谁来决定家是否在生命结束时是"不安全的"?
Jessica X Zuo1,2, Andrea Ruskin3, Margaret R Bauer3
1University of Pennsylvania, Philadelphia.
概括
一个新的风险评估框架有助于临床医生在生命末期安全地将患者送回家,优先考虑他们的价值观和偏好. 这种方法支持患者在最终过渡期间的自主性和生活质量.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临终期的患者往往表示希望直接从医院回家出院.
- 医疗保健团队可能会因为感知到的风险和能力问题而认为家庭出院不安全.
- 出院风险评估通常是主观的,受患者价值观,偏好和临床状态的影响.
研究的目的:
- 开发和应用一个风险评估框架,用于终生家庭排放.
- 客观地确定影响排放安全的风险和保护因素.
- 促进全面的出院规划,与患者的偏好保持一致.
主要方法:
- 开发一种新的风险评估框架.
- 该框架应用于将退伍军人接近生命终点的案例研究.
- 对风险和保护因素的定性评估.
主要成果:
- 该框架使得客观地确定了与安全的家庭放电相关的因素.
- 一名退伍军人成功地使用开发的框架从医院回家.
- 这一案例证明了该框架在管理生命期末退役计划中的实用性.
结论:
- 使用生命周期末期排放的结构化框架可以减轻风险并预防不良事件.
- 该框架增强了临床医生,患者和家人之间的沟通和合作.
- 在出院计划中优先考虑患者的价值观和偏好,可以改善终身护理和生活质量.
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