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赋权终身对话:专业护理团队在促进代码状态变化时的作用

Diane Wintz¹, Kathryn B Schaffer¹, Kelly Wright¹

¹Generational Health Division, Advanced Illness Management, Critical Care, Medicine Department, Sharp HealthCare, Sharp Memorial Hospital Trauma and Acute Care Surgery, San Diego, CA, USA.

Journal of palliative care

|September 19, 2024

概括

一个专门的护理团队有效地管理了护理目标 (GOC) 和预先医疗保健规划 (ACP),从而降低了住院患者的复苏命令. 这种方法改善了患者的支持,并减少了提供者的负担.

科学领域:

老年医学老年医学
医疗保健管理的管理
护理实践护理实践

背景情况:

住院患者通常需要护理目标 (GOC) 和预先医疗保健规划 (ACP).
这些讨论对医疗保健提供者来说可能是耗时和情感上的挑战.
成立了一个专门的护理团队,以支持患者,家庭和提供者在这些关键的对话中.

研究的目的:

评估一个专门的护士团队在开展"守则状态" (CODE),中国政府和非洲,非洲和非洲国家和地区 (ACP) 讨论方面的有效性.
评估这个团队对患者护理,提供者负担和复苏订单降级的影响.

主要方法:

一个协作护理团队接受了培训,以领导CODE,GOC和ACP对话.
该团队使用结构化模板平均每位患者进行了三次访问.
在9个月的时间里,从医疗病历中追溯收集和分析了数据.

主要成果:

该研究包括3342名患者,其中88%的患者年龄在65岁或以上.
在入院时已知代码状态的老年人中,30%的人在出院后改变了他们的代码状态,95%的人被降级.
83%的老年患者在入院时具有有限代码状态,在出院时保持这些限制.

结论:

一个专门的护理团队可以有效地管理CODE,GOC和ACP对话.
这种方法可以优化资源利用,并导致缓解复苏订单的升级.
专门的护理团队可以在复杂的护理规划过程中为患者和家人提供有意义的支持.

关键词:

老年病的医生老年病的医生晚期疾病管理管理.状态代码状态代码关怀的目标关怀的目标缓和的缓解方式

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