参与医疗风险农村退伍军人预先护理规划:个性化参与模式协议
Tammy Walkner1,2, Daniel W Karr1,2, Sarah Murray1,2
1Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, IA, United States.
JMIR research protocols
|April 12, 2024
概括
一个远程医疗计划成功地招募了退伍军人参加高级护理规划 (ACP) 对话,改进了他们在电子健康记录 (EHR) 中记录他们的偏好,以提供未来的医疗指导.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 高级护理规划 (ACP) 对话往往在严重疾病中延迟到晚期,这给共同决策带来了挑战.
- 远程医疗提供了一种灵活的方法,可以在患者喜欢的地点进行这些关键的讨论.
- 个性化对话以解决当前的医疗和社会需求,提高了患者的参与度和偏好文档.
研究的目的:
- 在电子健康记录 (EHR) 中招募缺乏更新高级护理计划 (ACP) 文档的患者.
- 让患者参与结构化的远程医疗对话,解决当前需求和未来的医疗决策.
- 制定招聘协议,加强农村退伍军人在严重疾病护理对话中的参与.
主要方法:
- 利用行政数据来识别有风险的患者,而没有ACP国家在EHR中的当前文档.
- 实施了一个定制的远程医疗招聘协议,以解决患者的担忧和未来的医疗决策.
- 专注于以患者为导向的时间和地点进行高级护理规划 (ACP) 讨论.
主要成果:
- 截至2022年9月,196名退伍军人完成了远程医疗高级护理计划 (ACP) 干预.
- 患者驱动的招聘方法在方便的时间和地点促进了参与.
- 成功招募退伍军人进行严重疾病护理对话和随后的EHR文件.
结论:
- 招聘协议有效地让患者参与高级护理计划 (ACP) 对话.
- 研究的退伍军人人口在EHR中增加了正式的ACP文件的完成.
- 确保有记录的患者偏好可用于指导未来的医疗保健决策.
相关概念视频
Planning Nursing Care I
4.4K
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...
4.4K
Documentation in Long-Term and Home Healthcare Setting
885
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
885
Specialized Care Centers and Settings-II
722
Rural Health Centers
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...
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...
722
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Standards of Care II
644
Nurses bear specific legal responsibilities under several federal statutes, including:
644
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K


