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Strategies to Reducing Polypharmacy in Aging Adults

Medication management for seniors and aging adults in Jupiter and Palm Beach Gardens

Understanding Polypharmacy and Its Impact on Healthy Aging

As adults age, healthcare needs often become more complex. Many individuals over age 55 are managing multiple medical conditions at the same time, such as high blood pressure, cholesterol concerns, diabetes, arthritis, sleep issues, thyroid disorders, or other chronic health conditions. While medications can play an important role in improving health and quality of life, taking multiple medications simultaneously—commonly referred to as polypharmacy—can sometimes create unintended challenges. For many aging adults, medication lists gradually grow over time as specialists, urgent care visits, and changing health conditions add additional prescriptions without a complete review of the overall picture.

Polypharmacy may increase the risk of medication interactions, side effects, dizziness, fatigue, confusion, falls, digestive concerns, sleep disturbances, and medication duplication. In some situations, symptoms that appear to be related to aging may actually be influenced by medication combinations or dosages. This is why having an experienced primary care physician becomes increasingly important as patients seek to maintain independence, energy, and quality of life.

Why Medication Management Requires an Experienced Doctor

Medication management involves far more than simply refilling prescriptions. It requires understanding how medications interact with one another, recognizing changing health needs over time, and determining whether certain medications remain appropriate as patients age. Experienced primary care physicians can identify patterns that may otherwise be overlooked and help determine whether adjustments may benefit a patient’s overall health.

At Concierge Internal Medicine Associates, the focus is not only on treating conditions but also on evaluating whether treatment strategies continue to serve the patient’s long-term goals. Medication plans should evolve with the patient, taking into account lifestyle changes, new health information, laboratory findings, preventive goals, and overall wellness priorities.

A Team-Based Approach to Medication Review and Preventive Care

The medical team at Concierge Internal Medicine Associates—including Beatrice Deshommes, M.D., Susan B. Poncy, M.D., and Daniel Boss, M.D.—brings extensive experience in medication management and preventive medicine. Their approach focuses on understanding the entire patient rather than viewing medications as isolated treatments.

Comprehensive medication reviews may include evaluating prescription medications, over-the-counter products, vitamins, herbal supplements, and lifestyle factors that may influence treatment effectiveness. The goal is to determine whether medications remain necessary, whether therapy can be simplified when appropriate, and whether treatment plans continue to support overall wellness objectives. Medication management is not necessarily about taking fewer medications—it is about ensuring patients are taking the right medications for the right reasons.

Strategies to Reduce Polypharmacy in Aging Adults

Reducing unnecessary medication burden often begins with careful evaluation and communication. An experienced primary care physician may identify opportunities to simplify treatment plans by reviewing duplicate medications, assessing medication effectiveness, monitoring side effects, evaluating changing health goals, and coordinating care among multiple providers.

Additional strategies may include supporting lifestyle modifications, nutrition guidance, preventive health measures, weight management, improved sleep habits, and addressing underlying health factors that may reduce reliance on certain medications over time. Small adjustments made early may help improve overall health and reduce complications later.

The Value of Personalized Primary Care for Long-Term Wellness

Adults seeking a primary care physician today increasingly want more than symptom management—they want a healthcare partner who takes time to understand their complete health picture. For Generation X adults and seniors focused on longevity, maintaining independence, staying active, and preserving quality of life, personalized medication management can play an important role in healthy aging.

At Concierge Internal Medicine Associates, medication management is approached as part of a larger preventive strategy designed to help patients optimize health, minimize unnecessary risks, and support long-term wellness goals. Through thoughtful review and individualized care, patients can gain confidence that every aspect of their treatment plan is working together to support healthier aging.

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Cardiovascular Risk Assessment Why Early Detection Matters

Cardiovascular Risk Assessment in Jupiter, FL

A More Proactive Approach to Heart Health and Preventive Care

Today’s Generation X adults and active individuals are redefining healthcare expectations. Many are not waiting until symptoms appear before seeking medical guidance. Instead, they are prioritizing prevention, longevity, and maintaining the quality of life that allows them to continue traveling, exercising, working, spending time with family, and enjoying an active lifestyle. At Concierge Internal Medicine Associates, preventive medicine focuses on identifying potential concerns early and helping patients understand health risks before they become larger medical problems.

