Benedict Lyn, Robinson Karen, Holder Carolyn
Summa Health System, Akron City Hospital, 525 E. Market Street, Akron, OH 44309, USA.
Clin Nurse Spec. 2006 Sep-Oct;20(5):248-51. doi: 10.1097/00002800-200609000-00012.
As the complexity of care increases for hospitalized older adults, the clinical nurse specialist is essential for ongoing development of nursing practice and care standards. This article describes the Acute Care of the Elderly (ACE) model for interdisciplinary management of older adults and clinical specialist responsibilities within this interdisciplinary team. Within the model, clinical care specialists utilize clinical expertise and consultation skills reflecting three spheres of practice related to care of high-risk community-dwelling older adults admitted an acute medical unit. The goal for this patient group is to achieve medical stability while preserving maximum functioning. The Acute Care of the Elderly team members include primary nurses (staff nurses), physicians, clinical care specialists, therapies, social workers, dietitians, pharmacists, and a discharge planner. Under the leadership of the primarily nurse, the team develops a comprehensive care and discharge plan, implemented across a care continuum. Using protocols and working together, the team delivers cost-effective, coordinated care that promotes process improvement resulting in practice that is in alignment with current standards of care.
随着住院老年患者护理复杂性的增加，临床护理专家对于护理实践和护理标准的持续发展至关重要。本文介绍了老年急性护理（ACE）模式，用于老年患者的跨学科管理以及该跨学科团队中临床专家的职责。在该模式中，临床护理专家运用临床专业知识和咨询技能，这些技能反映了与入住急性医疗单元的高危社区居住老年患者护理相关的三个实践领域。该患者群体的目标是在保持最大功能的同时实现医疗稳定。老年急性护理团队成员包括责任护士（注册护士）、医生、临床护理专家、治疗师、社会工作者、营养师、药剂师和出院计划员。在责任护士的领导下，团队制定全面的护理和出院计划，并在整个护理连续过程中实施。通过使用协议并协同工作，团队提供具有成本效益的协调护理，促进流程改进，从而使实践符合当前的护理标准。
