90 字人生：新冠疫情下以人为本护理的机遇。
Life in 90 words: opportunities for person-centred care amidst COVID-19.
机构信息
Addiction and Mental Health Services, Princess Alexandra Hospital, Metro South Hospital and Health Service, Australia.
PA-Southside Clinical Unit, Princess Alexandra Hospital, Faculty of Medicine, University of Queensland, Australia.
出版信息
Australas Psychiatry. 2021 Apr;29(2):189-193. doi: 10.1177/1039856220975280. Epub 2020 Dec 9.
OBJECTIVE
Coronavirus disease 2019 and the consequent public health and social distancing measures significantly impacted on service continuity for mental health patients. This article reports on contingency planning initiative in the Australian public sector.
METHODS
Ninety-word care synopses were developed for each patient. These formed the basis for guided conversations between case managers and consultant psychiatrists to ensure safe service provision and retain a person-centred focus amidst the threat of major staffing shortfalls.
RESULTS
This process identified vulnerable patient groups with specific communication needs and those most at risk through service contraction. The challenges and opportunities for promoting safety and self-management through proactive telehealth came up repeatedly. The guided conversations also raised awareness of the shared experience between patients and professionals of coronavirus disease 2019.
CONCLUSION
There is a parallel pandemic of anxiety which creates a unique opportunity to connect at a human level.
目的
2019 年冠状病毒病及其导致的公共卫生和社会隔离措施对精神卫生患者的服务连续性产生了重大影响。本文报告了澳大利亚公共部门的应急规划举措。
方法
为每位患者制定了 90 字的护理概要。这些概要构成了案例管理人员和顾问精神科医生之间指导对话的基础，以确保在主要人员短缺的威胁下安全地提供服务，并保持以患者为中心的焦点。
结果
这一过程确定了弱势群体患者群体的特定沟通需求，以及通过服务收缩而处于最大风险中的患者。反复出现了通过积极主动的远程医疗促进安全和自我管理的挑战和机遇。指导对话还提高了对通过 2019 年冠状病毒病患者和专业人员共同经历的认识。
结论
焦虑也存在着类似的大流行，这为建立人与人之间的联系创造了独特的机会。
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