Expansion of a House Calls Program for Patients With Dementia During COVID-19

J Gerontol Nurs. 2022 Oct;48(10):21-25. doi: 10.3928/00989134-20220908-03. Epub 2022 Oct 1.

Abstract

Homebound older adults with dementia have increased health care use, hospitalization rates, and mortality risk, which are associated with considerable health care costs. A large, unmet need for individuals with dementia is home-based medical care. Although our institution has had a primary care program for homebound patients since 2019, we did not have an analogous program for patients with dementia before the coronavirus disease 2019 (COVID-19) pandemic. However, with increased health risks and challenges associated with the pandemic, we rapidly expanded the program to include facility-based older adults with dementia. We incorporated telemedicine and home-based visits to effectively provide patient-centered care that was aligned with their goals and preferences, and we describe a program example of how we provided care during a COVID-19 outbreak in a large facility. Further research is needed to capture potential cost savings and hospitalization rates for persons with dementia who receive home-based medical care. [Journal of Gerontological Nursing, 48(10), 21-25.].

MeSH terms

  • Aged
  • COVID-19* / epidemiology
  • Dementia* / epidemiology
  • Homebound Persons*
  • House Calls
  • Humans
  • Pandemics