患有心血管疾病和多种疾病的老年人的预先护理计划与护理目标沟通
Advance Care Planning and Goals of Care Communication in Older Adults with Cardiovascular Disease and Multi-Morbidity.
作者信息
Lum Hillary D, Sudore Rebecca L
机构信息
VA Eastern Colorado Geriatric Research Education and Clinical Center (GRECC), 1055 Clermont Streeet, Denver, CO, 80220, USA; Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, 12631 East 17th Avenue, B-179, Aurora, CO 80045, USA.
Division of Geriatrics, Department of Medicine, San Francisco Veterans Affairs Medical Center, University of California, SFVAMC 4150 Clement Street, #151R, San Francisco, CA 94121, USA.
出版信息
Clin Geriatr Med. 2016 May;32(2):247-60. doi: 10.1016/j.cger.2016.01.011. Epub 2016 Feb 18.
Abstract
This article provides an approach to advance care planning (ACP) and goals of care communication in older adults with cardiovascular disease and multi-morbidity. The goal of ACP is to ensure that the medical care patients receive is aligned with their values and preferences. In this article, the authors outline common benefits and challenges to ACP for older adults with cardiovascular disease and multimorbidity. Recognizing that these patients experience diverse disease trajectories and receive care in multiple health care settings, the authors provide practical steps for multidisciplinary teams to integrate ACP into brief clinic encounters.
摘要
本文提供了一种针对患有心血管疾病和多种疾病的老年人进行预先护理计划（ACP）及护理目标沟通的方法。ACP的目标是确保患者接受的医疗护理与其价值观和偏好相一致。在本文中，作者概述了患有心血管疾病和多种疾病的老年人进行ACP的常见益处和挑战。认识到这些患者经历不同的疾病轨迹并在多个医疗环境中接受护理，作者为多学科团队提供了将ACP纳入简短门诊问诊的实际步骤。
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