Cardiovascular Disease Often Develops Quietly

Heart disease frequently progresses without obvious warning signs. Many individuals feel well while underlying risk factors continue developing over years. Elevated cholesterol, high blood pressure, inflammation, metabolic changes, diabetes, chronic stress, smoking history, sleep issues, family history, and lifestyle habits may all contribute to cardiovascular risk. Even active adults who exercise regularly and maintain busy schedules can have hidden risk factors that deserve attention. Early cardiovascular risk assessments allow patients to gain a better understanding of their overall health profile and may identify concerns before symptoms develop.

An Investigative Approach to Prevention and Cardiovascular Wellness

At Concierge Internal Medicine Associates, the focus extends beyond simply treating symptoms. The medical team takes an investigative and personalized approach to preventive care by evaluating the complete picture of a patient’s health. Whether patients are working with Beatrice Deshommes, M.D., Susan B. Poncy, M.D., or Daniel Boss, M.D., the goal remains the same: understanding the underlying factors that may influence long-term health and cardiovascular wellness.

As part of their training and clinical approach, the physicians evaluate much more than a single blood pressure reading or routine laboratory result. Cardiovascular risk assessments may involve reviewing family history, cholesterol trends, metabolic health, body composition, lifestyle patterns, activity levels, weight changes, sleep quality, stress factors, and other indicators that may contribute to future risk. This investigative style of medicine allows patients to gain a more comprehensive understanding of their health and create meaningful preventive strategies.

The Benefits of Early Cardiovascular Risk Detection

Early cardiovascular assessments can provide important information before symptoms appear. Identifying potential concerns earlier may create opportunities for personalized lifestyle recommendations, preventive interventions, additional diagnostic evaluation, and ongoing monitoring designed to support long-term wellness goals. Preventive medicine is not about creating fear or unnecessary testing—it is about helping patients make informed decisions and preserving health over time.

For many Generation X adults, prevention is becoming increasingly important because cardiovascular health affects much more than the heart itself. Heart health can influence energy levels, physical performance, cognitive function, and overall quality of life as individuals age.

Seeking a Primary Care Doctor in Jupiter, FL Focused on Prevention and Longevity

Adults seeking a primary care physician in Jupiter, Florida increasingly want a healthcare partner who emphasizes prevention, early detection, and individualized care rather than reactive treatment alone. At Concierge Internal Medicine Associates, patients benefit from a collaborative medical team approach designed to support long-term wellness goals and proactive health management. Whether the focus is maintaining an active lifestyle, improving heart health, supporting longevity, or simply gaining greater insight into overall wellness, cardiovascular risk assessment can be an important step toward protecting future health.

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Lung Cancer Screening Assessment

Lung Cancer Screening Assessment Doctor Primary Care

Early Lung Cancer Screening After 55: Why Preventive Care Matters More Than Ever

Understanding Lung Health as You Age

As adults enter their mid-50s and beyond, preventive healthcare often becomes less about treating illness and more about identifying risks before they become serious medical problems. Many adults in Generation X and seniors are focused on maintaining energy, protecting independence, traveling, enjoying retirement, and staying active with family and grandchildren. One important but frequently overlooked area of preventive health is lung cancer risk assessment. Lung cancer can develop quietly over time and often does not produce noticeable symptoms during its earliest stages. By the time symptoms such as a persistent cough, unexplained weight loss, shortness of breath, or fatigue appear, the disease may already be more advanced. Discussing lung health with your primary care physician can help identify concerns long before symptoms develop.

Who Should Consider an Early Lung Cancer Screening Assessment?

Many individuals mistakenly believe lung cancer screening only applies to current smokers. In reality, risk factors extend beyond smoking alone. Adults over age 55 may have additional risk considerations including previous smoking history, long-term exposure to secondhand smoke, occupational exposures, environmental factors, or a family history of lung disease or cancer. Even individuals who quit smoking years ago may still benefit from discussing their history with their physician. A personalized screening assessment with your primary care doctor allows for a complete review of your health profile rather than relying on assumptions or generalized recommendations.

Benefits of Early Lung Cancer Detection

One of the greatest advantages of early lung cancer screening is the possibility of identifying concerns at a stage when more treatment options may be available. Early detection can help physicians recognize abnormalities before symptoms develop and before a condition potentially becomes more complex to manage. Screening is not intended to create unnecessary worry—it is designed to provide valuable information that supports informed healthcare decisions. For many patients, peace of mind alone can be an important benefit of understanding their risk profile and taking a proactive approach to their health.

