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.
Robert’s experience:
Caring for this medically complex patient in the home eliminated the need for transport to the ER and helped avoid possible admission to hospital. Positive labs and chest x-ray resulted in antibiotic therapy being ordered and delivered to the home due to transportation limitations.
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