老年患者的护理途径在多学科的当日紧急护理 (SDEC) 单位中观察到
Tania C N Elias1, Chloe Jacklin2, Jordan Bowen3
1Departments of Acute Internal Medicine and Older Persons' Services, Great Western Hospital NHS Foundation Trust, Swindon SN3 6BB, UK.
对脆弱的老年患者的同一天紧急护理 (SDEC) 增加了医疗保健互动,表明复杂的护理途径. 这凸显了在门诊老年医疗护理中需要有效的入院避免模式.
科学领域:
- 老年医学 老年医学
- 健行护理服务提供者
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 同一天紧急护理 (SDEC) 是为英国脆弱的老年患者提倡的,以防止住院相关的伤害.
- 对于这些服务的"行走路径"存在有限的数据.
- 这项研究调查了老年人的SDEC单位在评估前和之后的患者途径.
研究的目的:
- 为了确定患者的路径,在SDEC老年人单位进行首次前后评估.
- 分析医疗保健互动和服务利用在虚弱的老年患者的门诊设置.
主要方法:
- 未来30天内记录SDEC后续审查,门诊转诊和入院情况.
- 记录一组患者在SDEC前后180天评估中的医疗互动 (不包括GP访问).
- 对533名SDEC患者的患者途径和医疗利用情况进行分析,重点关注脆弱个体.
主要成果:
- 在533名患者中,210名患者在30天内入院;381名患者仍在门诊.
- 门诊患者有587个SDEC后续审查和747个其他门诊转诊.
- 医疗保健日数在SDEC评估后显著增加 (26日与13天相比),特别是在脆弱的患者中.
结论:
- 对老年,虚弱患者的SDEC评估与医疗保健相互作用的两倍增加有关.
- 研究结果表明,对于这一群体来说,复杂的护理途径涉及多种服务.
- 对开发入院避免模型和优化 ambulatory 环境中的急性老年护理的影响.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
相关概念视频
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Specialized Care Centers and Settings-II
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...
Secondary Healthcare System
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Planning Nursing Care I