Why Your Primary Care Physician Plays an Important Role

Your primary care physician serves as the central point for preventive care and long-term health planning. Unlike isolated testing, a physician-guided lung cancer screening assessment considers your complete health picture, including medical history, medications, family history, lifestyle habits, and other chronic health conditions. This approach helps determine whether screening may be appropriate while ensuring recommendations align with your overall wellness goals. Preventive healthcare is most effective when it becomes part of a personalized strategy rather than a single test or appointment.

Concierge Internal Medicine Associates and Preventive Healthcare for Adults 55+

At Concierge Internal Medicine Associates, we believe healthcare should focus on prevention, early detection, and individualized care for adults seeking a proactive approach to aging well. Many Generation X adults and seniors are prioritizing longevity, maintaining quality of life, and protecting their future health. Early lung cancer screening assessments may become an important part of that strategy. Through comprehensive evaluations and personalized guidance, patients can gain greater insight into their individual health risks and take meaningful steps toward protecting their long-term wellness.

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The Importance of Primary Care Involvement After a Cancer Diagnosis

Primary Care Involvement After a Cancer Diagnosis

How Concierge Internal Medicine Associates Helps Patients Navigate Oncology Care in Palm Beach County

Receiving a cancer diagnosis can be overwhelming. In the early stages, patients often find themselves navigating a complex healthcare system that may involve oncologists, surgeons, radiologists, and other specialists. While an oncologist focuses on treating the cancer itself, many patients do not realize how important it is to keep their primary care physician actively involved throughout the treatment process. Internal medicine physicians play a critical role in protecting overall health, coordinating care, and helping patients safely manage the medical challenges that can arise during cancer treatment.

Why Primary Care Matters After a Cancer Diagnosis

Cancer treatment affects much more than the tumor itself. Chemotherapy, radiation therapy, surgery, immunotherapy, and targeted therapies can influence nearly every system in the body. Patients may experience fatigue, immune suppression, cardiovascular strain, metabolic changes, nutritional deficiencies, or worsening of existing medical conditions.

An internal medicine physician provides comprehensive oversight of a patient’s overall health while cancer treatment is underway. While the oncologist focuses on the cancer and treatment protocols, the primary care physician ensures that the rest of the body remains stable and resilient during therapy.

Areas often monitored during treatment include:

  • Blood pressure and cardiovascular health
  • Blood sugar control for patients with diabetes or metabolic conditions
  • Kidney and liver function
  • Medication interactions between cancer therapies and other prescriptions
  • Nutrition, hydration, and weight changes
  • Infection risk and immune system function
  • Maintaining stability in these areas can improve a patient’s ability to tolerate treatment and reduce the risk of complications.

How Internal Medicine Physicians Work with Oncologists

Modern cancer care is increasingly collaborative. Internal medicine physicians often work closely with oncologists to ensure patients receive coordinated, patient-centered care that addresses both the cancer diagnosis and the individual’s broader health needs.

This collaboration may involve:

  • Reviewing oncology treatment plans and how they may impact existing medical conditions
  • Adjusting medications to avoid interactions with chemotherapy or immunotherapy
  • Monitoring laboratory values and organ function throughout treatment
  • Managing treatment-related side effects such as anemia, fatigue, or metabolic changes
  • Coordinating referrals to specialists such as cardiologists, endocrinologists, nutritionists, or rehabilitation providers
  • Ensuring preventive and chronic disease management continues during cancer treatment
  • When primary care physicians and oncologists communicate effectively, patients benefit from more comprehensive and safer medical care throughout the treatment journey.

Personalized Care Through Concierge Internal Medicine Associates

At Concierge Internal Medicine Associates, patients receive a highly personalized approach to managing their health during a cancer diagnosis. Whether you are working with Beatrice Deshommes, M.D., Daniel Boss, M.D., or Susan Poncy, M.D., your physician serves as a central medical advocate who helps coordinate care across the Palm Beach County medical community.

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Understanding Diabetic Peripheral Neuropathy and Its Impact on Your Overall Health

Diabetic Peripheral Neuropathy

How Concierge Internal Medicine Associates Helps Patients Navigate Care in Palm Beach County

Diabetic Peripheral Neuropathy (DPN) is one of the most common and serious complications of diabetes. It occurs when chronically elevated blood sugar damages the nerves, particularly those in the feet and legs. While many people initially notice symptoms such as tingling, numbness, or burning sensations in their feet, the condition can have far-reaching effects on overall health and quality of life if not properly managed. Early diagnosis and coordinated medical care are critical to slowing progression and preventing long-term complications.

