04117nam a22004095i 4500001001800000003000900018005001700027007001500044008004100059020001800100024003500118050001600153072001600169072002300185072001500208245017200223250001800395264006900413300005400482336002600536337002600562338003600588347002400624505058800648520194401236650001603180650001603196700008103212700007403293700008203367700008003449710003403529773002603563776003603589776003603625856004603661978-3-031-68786-0DE-He21320251030113326.0cr nn 008mamaa241126s2024    sz |    s    |||| 0|eng d  a97830316878607 a10.1007/978-3-031-68786-02doi 4aRC952-954.6 7aMJX2bicssc 7aMED0320002bisacsh 7aMKN2thema10aGeriatric Home-Based Medical Careh[electronic resource] :bPrinciples and Practice /cedited by Jessica L. Colburn, Bruce Leff, Mariah L. Robertson, Mattan Schuchman.  a2nd ed. 2024. 1aCham :bSpringer Nature Switzerland :bImprint: Springer,c2024.  aXIV, 312 p. 24 illus. in color.bonline resource.  atextbtxt2rdacontent  acomputerbc2rdamedia  aonline resourcebcr2rdacarrier  atext filebPDF2rda0 a1. Introducing Home-Based Medical Care -- 2. Getting Started with Home-Based Medical Care -- 3. Care Planning and Coordination of Services -- 4. How to Perform a House Call -- 5. Common Cognitive Issues in Home-Based Medical Care -- 6. Common Neurologic Issues -- 7. Adult Psychiatric Care in the Home -- 8. Functional Assessment and Common Functional Problems -- 9. Common Medical Issues in Home-Based Medical Care -- 10. Common Infections -- 11. Wound Care in Home-Based Settings -- 12. Social and Ethical Issues in Home-Based Medical Care -- 13. Palliative Care -- 14. Caregiving.  aOlder adults are living longer with more chronic disease and functional impairment than at any other time in history. Office-based practice is inadequate to meet the needs of patients who have difficulty leaving their homes for routine or urgent visits, and health care clinicians must choose between trying to manage their problems via telehealth or sending them to the emergency room via ambulance. Indeed, many clinicians receive little or no training in home-based medical care and are unable to consider a home visit that might avert a health crisis or an emergency room visit. Other clinicians know that house calls are possible but may not know how to work them into day-to-day practice.   In recent years, a growing number of clinicians have focused their practice on home-based medical care to meet the rising need. In fact, there has been a substantial increase in house calls provided to Medicare beneficiaries. In 2023, over 750,000 traditional Medicare beneficiaries, and in 2022, over 680,000 Medicare Advantage beneficiaries received longitudinal home-based medical care. While the number of house calls has increased rapidly, the number of clinicians providing those visits has markedly decreased, suggesting that clinicians who are providing such care are making it the sole focus of their practice.   This book is intended to be a practical reference for any clinician who has struggled to care for an older adult who has difficulty getting to the office.  By describing fundamental principles of geriatric house call medicine and application to specific diseases and conditions, we hope to provide clinicians with the tools they need to provide timely, compassionate, and high-quality care for their older adult patients. The second edition has been updated to reflect changes in the healthcare system and approaches to care since the publication of the first edition. 0aGeriatrics.14aGeriatrics.1 aColburn, Jessica L.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt1 aLeff, Bruce.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt1 aRobertson, Mariah L.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt1 aSchuchman, Mattan.eeditor.4edt4http://id.loc.gov/vocabulary/relators/edt2 aSpringerLink (Online service)0 tSpringer Nature eBook08iPrinted edition:z978303168785308iPrinted edition:z978303168787740uhttps://doi.org/10.1007/978-3-031-68786-0