Noblett Karen
Community Matron, Bridgewater Community Healthcare NHS Trust, Warrington.
Br J Community Nurs. 2019 Nov 2;24(11):524-526. doi: 10.12968/bjcn.2019.24.11.524.
The consequences of self-neglect can be wide-reaching and devastating, not only for patients themselves but also for their wider community, including assisting health practitioners and social care staff. Supporting patients in the context of self-neglect requires extensive multi-agency collaboration in order to gain a full understanding and a workable management strategy for the individual. Because community nurses see patients in their own homes, they are well placed to identify and address self-neglect. This article explores the definition, signs and causes of self-neglect, with issues of particular relevance for community nursing staff. The understanding and assessment of mental capacity, which is often complex and challenging, is also discussed, as well as the involvement of the safeguarding team where necessary.
自我忽视的后果可能影响深远且具有破坏性，不仅对患者自身如此，对其更广泛的社区，包括辅助医疗从业者和社会护理人员亦是如此。在自我忽视的背景下为患者提供支持需要广泛的多机构协作，以便全面了解个体情况并制定可行的管理策略。由于社区护士在患者家中看护患者，他们处于识别和解决自我忽视问题的有利位置。本文探讨了自我忽视的定义、迹象和成因，以及与社区护理人员特别相关的问题。文中还讨论了对心理能力的理解和评估，这往往复杂且具有挑战性，以及在必要时保障团队的参与情况。
