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Expert consensus on the nursing management of critically ill elderly patients with coronavirus disease 2019
Xia Wang1, Chao Sun1, Hui-Xiu Hu1
1Department of Nursing Beijing Hospital National Center of Gerontology Institute of Geriatric Medicine Chinese Academy of Medical Sciences Beijing China.
Insights
This consensus provides expert guidance on nursing care for critically ill elderly patients with COVID-19. It aims to improve care quality, reduce complications, and lower mortality rates in this vulnerable population.
Area of Science:
- Critical Care Medicine
- Geriatric Nursing
- Infectious Diseases
Background:
- The novel coronavirus (2019-nCoV), now known as COVID-19, emerged in Wuhan, China.
- Elderly individuals with COVID-19 experience severe manifestations and high critical condition rates due to weakened immunity and comorbidities.
Purpose of the Study:
- To develop a consensus-based guideline for the nursing care of critically ill elderly patients with COVID-19.
- To enhance nursing quality, minimize complications, and reduce mortality.
Main Methods:
- A national expert group in critical nursing was convened.
- The consensus was developed through a comprehensive literature review and panel discussions.
Main Results:
- The consensus addresses key aspects of care, including assessment, clinical nursing interventions, and discharge planning.
- It offers practical insights and recommendations for healthcare professionals.
Conclusions:
- This expert consensus provides essential guidance for optimizing the care of critically ill elderly COVID-19 patients.
- Implementation of these recommendations can lead to improved patient outcomes and reduced healthcare burdens.
Abstract:
The novel coronavirus (2019-nCoV) was first detected in patients with pneumonia of an unknown cause in Wuhan, China in December 2019. It has since been confirmed as the pathogen for the new coronavirus pneumonia, recently named "coronavirus disease 2019" (COVID-19) by the World Health Organization. Although the general population is commonly susceptible to the disease, infected elderly people show fast progression and severe manifestations with a high proportion in critical condition as a result of compromised immunity and underlying diseases. In order to improve the quality of nursing, reduce complications, and decrease mortality of critically ill elderly patients, we assembled a national expert group with expertise in critical nursing to write this consensus, based on a literature review and a subsequent panel discussion. The consensus covers the assessment, clinical nursing, discharge care, and other aspects of care for critically ill elderly patients with COVID-19, aiming to share insights and provide guidance for clinical practice.
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