Case Study: SDOH insights and in-home care
The hospital alternative in action: Acute Care
Do you have a patient like this?
Introduction & Presentation
Meet Robert, a 60-year-old male whose caregiver reported to the PCP the patient had a cough, fever, and shortness of breath. The PCP requested a visit from DispatchHealth. Upon arrival, the patient reported feeling like “air is trapped,” and orthopnea while lying flat, without edema.
The power of DispatchHealth
History: Patient had an electrical cardioversion 6 days prior, anemia, cardiac arrhythmia, CHF, hypothyroidism, kidney failure, obesity.
Physical exam: Abdomen distended with no tenderness or guarding, bilateral lower extremity edema 3/6, systolic heart murmur 2/6.
On-site labs: Chem 8 on-site findings of low hemoglobin levels, normal electrolytes, normal EKG.
Medication reconciliation: Furosemide administered on site and prescription ordered.
SDOH assessment: No urgent concerns identified.
Education: Extensive disease specific education and the importance of following up with PCP for anemia.
Care coordination: Discussed care plan and shared encounter summary with PCP.
This patient was able to avoid being transported to the ER which would have resulted in expensive medical costs and the challenges of transitional care.
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