临终关怀家庭患者的现场出院 - 缓解或悲伤:一个叙述性研究
Jacek T Soroka1, Amanda L Paulson-Blom1, Alla Blotsky1
1Spiritual Care (Soroka), Social Services (Paulson-Blom), Palliative Care (Blotsky and Derrick), and Hospice Office (Mudroch), Mayo Clinic Health System in Southwest Minnesota, Mankato, MN, USA.
The American journal of hospice & palliative care
|October 8, 2025
概括
活着的临终关怀分娩对护理人员来说可能是令人痛苦的,经常感觉像被遗弃一样. 改善沟通,护理规划和跨学科支持对于更顺的过渡和更好的患者护理至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,大约20%的临终关怀患者活着出院,这通常是由于医疗保险法规.
- 这些活体排放可能被护理人员视为抛弃或驱逐,而没有适当的过渡规划.
- 护理人员的经验凸显了与活着的临终关怀退院相关的情感和后勤挑战.
研究的目的:
- 探索护理人员在现场临终关怀退院的经历和挑战.
- 确定影响住院退院体验质量的因素.
- 为改善活着出院的宿舍患者的护理过渡规划提供信息.
主要方法:
- 对与护理人员进行的2次叙述性访谈进行了定性分析.
- 对护理人员的故事进行主题分析,以确定挑战.
- 机构患者数据的回顾性审查 (2020年1月-2022年12月).
主要成果:
- 在1556名临终关怀患者中,有107人 (6.9%) 活着出院.
- 护理人员的经历各不相同,其中一个描述了痛苦和协调不良,另一个是积极的经历.
- 积极体验的关键因素包括明确的沟通,护理规划,跨学科的支持和护理人员的财务稳定性.
结论:
- 活在临终关怀中的退休会给照顾者带来巨大的情感和实践上的干扰.
- 缺乏护理过渡计划和获得持久医疗设备的机会加剧了挑战.
- 加强以团队为基础的沟通,使用敏感的语言,并确保资源的获取对于护理人员的信心和护理的连续性至关重要.
相关概念视频
Continuing Care
1.9K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.9K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Discharge Summary Forms
1.2K
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:
1.2K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
7.2K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
7.2K


