a scenario that is frequently encountered and/or very important in home-based medical care practice. Each scenario frequently proves to be challenging for many professionals because it requires an approach or leverages aspects of care delivery that most are not trained in. Additionally, each scenario reflects an approach to care that is enhanced by interdisciplinary input. Finally, each case lends itself to a practical problem-solving approach that could be accomplished by most home-based medical care providers, even in the absence of an interdisciplinary team.

Written by interdisciplinary experts in geriatric home-based care, this book serves as both an educational tool for learners in all related disciplines as well as a quick reference for experienced clinicians looking to augment their existing house call "toolbox."

Contents:

1. Involuntary weight loss

Bruce Leff, MD

2. Assessing Decision-Making Capacity

Sharon Levine, MD, Megan Young, MD

3. Acute illness at home

Abigail Holley Houts, MD

4. Dementia Behavior Management

Erin Zahradnik, MD, Katherine Wang, MD, Shahla Baharlou, MD, & Jonathan Ripp, MD, MPH

5. Bacteriuria in a Patient with Incident Delirium

Thomas E. Finucane, MD

6. Caregiver Burden

Mia Yang, MD & Rachel Zimmer, DNP

7. Elder Abuse and neglect

Ania Wajnberg, MD, Sarah Koppel, MD, Fay Kahan LCSW

8. Management of Frequent Falls

Mattan Schuchman, MD, Joe Graziano

9. Home Assessments: Improving Patients' Capacity for Self-Management

Monika Robinson, OT, Sarah Szanton, PhD, ANP

10. Transitioning to long-term care

Namirah Jamshed, MD

11. Pressure Injuries

Yasmin Meah, MD, & Fred Ko, MD, Elizabeth Arrabito, MD

12. Opioid management

Elizabeth McCormick, MD, Meng Zhang, MD

13. Social isolation

Thomas K.M. Cudjoe, MD, Jessica Colburn, MD

14. Serious mental illness

Sonica Bhatia, MD, Victoria Kopke, MD

15. Functional Rehabilitation and Realistic Goals

Jennifer L. Hayashi, MD, Cindy Seidenman, PT

16. Polypharmacy

Melissa Morgan-Gouveia, MD

17. Telephone medicine

Christian Escobar, MD, Cameron Hernandez, MD

18. Morbid obesity

Jean Yudin, MD, Bruce Kinosian, MD

19. Urinary Catheter Management at Home

Rachel Kaplan, RN, Karen Abrashkin MD, Konstantinos E. Deligiannidis, MD, MPH

20. End of life care

Ina Li, MD, Linsey O'Donnell, MD