美国养老院急性发作管理概述
Rebecca O'Dwyer1, Ilo E Leppik2, Pam Eads3
1Department of Neurological Science, Rush University Medical Center, Chicago, IL, USA.
Epilepsy & behavior : E&B
|July 3, 2024
概括
很少有养老院 (NHs) 有抓获协议. 无论病史如何,救援药物经常被使用,教育也很少,这凸显了需要改进NHs的急性管理计划的必要性.
科学领域:
- 神经学 神经学
- 老年人护理 医疗老年人护理
- 临床实践 临床实践
背景情况:
- 养老院 (NH) 居民面临和发作的更高风险,复杂的护理和增加死亡率.
- 尽管存在独特的护理挑战,但目前在NHs中急性管理的做法没有得到充分记录.
- 需要临床指导,以确保这种脆弱人群在发作期间的安全.
研究的目的:
- 调查NHs内急性管理当前的做法.
- 发现NH医疗主管在治疗方面的知识缺陷.
- 为未来的教育倡议提供信息,包括制定急性发作行动计划 (ASAP).
主要方法:
- 开发了一项调查,以评估NHs急性管理的临床方面.
- 该调查区分了首次发作和已知发作障碍患者的发作.
- 从美国各地的NH医疗主任收集了数据,他们在过去三年内治疗了新发作或.
主要成果:
- 52%的响应NHs有一个扣押协议,护士通常会激活它.
- 救援药物,主要是口服的类药物,无论史如何,都会被使用.
- 莱维他是最常见的抗发作药物 (ASM);员工培训和关于管理的教育是罕见的.
结论:
- 大约一半的国民卫生机构缺乏针对急性发作管理的正式协议.
- 目前的做法涉及频繁使用救援药物和较旧的ASM,表明需要改进的领域.
- 这项研究强调了需要加强教育的必要性以及ASAP在NH环境中的潜在实用性.
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