Umbrell Cynthia E
Trauma Neuro Intensive Care and Transitional Trauma, Lehigh Valley Hospital, Allentown, PA 18105, USA.
J Trauma Nurs. 2006 Apr-Jun;13(2):70-3. doi: 10.1097/00043860-200604000-00009.
The care of a critically ill trauma patient is complex and requires the expertise and skill of many healthcare providers. Delays in injury identification and the development of a treatment plan without considering comorbid conditions impede the patient's resuscitation and recovery from the acute injury, delay the rehabilitative phase, and increase the costs. This article will discuss a strategy using an advanced practice nurse as a case manager to assist in prompt identification of the patients' pathologic and physiologic changes and psychosocial and rehabilitative needs and to orchestrate a comprehensive and consistent plan through the continuum of care.
重症创伤患者的护理工作复杂，需要众多医疗服务提供者具备专业知识和技能。在未考虑合并症的情况下，延迟损伤识别和制定治疗计划会妨碍患者的复苏以及从急性损伤中恢复，推迟康复阶段，并增加成本。本文将讨论一种策略，即使用一名高级实践护士作为病例管理员，以协助迅速识别患者的病理和生理变化、心理社会及康复需求，并在整个护理过程中精心安排一个全面且连贯的计划。
