在急性护理中实施和评估支持性和息性护理指标工具 (SPICTTM)
Olivia Paulik1, Robyn Whitaker1, Monita Mesuria1
1St George Hospital, Sydney, New South Wales, Australia.
Australasian journal on ageing
|April 1, 2024
概括
大多数老年患者 (99%) 被确定为支持性和息性护理指标工具 (SPICTTM) 阳性,与较高的死亡率相关. 这凸显了需要预先计划护理 (ACP) 整合到危险人群的息护理中.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 支持性和息性护理指标工具 (SPICTTM) 有助于识别临终患者.
- 早期整合预先护理计划 (ACP) 可以改善这些患者的生活质量.
研究的目的:
- 为了确定SPICTTM阳性在急性老年护理环境中的患病率.
- 评估SPICTTM阳性患者的6个月和12个月死亡率.
- 评估是否遵守非洲和非洲国家和地区的文件.
主要方法:
- 缓和护理数据库的回顾性审计.
- 包括来自急性老年护理区的153名患者.
- 追踪SPICTTM状态,人口统计,临床状况和非洲国家和地区的文件.
主要成果:
- 99%的患者是SPICTTM阳性的.
- 6个月死亡率为36%,12个月死亡率为39%.
- SPICTTM指标与死亡率的增加相关;非洲和非洲国家和地区的文档在完整性方面有所不同.
结论:
- 需要改善ACP和息护理,以改善年龄较大,生命有限的老年患者的急需.
- 及时进行的ACP讨论和文件是必不可少的.
- 应该考虑停止徒劳的干预.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.3K
05:35Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
Published on: January 19, 2024
792
相关概念视频
Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
Documentation in Long-Term and Home Healthcare Setting
888
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
888
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 Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