What Is Diabetic Peripheral Neuropathy?

Peripheral neuropathy refers to damage of the peripheral nerves—the nerves outside the brain and spinal cord. In individuals with diabetes, prolonged exposure to high glucose levels can injure these nerves and disrupt their ability to transmit signals effectively.

Common symptoms include:

Numbness or reduced ability to feel pain or temperature in the feet
Burning, tingling, or “pins and needles” sensations
Sharp or stabbing pain
Increased sensitivity to touch
Muscle weakness or difficulty with balance
Because nerve damage often begins in the longest nerves of the body, symptoms typically start in the toes and feet and gradually progress upward.

How Diabetic Neuropathy Affects Overall Health

Diabetic Peripheral Neuropathy is more than just nerve pain—it can significantly impact multiple aspects of a person’s health and mobility.

Increased Risk of Foot Injuries and Ulcers

When sensation is reduced in the feet, small cuts, blisters, or pressure points may go unnoticed. Without proper treatment, these minor injuries can develop into serious infections or ulcers.

Balance and Fall Risk

Loss of sensation in the feet can impair balance and coordination, increasing the risk of falls, especially in older adults.

Circulation and Healing Complications

Diabetes can also impair circulation, which slows healing and increases the risk of infection. Combined with neuropathy, this creates a dangerous cycle that may lead to chronic wounds or even amputation if left untreated.

Impact on Daily Function and Quality of Life

Persistent pain, numbness, and mobility limitations can affect sleep, exercise tolerance, and overall independence.

Why Early Medical Evaluation Matters

Early identification of neuropathy allows physicians to intervene before nerve damage becomes severe. Evaluation typically includes:

  • Comprehensive metabolic and diabetes management review
  • Neurologic and vascular examination of the lower extremities
  • Assessment of balance and gait
  • Foot health screening to identify pressure points or skin breakdown
  • Coordination with specialists when needed
  • Managing diabetic neuropathy requires more than simply addressing symptoms. It involves optimizing blood sugar control, protecting nerve health, improving circulation, and preventing complications.

A Concierge Approach to Managing Diabetic Neuropathy

At Concierge Internal Medicine Associates, patients receive a personalized, comprehensive approach to managing diabetes and its complications. Rather than navigating the healthcare system alone, patients benefit from a physician who coordinates care across multiple specialties within the Palm Beach County medical community.

Services may include:

  • Personalized diabetes management and metabolic optimization
  • Preventive foot care monitoring and early wound prevention strategies
  • Coordination with pain management physician, podiatry, neurology, endocrinology, and vascular specialists
  • Medication management to address neuropathic pain and nerve health
  • Lifestyle and nutrition guidance to help stabilize blood sugar levels

Coordinated Care Throughout Palm Beach County

Patients living in Jupiter, Palm Beach Gardens, West Palm Beach, and surrounding communities often see multiple specialists when managing chronic conditions like diabetes. Concierge Internal Medicine Associates serves as the central point of communication between providers, ensuring that treatment plans are coordinated, efficient, and focused on long-term health outcomes.

By bridging primary care with specialty care, patients gain access to a network of trusted physicians, diagnostic resources, and therapeutic services throughout Palm Beach County.

Protecting Your Nerve Health and Long-Term Wellness

While Diabetic Peripheral Neuropathy can be a serious diagnosis, early intervention and coordinated medical care can dramatically reduce complications and improve quality of life. With the right medical guidance, many patients can slow progression, control symptoms, and maintain an active lifestyle.

Working closely with Concierge Internal Medicine Associates allows patients to receive individualized attention, expert guidance, and seamless coordination within the Palm Beach County healthcare community—ensuring that every aspect of their health is carefully monitored and managed.

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Health Risk Assessment

At Concierge Internal Medicine Associates, we believe that proactive care leads to better outcomes. One of the most effective tools we use to help patients understand and manage their health is the Health Risk Assessment (HRA). This short but powerful evaluation is a cornerstone of preventive care—especially for Medicare patients—and can help uncover health risks before they become more serious problems.

What is a Health Risk Assessment?

A Health Risk Assessment is a structured questionnaire designed to evaluate your current health status, personal and family medical history, lifestyle habits, and potential health risks. This assessment is typically offered as part of your Medicare Annual Wellness Visit, and it provides a valuable snapshot that helps guide your care plan going forward.

