Afzal N, Wyatt A
Social Services and Discharge Planning, Coler Memorial Hospital, New York, New York 10044.
QRB Qual Rev Bull. 1989 Jan;15(1):20-5. doi: 10.1016/s0097-5990(16)30257-3.
Institutional long term care (LTC) can be important for AIDS patients because they frequently survive acute illness episodes yet remain severely incapacitated. Many of them are also homeless, or their families or friends are unwilling or unable to care for them. In three years of providing LTC for AIDS patients, staff at Coler Memorial Hospital in New York City have learned that accommodating the patients' fluctuating care needs is one of the program's greatest challenges. Some differences from other chronic care programs are the patients' needs for medically intensive services, their more frequent contagious infections, and their experimental drug regimens.
机构长期护理(LTC)对艾滋病患者可能很重要,因为他们常常能挺过急性发病期,但仍严重丧失行为能力。他们中的许多人还无家可归,或者其家人或朋友不愿意或无能力照顾他们。在为艾滋病患者提供三年长期护理的过程中,纽约市科勒纪念医院的工作人员认识到,满足患者不断变化的护理需求是该项目面临的最大挑战之一。与其他慢性护理项目的一些不同之处在于,患者需要强化医疗服务、更频繁地感染传染性疾病以及采用试验性药物治疗方案。