Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2009-10-27
pubmed:abstractText
Little has been reported regarding the nature of home visits by palliative care specialist physicians to assist in the management of complex cases. We determined the characteristics, actionable clinical findings and recommendations made during consecutive home visits conducted by a specialist physician for patients registered with a community palliative care service. Patient demographic information and clinical records were reviewed. Ninety-one patients received a total of 104 home and residential facility visits. Median patient age was 59 (Q1-Q3, 43-72). Ten children (under the age of 14) received a total of 15 visits. Seventy-three patients (80%) had a cancer diagnosis. Median visit duration was 60 min (Q1-Q3, 45-60). The major actionable clinical findings were pain (120), gastrointestinal (115), neuropsychiatric (58), mouth and skin (33) and respiratory (29). One-third of recommendations involved changes in analgesia regimen (opioids 67, adjuvants 44). The specialist physician home visit resulted in multiple patient care recommendations. This information may help palliative care programmes improve their care for patients and families in the community.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1477-030X
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
635-41
pubmed:meshHeading
pubmed-meshheading:19581338-Adolescent, pubmed-meshheading:19581338-Adult, pubmed-meshheading:19581338-Aged, pubmed-meshheading:19581338-Analgesics, Opioid, pubmed-meshheading:19581338-Child, pubmed-meshheading:19581338-Child, Preschool, pubmed-meshheading:19581338-Community Health Nursing, pubmed-meshheading:19581338-Female, pubmed-meshheading:19581338-Home Care Services, pubmed-meshheading:19581338-House Calls, pubmed-meshheading:19581338-Humans, pubmed-meshheading:19581338-Infant, pubmed-meshheading:19581338-Infant, Newborn, pubmed-meshheading:19581338-Male, pubmed-meshheading:19581338-Middle Aged, pubmed-meshheading:19581338-Oral Hygiene, pubmed-meshheading:19581338-Palliative Care, pubmed-meshheading:19581338-Physician's Practice Patterns, pubmed-meshheading:19581338-Retrospective Studies, pubmed-meshheading:19581338-Victoria, pubmed-meshheading:19581338-Young Adult
pubmed:year
2009
pubmed:articleTitle
Clinical findings and recommendations made during home visits by a palliative care specialist physician.
pubmed:affiliation
South East Palliative Care, Cranbourne Integrated Care Centre, Cranbourne, Melbourne, Victoria. sbush@bruyere.org
pubmed:publicationType
Journal Article