Home-based medical care relies more upon telephone encounters than an office-based practice. Homebound individuals may call in with urgent issues at times when a provider may not be available to do a house call. These cases can be unpredictable and stressful for inexperienced clinicians. When addressing problems by phone, providers need to quickly assess and triage the issue based on the history obtained from patients and caregivers. Medical devices and technology in the patient’s home may provide additional data, as could ancillary services performing an urgent visit. Previously established advanced directives will help guide management and disposition for the patient.

Original languageEnglish
Title of host publicationHome-Based Medical Care for Older Adults
Subtitle of host publicationA Clinical Case Book
PublisherSpringer International Publishing
Number of pages7
ISBN (Electronic)9783030234836
ISBN (Print)9783030234829
StatePublished - 1 Jan 2019


  • After hours
  • Emergencies
  • Goals of care
  • Home-based medical care
  • House call
  • On call
  • Telemedicine
  • Telephone medicine
  • Urgent calls


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