The rapidly growing elderly population in Taiwan has led to a continuous rise in the demand for home health care services, i.e. integrated multidisciplinary services delivered to the homes of elderly, disabled and other needy people. As an essential part of home health care, medical visits by physicians and nurses provides patients with comprehensive assessments and interventions capable of improving the quality of life to the patients.
Holistic medicine, known for its moving beyond the disease itself to focus on the patient as a “whole person,” can be achieved through comprehensive assessment of the patient, which is one of the core competencies of family medicine physicians. The biopsychosocial model theorized by Engel is suitable in the home care seeting as it performs comprehensive assessments examining all biological, psychological, and social factors that play important roles in human functioning or disease. The study reported and discussed the case of a 73-year-old woman who required home health care due to NG intubation, foley catheterization, and diagnosed delirium, discussing the need of medical visits to examine the biological, psychological, and social aspects of a home care case. By highlighting the importance of comprehensive assessments and interventions in home health care, the study hopes to promote the holistic biopsychosocial model to help provide sufficient care for home health care recipients.