相关实验视频
Updated: Jul 25, 2025

08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
12.8K
一种系统的方法来评估和解决门诊患者群体的息治疗需求
Kara E Bischoff1, Gabriela Vanegas1, David L O'Riordan1
1Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
Journal of pain and symptom management
|June 28, 2023
概括
一个新的计划有效地识别和解决了重病患者的息护理需求. 这一举措提高了预先的护理规划,并保持了生活质量,证明了严重疾病管理的成功方法.
科学领域:
- 抚慰性医学是一种缓解性医学.
- 医疗保健管理的管理
- 老年病的医生 老年病的医生
背景情况:
- 公平地和例行地解决严重疾病人口的息治疗 (PC) 需求仍然是一个关键的挑战.
- 现有的系统往往无法识别和管理严重疾病患者的复杂需求.
研究的目的:
- 评估一套用于在初级保健机构中识别重病患者的自动化系统.
- 评估导航员主导干预的影响,以解决PC需求,包括身体症状,情绪困扰,实际问题和预先护理规划 (ACP).
- 确定量身定制的PC干预措施在改善患者结果方面的有效性.
主要方法:
- 一个自动查工具使用诊断代码和利用模式识别了严重疾病的医疗保险初级保健患者.
- 一个阶梯式形设计评估了为期六个月的干预,涉及医疗护理导航员通过电话调查评估PC需求.
- 通过量身定制的PC干预措施来解决确定的需求.
主要成果:
- 13.4%的患者进行了严重疾病查,结果呈阳性. 干预组的ACP纸币的流行率显著增加 (45.5%至71.7%,p=0.001).
- 虽然17.2%的干预患者被转介到专科PC,但许多需求在没有专家参与的情况下得到满足.
- 干预组的生活质量保持稳定,而对照组的生活质量下降 (7.4/10至6.5/10,P=0.04).
结论:
- 一个创新的计划成功地确定了重病患者,并通过基于初级保健的方法解决了他们的息护理需求.
- 这项干预导致了提前护理规划的增加,并保持了生活质量,突出了该计划的有效性.
- 该模型表明,许多息护理需求可以有效地满足,而不一定需要专门的PC转诊.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
932
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
932
Continuing Care
1.5K
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,...
1.5K
Nursing Assessment
7.7K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.7K
Methods of Documentation II: POMR
1.0K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.0K
Methods of Documentation VI: Case Management Model
600
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...
For example, a patient with a chronic...
600
Planning Nursing Care I
4.5K
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...
4.5K

