Smith David, Brown Sarah
Clinical Nurse Specialist in Supportive and Palliative Care, Royal Brompton and Harefield NHS Trust, Harefield Hospital, London.
Care Home Support Service Team Leader, St Luke's Hospice, Kenton.
Int J Palliat Nurs. 2017 Oct 2;23(10):511-515. doi: 10.12968/ijpn.2017.23.10.511.
Societies throughout the world are ageing and the proportion of people over 85 years of age is increasingly rapidly. In many countries a significant number of frail older people live in nursing care homes and will develop palliative care needs as they approach the end of their lives. In the United Kingdom around one fifth of those who die each year do so in a care home. Many of these will be cared for by generalist nurses and doctors without specific skills and knowledge in end-of-life care. Following a one-year pilot of the introduction of a nursing home facilitator post to introduce the principles of a palliative care approach into three nursing care homes for older people, the number of residents dying in hospital reduced by 25%.
全世界的社会都在老龄化，85岁以上人口的比例增长迅速。在许多国家，大量体弱的老年人住在养老院，随着生命接近终点，他们会产生姑息治疗需求。在英国，每年约五分之一的死者在养老院去世。其中许多人将由缺乏临终关怀特定技能和知识的全科护士和医生照料。在引入养老院协调员职位以将姑息治疗方法的原则引入三家老年人护理院进行了为期一年的试点后，在医院死亡的居民数量减少了25%。
