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门诊老年医学环境中的预先护理计划

Advance Care Planning in the Outpatient Geriatric Medicine Setting.

作者信息

Struck Bryan David, Brown Elizabeth Aubrey, Madison Stefani

机构信息

Hospice and Palliative Care Medicine, Oklahoma City VA Medical Center, 921 NE 13th 11G, Oklahoma City, OK 73104, USA; Reynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, 1122 NE 13th ORB 1200, Oklahoma City, OK 73117, USA.

Reynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, 1122 NE 13th ORB 1200, Oklahoma City, OK 73117, USA; Oklahoma City VA Medical Center, 921 NE 13th 11G, Oklahoma City, OK 73104, USA.

出版信息

Prim Care. 2017 Sep;44(3):511-518. doi: 10.1016/j.pop.2017.04.008.

Abstract

This article describes how to perform advance care planning in the outpatient geriatric medicine setting. The article defines advance care planning and discusses components of advance care planning, such as advance directives, do-not-resuscitate orders, and Physician Orders for Life-Sustaining Treatment. The article describes how to document advance care planning discussions in the clinic and bill Medicare and ways for clinicians to improve their skill at leading these conversations.

摘要

本文介绍了如何在门诊老年医学环境中进行预先护理规划。文章定义了预先护理规划,并讨论了预先护理规划的组成部分,如预先指示、不要复苏医嘱和维持生命治疗的医生医嘱。文章描述了如何在诊所记录预先护理规划讨论以及向医疗保险计费,还介绍了临床医生提高引导这些谈话技能的方法。

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