Why It Matters

Many chronic conditions like high blood pressure, diabetes, or heart disease can develop silently. The HRA helps our team identify areas of concern early so that we can work together to keep you healthy and out of the hospital. It also helps us tailor your care to your unique needs, whether that means scheduling preventive screenings, adjusting medications, or supporting lifestyle changes.

The Benefits of Completing an HRA

  • Early Identification of Health Risks: Find out what may be impacting your health—before symptoms begin.
  • Customized Care Planning: We use your responses to create a care plan that’s designed specifically for you.
  • Improved Communication: An HRA opens the door to better conversations with your doctor and clinical team.
  • Better Long-Term Outcomes: Patients who participate in regular assessments and follow-up care tend to experience fewer hospitalizations and enjoy better overall health.
  • Serving Patients Across the Jupiter Area
  • Whether you live in Jupiter, Palm Beach Gardens, Tequesta, or Juno Beach, Dr. Daniel Boss is here to help you stay ahead of health concerns and enjoy peace of mind. Our office is conveniently located just north of Donald Ross Road, making it easy to access high-quality, personalized medical care close to home.

Schedule Your Health Risk Assessment Today

If you haven’t yet completed your Health Risk Assessment, or if it’s time for your Annual Wellness Visit, we invite you to follow up with our team. These visits are fully covered for Medicare patients and play a key role in maintaining long-term wellness.

Call us today and take the first step toward better health with Dr. Daniel Boss.

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Clearing the Fog: The Vital Role of Transparency in Medicine

Concierge Internal Medicine

Transparency in medical care is a critical element in ensuring patient trust, safety, and well-being. One of the many advantages of retaining a concierge membership is to ensure open sharing of information, pricing, quality data, and treatment options between healthcare providers, insurers, and patients. In recent years, the demand for transparency has grown as patients have become more active in managing their healthcare decisions.

Informed Decision-Making

One of the primary benefits of transparency in medical care is that it empowers patients to make informed decisions about their health. When patients have access to detailed information about their treatment options, potential risks, and costs, they can actively participate in shared decision-making with their healthcare providers. This not only leads to more personalized care but also enhances patient satisfaction and outcomes.

Cost Transparency

Healthcare costs are a significant concern for patients worldwide. Transparent pricing allows patients to understand the financial implications of their medical choices. It enables them to compare prices between providers and make cost-effective decisions that align with their budgets. This transparency can also reduce surprise billing and financial stress for patients.

Quality and Outcome Data

Transparency extends to the reporting of healthcare quality and outcome data. Publicly available data on the performance of hospitals, clinics, and individual healthcare professionals enable patients to choose providers with a track record of delivering high-quality care. This encourages providers to strive for excellence and continually improve their services.

Transparency is a cornerstone of trust in the healthcare system. When patients feel that information is being withheld or that they are not receiving the full picture of their care, trust erodes. Transparent communication between healthcare providers and patients fosters trust, leading to better patient-provider relationships and improved compliance with treatment plans.

Accountability and Safety

Transparency plays a crucial role in holding healthcare providers accountable for their actions. It allows patients to report incidents of medical errors or negligence, ultimately enhancing patient safety. Additionally, the knowledge that their actions are subject to scrutiny encourages healthcare providers to adhere to best practices and maintain high standards of care.

Regulatory Measures

Governments and regulatory bodies have recognized the importance of transparency in healthcare. Many countries have implemented legislation to promote transparency, requiring healthcare providers to disclose information related to pricing, quality, and safety. These measures aim to create a fair and equitable healthcare system.

In conclusion, transparency in medical care is not just a buzzword but a fundamental requirement for a patient-centered healthcare system. It empowers patients to make informed decisions, ensures fair pricing, enhances trust, and holds healthcare providers accountable for their actions. As the demand for transparency continues to grow, it is essential for healthcare organizations and policymakers to prioritize and implement measures that promote transparency, ultimately leading to improved healthcare outcomes for all.

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The Power of Physical Therapy in Fighting Osteoporosis

Osteoporosis

Osteoporosis is a condition that weakens bones, making them more likely to fracture or break. This can be a serious and debilitating condition, especially as we age. While there is no cure for osteoporosis, there are treatments that can help slow its progression and reduce the risk of fractures. Physical therapy is one such treatment that can be incredibly effective in managing osteoporosis.

