Video Experimental Relacionado
Updated: Sep 8, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
Medidas centradas en el paciente de la concordancia de objetivos en geriatría y cuidados paliativos: una revisión de
Isaac S Chua1,2,3, Annelise Berler4, Kacy Ninteau5
1Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA network open
|September 4, 2025
Resumen
Este estudio identifica y describe medidas de concordancia de objetivos para pacientes con enfermedades graves y adultos mayores. Propone un modelo conceptual para guiar el desarrollo futuro de la medición en geriatría y cuidados paliativos.
Área de la Ciencia:
- Medicina para la edad avanzada
- Cuidados paliativos
- Investigación en servicios de salud
Sus antecedentes:
- La concordancia de objetivos es crucial para la atención de alta calidad en enfermedades graves y en adultos mayores con multimorbilidad y síndromes geriátricos.
- Actualmente no existe un método estandarizado para medir la concordancia de objetivos.
- Las medidas existentes deben evaluarse para garantizar que reflejan con precisión las perspectivas de los pacientes y los cuidadores.
Objetivo del estudio:
- Identificar y describir las medidas de concordancia de objetivos informadas por el paciente y el cuidador.
- Desarrollar un modelo conceptual para medir la concordancia de objetivos en las poblaciones de enfermedades graves y geriátricas.
- Informar el desarrollo de herramientas de medición sólidas en geriatría y cuidados paliativos.
Principales métodos:
- Se realizó una revisión exhaustiva del alcance de las bases de datos electrónicas (MEDLINE, Embase, Web of Science, CINAHL, PsycINFO) hasta septiembre de 2024.
- Los estudios incluidos abarcaron varios diseños (RCT, observacionales, cualitativos, etc.) centrarse en las medidas de concordancia de objetivos.
- La extracción y síntesis de datos fueron realizadas por dos revisores independientes para identificar las características de la medida y los patrones de marco.
Principales resultados:
- 63 estudios cumplieron con los criterios de inclusión, dando lugar a 67 medidas únicas de concordancia de objetivos.
- La mayoría de los estudios se centraron en pacientes con enfermedades graves.
- Se desarrolló un modelo conceptual que comprende cuatro componentes clave: preferencia del paciente, tratamiento recibido/intencionado, alineación con la preferencia y logro de resultados.
Conclusiones:
- Esta revisión proporciona una visión global de las medidas de concordancia de objetivos existentes para las poblaciones de pacientes vulnerables.
- El modelo conceptual propuesto ofrece un marco para desarrollar y perfeccionar futuras herramientas de medición.
- Los hallazgos son relevantes para el avance de la atención centrada en la persona en geriatría y medicina paliativa.
Videos de Conceptos Relacionados
01:11Guidelines for Writing Outcome
3.0K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.0K
01:13Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
01:29Documentation in Long-Term and Home Healthcare Setting
976
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
976
01:25Continuing Care
1.6K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.6K
01:27Peripheral Artery Disease III: Interprofessional Care
29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29
01:28Chronic Kidney Disease III: Interprofessional Care
77
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
77