Outpatient Geriatrics Rotation for
Family Medicine and Internal Medicine Residents

Home Care Course

Course Description

Both the In-Home Primary Care Program of the Ralston Center and the VA Home Based Primary Care Program follow panels of frail older patients who can no longer leave their homes to receive primary care. Both programs use interdisciplinary team care in the management of these patients. During the elective, residents will make home visits with staff of both programs, attend team meetings, and present one 10 minute discussion about an issue arising from a patient chosen from those seen. Residents will also be given the opportunity to choose one patient from their own panel of clinic patients; the resident and housecalls staff will visit that patient together to provide a “home care consultation” on the environment of care for that patient.

Goals

1. Development of a treatment plan for a homebound older patient.
2. Utilization of community support services.
3. Home modification.
4. Appropriate medication management.
5. Diagnosis and management of common medical problems seen in older homebound patients.
6. Differences in management at home from:
   • Hospital
   • Office
   • Nursing Home

Readings

• Loengard AU, Boal J. Home Care of the Frail Elderly. Clinics in Geriatric Med 20:795-807. 2004

Contact Information

Jean Yudin, CRNP
Ralston House
3615 Chestnut Street
Philadelphia, PA 19104
Phone: 215-662-2746
Fax: 215-573-8684

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