Ania Wajnberg|Katherine Ornstein|Meng Zhang|Kristofer L. Smith|Theresa Soriano
Symptom Burden in Chronically Ill Homebound Individuals
Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|North Shore University Hospital|Icahn School of Medicine at Mount Sinai
objectives document degree symptom burden urban homebound population design crosssectional survey setting mount sinai visiting doctors msvd program participants individuals newly enrolled msvd measurements edmonton symptom assessment scale esas consists 10 visual analogue scales scored 0 10 symptoms include pain tiredness nausea depression anxiety drowsiness appetite wellbeing shortness breath results esas scores completed 318 participants participants aged 80 older 68 female 75 36 white 22 black 32 hispanic fortythree percent medicaid 32 lived alone ninetyone percent required assistance one activities daily living 45 karnofsky performance scale score 0 40 unable care self 43 reported severe burden one symptoms commonly reported symptoms loss appetite lack wellbeing tiredness pain symptoms highest scores depression pain appetite shortness breath participants likely severe symptom burden selfreported esas chronic obstructive pulmonary disease diabetes mellitus end organ damage charlson comorbidity index greater 3 less likely severe burden dementia conclusion chronically ill homebound adults symptom burden serious problem needs addressed alongside primary specialty care needs