在老年诊所的预先护理计划
Sivan Ben-Moshe1, Kimberly A Curseen2
1Department of Medicine, Division of General Medicine and Geriatrics, Emory University School of Medicine, Geriatrics Clinic, Emory Healthcare, 1525 Clifton Road Northeast, Atlanta, GA 30322, USA.
Clinics in geriatric medicine
|June 29, 2023
概括
提前护理计划 (ACP) 赋予老年人表达未来医疗保健愿望的权力. 老年临床医生可以克服障碍,整合这一至关重要的过程,以获得更好的以患者为中心的护理.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 生物伦理学生物伦理学
背景情况:
- 提前护理计划 (ACP) 促进以患者为中心的医疗决策.
- 老年人 (65岁以上) 经常面临复杂的健康问题和终身护理决策.
- 老年病诊所是启动非洲国家和地区讨论的关键场所.
研究的目的:
- 审查ACP在老年临床实践中的重要性.
- 确定阻碍在老年病学中ACP实施的共同障碍.
- 探索有效的战略,以使ACP纳入常规老年护理.
主要方法:
- 这项研究是一个全面的文献综述.
- 它综合了有关老年成人人口中ACP的现有研究.
- 该审查侧重于老年医疗机构的临床实践.
主要成果:
- 对于将医疗保健与老年人的价值观和偏好保持一致,ACP至关重要.
- 主要障碍包括时间限制,沟通挑战和缺乏临床医生培训.
- 成功的整合策略包括系统的协议,以团队为基础的方法和患者教育.
结论:
- 老年临床医生在促进ACP中发挥着至关重要的作用.
- 解决实施障碍对于有效的非洲和非洲国家集成至关重要.
- 加强的ACP促进了自主权,并提高了老年人护理的质量.
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