养老院居民在第三级护理医院死亡
Nicole Cairns1, Therese Hayden2, Jeanette Lacey2
1Department of Palliative and Supportive Care, John Hunter Hospital, New Lambton Heights, New South Wales, Australia nicole.cairns@health.nsw.gov.au.
BMJ supportive & palliative care
|December 18, 2025
概括
医院转移为终身护理 (EoLC) 从住宅养老院 (RACH) 是常见的. 一旦被录取,就会有,没有.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
背景情况:
- 住院养老院 (RACH) 的居民经常经历医院转移,以获得终身护理 (EoLC).
- 了解这些转移的驱动因素对于改善护理质量和患者结果至关重要.
研究的目的:
- 调查住院养老院居民为终身护理而转移医院的原因.
- 为了确定住院入院后返回RACH居民的障碍,以终身护理.
主要方法:
- 在第三级推中心进行了电子健康记录的回顾性审计.
- 在两年时间内 (2021年6月 - 2023年5月) 从来自RACH的急诊室陈述中收集了数据.
主要成果:
- 在两年时间里,有2535例来自RACH.的紧急病例出现在急诊室. 其中,有46%导致住院.
- 常见的入院原因包括跌倒,呼吸短促和败血症. 只有17%的入院患者被转诊至息治疗,平均延迟3天.
- 让患者返回RACH的重要障碍是他们的危急状况 (极端),平均3天到死亡.
结论:
- 在RACH居民中,医院入院为终身护理提供了有限的机会来改变护理轨迹.
- 未来的战略应优先考虑在RACH中加强现场护理,并促进在住宅环境中提供终身护理.
关键词:
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