由重症监护护士实践人员团队对肉毒症患者的病例管理
Katie Kelleway1, Brett Mace1, Jessica Butler1
1Intensive Care Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW, Australia.
概括
在重症监护中,护士执业人员领导的复杂病例管理改善了对肉毒主义患者的治疗结果,包括成功的机械通风断奶和加强护理的连续性.
科学领域:
- 关键护理医学 关键护理医学
- 护理实践 护理实践
背景情况:
- 肉毒症在重症监护机构中提出了复杂的病例管理挑战.
- 执业护士在管理重症患者方面发挥着至关重要的作用.
研究的目的:
- 描述一名患有肉毒的患者的模范护士执业人员领导的复杂病例管理.
- 在此案例管理框架内突出说明机械通风的断奶过程.
主要方法:
- 采用以人为中心的方法,包括患者主导的目标设定.
- 包括患者在内的多学科合作团队会议是过程中不可或缺的组成部分.
- 建立了停止机械通风的具体时间表.
主要成果:
- 密集护理护士从业人员的病例管理促进了更大的护理连续性的感觉.
- 实现了机械通风的成功停止.
- 患者表示对护理的满意度很高,并恢复了以前的就业和职能.
结论:
- 集中护理护士从业人员的病例管理展示了先进的,定制的和整体的实践.
- 一种结构化的方法为患者和家人提供了临床领导和连续性.
- 该模型强调了复杂的重症监护场景中的有效协调.
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