概括
在美国,重症监护资源被划分,往往是不公平的. 医院应该实施正式的指导方针或调整供需,以确保公平获得可能有益的治疗.
科学领域:
- 医疗保健管理的管理
- 医学伦理 医学伦理
- 关键护理医学 关键护理医学
背景情况:
- 美国的重症监护资源受限于配给,这意味着并非所有有益的护理都能为所有患者提供.
- 配给在一些医院经常发生,在许多其他医院间歇性发生.
- 当前的配给做法往往是主观的,可能是不公平的,只有有限的数据支持重症监护的好处.
研究的目的:
- 分析美国关键护理资源配给的现状.
- 评估现有的配给实践的公平性和主观性.
- 提出应对重症监护部门配给问题的策略.
主要方法:
- 审查关于重症监护资源分配的证据.
- 分析批量化重症监护的伦理影响.
- 讨论管理重症监护资源的潜在解决方案.
主要成果:
- 关键护理配给是美国医院的现实,尽管其范围不确定.
- 现有的配给方法被认为是主观和不公平的.
- 缺乏可靠的数据来最终支持重症监护对所有患者的好处.
结论:
- 医院必须解决不公平拒绝关键护理的问题.
- 建议的行动包括采用正式的配给准则或积极管理供需.
- 讨论了这两种方法的实施策略.
关键词:
医疗保健和公共卫生相关概念视频
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,...
Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting
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
Chronic Obstructive Pulmonary Disease-V: Nursing Management
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment


