提前护理计划:什么,什么时候,如何?
Lina Toledo-Franco1, John Peters2, Ashna Fatima Kamal3
1Assistant Professor, Director, Division of Palliative Medicine, Fellowship Director, Geriatric Medicine, Hospice and Palliative Medicine at SSM Health/Saint Louis University School of Medicine, St. Louis, Missouri.
Missouri medicine
|April 28, 2025
概括
提前护理计划 (ACP) 通过澄清价值观和目标,帮助患者和家人为严重疾病做好准备. 这个过程确定了医疗保健代理,并确保医疗决策与患者的愿望保持一致.
科学领域:
- 医学伦理 医学伦理
- 以患者为中心的护理
- 医疗保健通讯 医疗保健通讯
背景情况:
- 预先护理规划 (ACP) 对于患者与医疗服务提供者的关系至关重要,它使护理与个人价值观和目标保持一致.
- 非洲和非洲国家促进了对严重或进展性疾病的准备,促进了患者,家庭和提供者之间的合作.
- 评估医疗干预和生活条件的负担对于有效的护理目标讨论至关重要.
研究的目的:
- 讨论目前的医疗目标对话的现状.
- 为了比较可用的预先护理规划文件.
- 为医疗保健提供者提供有关参与ACP讨论的指导.
主要方法:
- 审查当前的文献和实践在事先的护理规划.
- 分析现有的预先护理规划文件.
- 开发提供者指导,以进行护理目标对话.
主要成果:
- 亚太经合组织确定了替代决策者,并将治疗与患者的愿望相协调.
- 在医疗决策中,ACP将患者的价值观,目标和恐惧融入医疗决策中.
- 有效的ACP需要对患者偏好和潜在负担进行公开的沟通.
结论:
- 提前护理规划对于以患者为中心的医疗管理至关重要.
- 提供者需要指导,以有效地讨论患者的价值观和目标.
- 通过ACP,患者和家人能够为未来的医疗保健需求做好计划.
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