Ang Sik Kim, LeGrand Susan B, Walsh Declan, Davis Mellar P, Lagman Ruth L
Department of Internal Medicine, RIPAS Hospital, Bandar Seri Begawan, Brunei.
Am J Hosp Palliat Care. 2012 Mar;29(2):112-5. doi: 10.1177/1049909111409740. Epub 2011 Jun 10.
Physician 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.
To describe HPM fellow hospice HVs in an academic palliative medicine practice.
Retrospective chart review of HVs conducted by 1 HPM fellow.
Twenty-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.
HVs are an important part for patient care and fellow education, which provided an opportunity for medication revision and symptom education.
医生家访是为绝症患者提供护理的一种重要模式。临终关怀与姑息医学（HPM）研究员至少要进行25次家访。
描述一名学术性姑息医学从业者的HPM研究员的临终关怀家访情况。
对一名HPM研究员进行的家访进行回顾性病历审查。
对21名临终关怀患者进行了25次家访。其中19人患有晚期癌症。家访的目的是症状管理（22次）和教育（21次）。每次家访平均处理2.8种症状（±标准差1），通常是疼痛。每次家访都会审查药物治疗情况。
家访是患者护理和研究员教育的重要组成部分，为药物调整和症状教育提供了机会。
