Older adults are living longer with more chronic disease and functional impairment than at any other time in history. Office-based practice is inadequate to meet the needs of patients who have difficulty leaving their homes for routine or urgent visits, and health care clinicians must choose between trying to manage their problems via telehealth or sending them to the emergency room via ambulance. Indeed, many clinicians receive little or no training in home-based medical care and are unab...

It's hard to imagine a poet who could take more joy in nature, both earthly and human. In Blue Marble Gazetteer, David Leff looks closely, always, and revels in the names of things; the catalogs of species that recur throughout are delicious to mind and ear. Still, an elegiac tone haunts the book; David loves the planet as much as he fears for its demise. But this "world of open wounds" is blessed with fellow sojourners: the poet's wife and children, his neighbors, and all the bei...

This book is a practical reference for any clinician who has struggled to care for an older adult in a home setting. The volume is written by experts in the field who describe fundamental principles and clinical approaches of geriatric home-based care and their application to specific diseases and conditions, including delirium, incontinence, falls, and chronic pain and disability. The book also details house calls for special populations, from the developmentally disabled to those afflict...

As the population of older adults in the U.S. continues to grow, medical house calls are increasingly part of a system of comprehensive home-based care for patients who have difficulty accessing office-.based care. Clinicians who have been trained mostly in office and hospital settings must adapt their usual approaches to accommodate a wide range of environmental, social, and physical circumstances that impact home-limited patients. Ideally, a comprehensive team of clinicians proficient in...