痴呆症住院患者的生命终端护理
Xin Wen Ong1, David G Le Couteur1,2, Louise M Waite1,2
1Department of Geriatric Medicine and Centre for Education and Research on Ageing (CERA), Concord Hospital, Concord, New South Wales, Australia.
概括
这项研究研究了住院痴呆症患者的终身护理. 老年医疗小组提供了护理,提前护理计划和复苏命令经常被记录下来,但营养和水化讨论不太常见.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 痴呆症患者的终身护理是一个日益严重的老年和息护理问题.
- 住院痴呆症患者需要特定的终身护理考虑.
研究的目的:
- 描述了在住院期间去世的住院痴呆症患者所提供的生命终端护理.
- 在这个人群中识别关键的护理过程及其记录.
主要方法:
- 对100名患有痴呆症的住院患者进行了回顾性队列研究,这些患者死亡.
- 收集关于人口统计,临床管理和事先护理计划的记录,复苏命令和营养/水分讨论的数据.
主要成果:
- 患者平均年龄为87.2岁,63%居住在养老院.
- 老年医学团队管理了63%的患者,这些患者年龄较大,更有可能死于肺炎.
- 提前护理计划和复苏命令是最有记录的;口服营养和水化讨论是最不常见的.
结论:
- 老年医疗服务在终身痴呆症护理中发挥着至关重要的作用.
- 有机会改善住院痴呆症患者生命末期护理的质量和一致性.
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