使用AM-PAC"6-点击"基本移动性得分在非手术住院成年人的出院计划的风险类别
Adele L Myszenski1, George Divine2, Jessica Gibson1
1Rehabilitation, Henry Ford Health System, Detroit, USA.
Cureus
|October 21, 2024
概括
通过使用急性病后护理活动措施 (AM-PAC) "6个点击"基本流动性 (6cBM) 工具,提升了早出院计划. 高风险患者更有可能被送往急症后护理机构.
科学领域:
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的出院规划可以确保安全,经济高效,及时的出院.
- 患者的降低条件可能会导致由于出院需求而延长住院时间.
- 功能性流动性措施与排放目的地相关.
研究的目的:
- 评估从急性护理后活动测量 (AM-PAC) "6-点击"基本移动性 (6cBM) 评分中得出的风险类别在预测患者出院目的地的临床有用性.
主要方法:
- 一项回顾性队列研究包括来自一般医疗单位的3739名成年患者.
- 该研究分析了在入院48小时内和出院前记录的AM-PAC 6cBM得分.
- 后勤回归模拟了离院后急性护理设施 (PACF) 与家庭离院的几率,使用三个风险类别:低 (>20),中等 (15-19),高 (<14).
主要成果:
- 高风险类别的患者 (根据入院6cBM得分) 与低风险患者相比,在PACF出院的可能性是9倍.
- 在出院时,高风险患者出院到PACF的可能性是低风险患者的29倍.
- 年龄较大,男性性别和住院时间较长也与PACF出院有关.
结论:
- 使用AM-PAC 6cBM类别进行风险分层是早期排放规划的宝贵工具.
- 这种方法有助于识别可能需要急性后护理的患者,促进及时干预.
更多相关视频
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
6.7K
07:42Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
2.9K
相关概念视频
01:21Planning Nursing Care I
4.3K
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...
4.3K
01:31Discharge Summary Forms
744
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
744
01:23Peripheral Artery Disease V: Postoperative Nursing Management
3
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
3