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家庭医疗保健:2019 冠状病毒病期间及以后的高价值医疗保健。

Home-Based Medical Care: High-Value Health Care During Coronavirus Disease 2019 and Beyond.

机构信息

Division of Geriatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Geriatrics and Extended Care, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.

出版信息

J Am Geriatr Soc. 2021 Feb;69(2):289-292. doi: 10.1111/jgs.16967. Epub 2020 Dec 6.

Abstract

Ms. H is a 78-year-old woman with a history of congestive heart failure, chronic obstructive pulmonary disease, and recent stroke who was discharged 1 month ago from a subacute rehabilitation facility. She moved in with her son because she now requires a walker and cannot return to her third-floor apartment. One evening, Ms. H develops a low-grade fever and mild shortness of breath intermittently relieved by her albuterol inhaler. Her son is worried, but knows that his mom does not want to return to the hospital.

摘要

H 女士是一位 78 岁的女性,患有充血性心力衰竭、慢性阻塞性肺疾病和近期中风,她一个月前从亚急性康复机构出院。她和儿子住在一起,因为她现在需要助行器,而且无法回到她位于三楼的公寓。一天晚上,H 女士开始出现低度发热和间歇性轻度呼吸急促,沙丁胺醇吸入器可缓解这些症状。她的儿子很担心,但他知道妈妈不想回医院。

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