Mitchell C A, Gallo K, Turnes C
Geriatr Nurs. 1992 Jul-Aug;13(4):210-3. doi: 10.1016/s0197-4572(05)80401-x.
Major advances in health care have made it possible for a greater number of people to live to advanced age and thereby be exposed to the same risk of injury as the younger segment of the population. Elderly trauma victims, however, possess unique needs that must be addressed. Comorbidity, the aging process, and its relationship to the response to injury, as well as ethical and moral dilemmas such as "do not resuscitate" decisions and cost of care, need to be investigated. Although advanced age clearly predisposes one to an increase in mortality, mortality has also been correlated with complications that develop during the hospital stay. Trauma, especially involving the elderly, is a rich area for nursing research, and a refined knowledge base contributes to improving the quality of trauma care.
医疗保健领域的重大进展使更多人能够活到高龄,从而面临与年轻人群体相同的受伤风险。然而,老年创伤受害者有独特的需求必须得到满足。需要对合并症、衰老过程及其与损伤反应的关系,以及诸如“不要复苏”决策和护理费用等伦理和道德困境进行研究。尽管高龄显然会使人死亡率增加,但死亡率也与住院期间出现的并发症相关。创伤,尤其是涉及老年人的创伤,是护理研究的一个丰富领域,完善的知识库有助于提高创伤护理质量。