1 Center for Health Equity Research and Promotion, Philadelphia VA Medical Center , Philadelphia, Pennsylvania.
J Palliat Med. 2013 Oct;16(10):1180-7. doi: 10.1089/jpm.2013.9474. Epub 2013 Aug 28.
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.
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。