Managing Pain in Chronically Ill Homebound Patients Through Home-Based Primary and Palliative Care.

ABSTRACT:

Background:

Many older adults are homebound due to chronic illness and suffer from significant symptoms, including pain. Home-based primary and palliative care (HBPC), which provides interdisciplinary medical and psychosocial care for this population, has been shown to significantly reduce symptom burden. However, little is known about how pain is managed in the homebound.

Objective:

This article describes pain management for chronically, ill homebound adults in a model, urban HBPC program.

Design/measurements:

This was a prospective observational cohort study of newly enrolled HBPC patients, who completed a baseline Edmonton Symptom Assessment System (ESAS) survey during the initial HBPC visit (N = 86). Baseline pain burden was captured by ESAS and pain severity was

SUBMITTER: Major-Monfried H 

PROVIDER: S-EPMC6647018 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature