Scanameo A M, Fillit H
Department of Geriatrics and Adult Development, Mount Sinai Medical Center, New York.
Geriatrics. 1995 Mar;50(3):33-6, 39.
The physician and/or healthcare team is responsible for the planning, design, implementation, and authorization of home care services. Home visits are appropriate for elderly homebound patients and for those who are having problems at home, such as recent falls or suspected abuse. The home visit can provide valuable information that is not readily accessible in the office setting. At the home, the comprehensive geriatric assessment should include history and physical exam, plus a medication review, environmental evaluation, and assessment of functional status. Discussion with the family is also important, as caregiver burnout can adversely affect the well-being of the frail older patient living at home. Environmental modifications can improve home safety and reduce the risk for falls.
医生和/或医疗团队负责家庭护理服务的规划、设计、实施和授权。家访适用于居家的老年患者以及那些在家中出现问题的患者，例如近期跌倒或疑似受虐情况。家访能够提供在办公室环境中不易获取的重要信息。在患者家中，全面的老年医学评估应包括病史和体格检查，以及药物审查、环境评估和功能状态评估。与家属进行沟通也很重要，因为照顾者的倦怠会对居家体弱老年患者的福祉产生不利影响。环境改造可以提高家庭安全性并降低跌倒风险。
