A Home-Based Palliative Care Consult Service for Veterans

被引：6

作者：

Golden, Adam G. ^{[1
,2
]}

Antoni, Charles ^{[2
]}

Gammonley, Denise ^{[3
]}

机构：

[1] Univ Cent Florida, Coll Med, Orlando, FL 32816 USA

[2] Orlando Vet Affairs Med Ctr, Orlando, FL USA

[3] Univ Cent Florida, Coll Hlth & Publ Affairs, Orlando, FL 32816 USA

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2016年 / 33卷 / 09期

关键词：

veterans; palliative care; hospice; end of life; home care; advanced illness; HEALTH-CARE; DECISION-MAKING; LIFE; ILLNESS; END;

D O I：

10.1177/1049909115595497

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We 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.

引用

页码：858 / 862

页数：5

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