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长期护理机构中的老年姑息治疗,重点是养老院。

Geriatric palliative care in long-term care settings with a focus on nursing homes.

机构信息

1 Center for Health Equity Research and Promotion, Philadelphia VA Medical Center , Philadelphia, Pennsylvania.

出版信息

J Palliat Med. 2013 Oct;16(10):1180-7. doi: 10.1089/jpm.2013.9474. Epub 2013 Aug 28.

DOI:10.1089/jpm.2013.9474
PMID:23984636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3996937/
Abstract

Almost 1.7 million older Americans live in nursing homes, representing a large proportion of the frailest, most vulnerable elders needing long-term care. In the future, increasing numbers of older adults are expected to spend time and to die in nursing homes. Thus, understanding and addressing the palliative care needs of this population are critical. The goals of this paper are to describe briefly the current state of knowledge about palliative care needs, processes, and outcomes for nursing home residents; identify gaps in this knowledge; and propose priorities for future research in this area.

摘要

近 170 万美国老年人居住在养老院中,占最虚弱、最脆弱、需要长期护理的老年人的很大一部分。预计未来,将有越来越多的老年人在养老院中度过时间并在那里去世。因此,了解和满足这一人群的姑息治疗需求至关重要。本文的目的是简要描述目前关于养老院居民姑息治疗需求、流程和结果的知识状况;确定这方面知识的差距;并提出该领域未来研究的优先事项。

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本文引用的文献

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Influence of hospice on nursing home residents with advanced dementia who received Medicare-skilled nursing facility care near the end of life.临终前在医疗保险熟练护理机构接受护理的晚期痴呆症养老院居民接受临终关怀的影响。
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2
Use of the Medicare posthospitalization skilled nursing benefit in the last 6 months of life.在生命的最后6个月使用医疗保险的出院后熟练护理福利。
Arch Intern Med. 2012 Nov 12;172(20):1573-9. doi: 10.1001/archinternmed.2012.4451.
3
Addressing methodological challenges in implementing the nursing home pain management algorithm randomized controlled trial.解决实施养老院疼痛管理算法随机对照试验中的方法学挑战。
Clin Trials. 2012 Oct;9(5):634-44. doi: 10.1177/1740774512454243. Epub 2012 Aug 9.
4
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J Palliat Med. 2012 Jun;15(6):690-5. doi: 10.1089/jpm.2011.0497. Epub 2012 May 2.
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Scales for the evaluation of end-of-life care in advanced dementia: sensitivity to change.评估晚期痴呆患者终末期护理的量表:对变化的敏感性。
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Dying in U.S. nursing homes with advanced dementia: how does health care use differ for residents with, versus without, end-of-life Medicare skilled nursing facility care?在美国养老院死于晚期痴呆症的患者:有和没有 Medicare 临终护理机构护理的患者,其医疗保健使用有何不同?
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