Outpatient Physical Therapy or Home Physical Therapy for Osteoporosis

Physical therapy for osteoporosis typically involves exercises that are designed to improve bone density, strength, and balance. These exercises can help to prevent falls and fractures, which can be particularly important for individuals who are at a higher risk for osteoporosis-related injuries. Additionally, physical therapy can help to improve overall mobility and quality of life.

One of the primary goals of physical therapy for osteoporosis is to improve bone density. Weight-bearing exercises, such as walking, jogging, and weightlifting, have been shown to be particularly effective in increasing bone density. Your physical therapist can work with you to design an exercise program that is tailored to your individual needs and abilities.

Balance and Stability

Another important aspect of physical therapy for osteoporosis is improving balance and stability. This can help to prevent falls, which can be particularly dangerous for individuals with osteoporosis. Your physical therapist may recommend exercises such as standing on one foot or practicing yoga poses to improve your balance and coordination.

In addition to exercise, physical therapy for osteoporosis may also involve other treatments, such as manual therapy or electrical stimulation. These techniques can help to reduce pain and improve mobility, making it easier for you to engage in physical activity and maintain your bone health.

It is important to note that physical therapy for osteoporosis is not a one-size-fits-all treatment. Your physical therapist will work with you to develop a personalized treatment plan that takes into account your age, overall health, and any other medical conditions you may have. Additionally, it is important to work closely with your doctor to ensure that any medications or other treatments you are receiving are compatible with your physical therapy program.

If you have been diagnosed with osteoporosis, physical therapy may be an important part of your treatment plan. Be sure to speak with Dr. Boss about treatment options whether in an outpatient center or regarding home health services. At your initial consultation, your physical therapist will evaluate your overall health and fitness level, and work with you to develop a personalized plan for managing your osteoporosis. With the right treatment plan, you can reduce your risk of fractures and maintain your mobility and independence for years to come.

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Tequesta, FL

Tequesta, Florida Concierge doctor

Residents living in Tequesta, Florida can receive quality medical care from primary care physician Dr. Daniel Boss. Within a few minute drive to Jupiter, Concierge Internal Medicine practice is located off University Boulevard just ten minutes away from Tequesta.

Medical Care Near Tequesta, FL

Jupiter Medical Center – Privately Owned Hospital

Palm Beach Gardens Medical Center – Tenet Health Care

Skilled Living near Tequesta, FL

Mangrove Bay Juno Beach 33408

Your Life Assisted Living

Tequesta Terrace – Memory Care and Assisted Living

The Waterford Health Care Center Juno Beach 33408 (561) 627-3800

Courtyard Gardens Jupiter 33458 (561) 746-2998

Jupiter Medical Center Pavilion Inc Jupiter 33458 (561) 744-4444

Neighboring cities near Tequesta, FL – Jupiter, Hobe Sound, Palm Beach Gardens, Juno Beach, Jupiter Island and Palm Beach Gardens.

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Hospice at Home Versus Home Health Services

End of Life Care

Open communication between concierge members is critical aspect of maintaining good health at Concierge Internal Medicine. The decision to utilize hospice care or home health care services is important when treating a patient dealing with a terminal illness. Dr. Daniel Boss is well versed in working with both hospices in Northern Palm Beach County. With over 20 years experience, Dr. Daniel Boss has worked with both Trustbridge and Vitas, the two local hospice organizations.

Medicare Home Health Services

Home Health Services is another option for patients for additional care support. Home care services are direct billed by the Medicare certified home health agency and follow the direct order for home treatment from Concierge Internal Medicine. Visiting nurse, home physical and occupational therapists are available for patients upon qualifying for services. Medicare requires patients are homebound due to a health-set back and require patients are under the supervised medical care of a physician such as Dr. Daniel Boss. There is no co-pay or out of pocket expense to patients receiving home health care. Home care services are billed under Medicare Part A.

Hospice Care Services

Patient needs are our primary focus to minimize any physical stress, psychological stress and offer supportive pain management when appropriate. Unfortunately the current hospice systems are dictated by cost contamination considerations due to profitability and patient care can become secondary.

Once a patient or family member has opted for hospice service for end of life care, a new primary care physician that works for the hospice entity will be the physician of record. Families and patients alike can be assured that Dr. Daniel Boss will continue to communicate and clarify any concerns while under hospice treatment.

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