Name of the Procedure:

House/Extended Care Facility Call (D9410)

Summary

In simple terms, a House/Extended Care Facility Call involves a healthcare professional visiting a patient at their home or in an extended care facility to provide medical care. This isn't limited to any one medical specialty but can include a variety of consultations and treatments.

Purpose

This procedure is aimed at providing medical care to patients who cannot easily travel to medical facilities. It seeks to ensure continuous and comprehensive healthcare for individuals, perhaps due to limited mobility or the need for constant supervision.

Indications

• Patients with debilitating conditions preventing travel.
• Individuals in need of post-operative care that requires in-person evaluation.
• Elderly patients in need of routine check-ups.
• Chronic illness management.
• Acute medical issues rising sharply and needing prompt attention.

Preparation

• Confirming the appointment.
• Ensuring medical records are available for review by the visiting healthcare provider.
• Preparing a list of current medications and any recent medical incidents to discuss.
• Making sure the environment is conducive to a thorough examination.

Procedure Description

1. The healthcare provider arrives at the patient’s location.
2. A thorough review of the patient’s medical history and current medications is conducted.
3. A physical examination is performed based on the patient’s medical needs.
4. Any necessary diagnostic tests (like blood pressure, glucose levels, etc.) are done.
5. Treatment plans are reviewed and possibly adjusted.
6. Medications may be prescribed or adjusted.
7. Further investigations or follow-up appointments are scheduled if necessary.

Tools and Equipment:

• Portable diagnostic tools like stethoscope, blood pressure monitor, glucose meter, etc.
• Prescriptions or medical supplies as required.

Duration

Typically, the visit lasts between 30 to 60 minutes, depending on the complexity of the patient’s needs.

Setting

• Patient's home.
• Extended care facilities such as nursing homes or assisted living facilities.

Personnel

• Primary healthcare providers such as physicians or nurse practitioners.

• Possibly a nurse or medical assistant.

  Risks and Complications

• Limited access to advanced diagnostic tools which may delay diagnosis.

• Potential for adverse reactions to medications not immediately addressable.

  Benefits

• Convenience and comfort of receiving care at home.
• Continuity of care leading to better health outcomes.
• Avoidance of travel-related stress for patients with mobility challenges.

Recovery

Generally, no recovery period is required as it involves evaluation and treatment. Follow-up care instructions will vary and may involve lifestyle adjustments, medication adherence, or scheduling additional visits.

Alternatives

• Traditional in-office visits: More immediate access to diagnostic tools but involves travel.
• Telemedicine consultations: Convenient, but lacks physical examination.
• Urgent care or emergency room visits: Suitable for acute conditions but can be more stressful.

Patient Experience

The patient can expect a comprehensive, compassionate approach tailored to their individual health needs. They may experience relief from not having to travel and feel more comfortable in a familiar environment. Pain management will be addressed as needed, ensuring the patient's comfort and well-being during and after the visit.