在养老院,居民对居民发生暴力事件
Tomoko Shinoda-Tagawa1, Ralph Leonard, Jean Pontikas
1Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass, USA.
JAMA
|February 6, 2004
概括
认知障碍或表现出某些行为的养老院居民更有可能受到其他居民的伤害. 干预应侧重于受伤居民的行为,以防止未来的事件.
科学领域:
- 老年学是指老年学的学科.
- 养老院护理服务 养老院护理服务
- 患者安全 患者安全
背景情况:
- 在养老院,居民对居民的伤害还没有得到充分的研究.
- 了解风险因素对于制定预防策略至关重要.
研究的目的:
- 确定与一个养老院住户对另一个住户造成的暴力伤害相关的风险因素.
- 分析居民特征与遭受此类伤害的可能性之间的关系.
主要方法:
- 一项病例控制研究使用了来自马萨诸塞州养老院居民的数据.
- 数据来源包括投诉和事件报告系统和最低数据集评估.
- 病例是来自居民对居民争的受伤记录的居民;对照是未受伤的居民.
主要成果:
- 认知障碍的居民,那些流浪行为,口头攻击或社会上不合适的行为的人更有可能受伤.
- 需要大量援助或严重依赖的居民受伤风险降低.
- 在阿尔茨海默病病房生活显著增加了受伤的风险 (AOR, 3.2).
结论:
- 受伤居民经常表现出认知障碍和特定行为,可能无意中增加他们的风险.
- 预防性干预应考虑潜在受害者的特点和行为.
- 针对有风险居民的干预措施对于提高安全至关重要.
更多相关视频
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
相关概念视频
Aggression
Humans engage in aggression when they seek to cause harm or pain to another person. Aggression takes two forms depending on one’s motives: hostile or instrumental. Hostile aggression is motivated by feelings of anger with intent to cause pain; a fight in a bar with a stranger is an example of hostile aggression. In contrast, instrumental aggression is motivated by achieving a goal and does not necessarily involve intent to cause pain (Berkowitz, 1993); a contract killer who murders for hire...
Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Continuing Care
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,...
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
Torts II
Intentional torts in healthcare refer to deliberate actions that cause harm or infringe on the rights of others. Understanding these torts is crucial for healthcare professionals to avoid legal liabilities and maintain ethical standards in patient care.
Aging
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
