评估经历过无家可归的老年人:一项探索性研究的发现
Kelseanne Breder1, Christine Jacob2, Van Yu3,4
1New York University Rory Meyers College of Nursing, New York, NY, USA.
概括
对经历无家可归的老年人进行功能性查至关重要. 尽管有劳动力倡议,但许多查是不完整的,这凸显了加强培训的必要性,以支持这个脆弱的人群.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 经历无家可归的老年人面临着独特的健康挑战.
- 功能障碍很常见,但在这个人群中经常被低估.
- 4M框架 (流动性,药物,思维,重要的事情) 可以指导老年护理.
研究的目的:
- 评估一项旨在增加无家可归历史的老年人功能查的劳动力倡议.
- 描述从业人员的参与,患者的功能状态和患者报告的优先事项 ("重要的事情").
主要方法:
- 一个劳动力倡议培训了34名医疗保健从业人员,使用4Ms框架选253名50岁以上的患者.
- 二次分析检查了从业者的参与和患者的功能评分.
- 定性分析探讨了患者确定的优先事项.
主要成果:
- 许多从业者没有完成所有功能性查.
- 在患者中,6%患有中度/重度ADL损伤,24%患有认知损伤,32%有运动限制 (无法走250英尺),46%报告中度/重度疼痛.
- 在无家可归期间开发的患者报告的弹性策略是重要的 ("重要的是什么").
结论:
- 该倡议在为无家可归的老年人提供服务的医疗保健从业人员中发现了完成功能查的差距.
- 低报告的ADL损伤可能反映了生存适应或服务获取需求.
- 进一步培训劳动力对于改善这一群体的综合功能评估至关重要.
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