Advanced Applications of Home-Based Primary Care-Virtual Workshop-Recording: Day 1; Part 1

Video Transcription

Video Summary

The workshop provides an introduction and overview, emphasizing the importance of participation and use of the chat function for questions and discussions. Participants share their objectives, including learning about time management, building successful programs, increasing revenue, and improving health outcomes. Faculty members are introduced, and the John A. Hartford Foundation is acknowledged for their support. A video by Dr. Tom Cornwell discusses home-based primary care, highlighting the aging population, advancing technology, and the benefits and cost savings of house calls. The Geriatric 5Ms framework and the importance of aligning with patient goals are introduced. The workshop also covers workflow efficiencies and maximizing team roles.<br /><br />When managing advanced dementia and behavioral disturbances at home, non-pharmacologic approaches such as data gathering, identifying triggers, modifying the environment, and caregiver training are important. Medications like atypical antipsychotics can be used, but careful consideration of risks and benefits is needed. Non-pharmacologic interventions are recommended first, with antipsychotics used for severe agitation or psychosis causing distress. Regular reevaluation and possible discontinuation of medication after four months are advised. An individualized approach is crucial for managing behavioral disturbances in advanced dementia patients at home.<br /><br />Training staff on telehealth technology and workflows is essential for successful implementation. This includes teaching navigation of the telehealth platform, conducting virtual visits, and documenting patient encounters. Clear guidelines, ongoing training, and support should be provided to ensure consistency and quality of care. Regular evaluation and refinement of telehealth processes are needed to optimize productivity and satisfaction.<br /><br />For someone with moderate dementia, memory loss, cognitive decline, difficulties with daily activities, changes in behavior, and mood can be expected. A safe and supportive environment should be provided, and communication with the healthcare team is important. Focus should be on comfort, symptom management, quality of life, and advanced care planning. Home health and hospice services may be involved to address specific needs, and discussions about healthcare proxies and end-of-life preferences should be held.<br /><br />No specific credits are mentioned in the summary.

Keywords

workshop introduction

importance of participation

use of chat function

learning objectives

time management

building successful programs

increasing revenue

improving health outcomes

home-based primary care

Geriatric 5Ms framework

workflow efficiencies

maximizing team roles

non-pharmacologic approaches

atypical antipsychotics

telehealth technology training