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A 75-year-old man lives alone and struggles to manage his heart failure, diabetes mellitus, hyperlipidemia, and chronic arthritis. He is prescribed 12 medications, including some he must take or inject 3 times a day. He cannot walk more than 30 feet without discomfort and rarely leaves home. Undertreated depression compounds his problems, contributing to inconsistent medication use and frequently missed appointments with his primary care physician and cardiologist. Not surprisingly, his diabetes mellitus is poorly controlled, and his heart failure decompensates often, necessitating hospitalization 3 to 4 times a year.
Federman AD, Soriano T. More Promise for Home-Based Primary Care. JAMA Intern Med. 2014;174(11):1804-1805. doi:10.1001/jamainternmed.2014.3399