NICHE对老年危重症患者的推荐护理

NICHE Recommended Care of the Critically Ill Older Adult.

作者信息

Giambattista Laura, Howard Richard, Ruhe Porto Raquel, Barker Nancy, Carroll Dawn, Pfeiffer Judith, Davidson Judy E

机构信息

Education, Development and Research (Ms Giambattista and Dr Davidson), Intensive Care Unit (Mss Ruhe Porto, Barker, and Carroll and Mr Howard), University of California San Diego Health System, La Jolla, California; Nursing Education, Development & Research and Psychiatric Services, University of California San Diego Health System (Ms Pfeiffer).

出版信息

Crit Care Nurs Q. 2015 Jul-Sep;38(3):223-30. doi: 10.1097/CNQ.0000000000000074.

DOI:10.1097/CNQ.0000000000000074

PMID:26039643

Abstract

Nurses Improving Care for Healthsystem Elders provides evidence-based best practices for the care of the hospitalized older adult. Older adults are a vulnerable population at greater risk of functional decline during and after hospitalization, safety concerns related to polypharmacy, ineffective pain management, and population-specific physiological responses to medications. Family members of hospitalized older adults are also vulnerable and may experience postintensive care syndrome. This manuscript explores the application of Nurses Improving Care for Healthsystem Elders standards through a case study approach to optimize patient/family-centered care of the critically ill older adult.

摘要

护士改善医疗系统老年患者护理提供了基于证据的最佳实践，用于照顾住院的老年人。老年人是弱势群体，在住院期间和出院后功能衰退的风险更高，存在与多种药物治疗相关的安全问题、疼痛管理无效以及特定人群对药物的生理反应。住院老年人的家庭成员也很脆弱，可能会经历重症监护后综合征。本文通过案例研究方法探讨护士改善医疗系统老年患者护理标准的应用，以优化对危重症老年患者以患者/家庭为中心的护理。