Tucker Dee, Bechtel Gail, Quartana Carol, Badger Naadede, Werner Donna, Ford Ilisher, Connelly Larry
Gerontological Nursing in the Sixty Plus Older Adult Services, Piedmont Hospital, Atlanta, Georgia, USA.
Geriatr Nurs. 2006 Mar-Apr;27(2):112-7. doi: 10.1016/j.gerinurse.2006.02.013.
A major factor in poor outcomes for hospitalized older adults is the health care delivery system. If acute care is not designed to address their altered response to illness and treatments, functional needs, and psychosocial issues, they are at significant risk for hospital-acquired complications and loss of functionality. Each health system should develop its own acute geriatric care program based on its resources and a plan for geriatric competency for all its health care workers. The OASIS pilot was created by taking elements from programs around the country that have succeeded in reengineering care for older adults. This pilot addressed the acute care of older patients scattered across 2 medical units in a 500+ bed community hospital. Outcomes demonstrated that coordinated, geriatric specific care had a positive, measurable impact on the quality of care, costs, and provided geriatric support to physicians and hospital staff.
住院老年人预后不佳的一个主要因素是医疗保健服务体系。如果急性护理的设计不能满足他们对疾病和治疗的改变的反应、功能需求以及心理社会问题，那么他们就面临着医院获得性并发症和功能丧失的重大风险。每个医疗系统都应根据自身资源以及为所有医护人员制定的老年医学能力计划，制定自己的急性老年护理项目。OASIS试点项目是通过借鉴全国范围内成功重新设计老年人护理的项目的要素而创建的。该试点项目针对一家拥有500多张床位的社区医院两个医疗单元中分散的老年患者的急性护理。结果表明，协调一致的、针对老年人的护理对护理质量、成本产生了积极的、可衡量的影响，并为医生和医院工作人员提供了老年医学支持。
