Saunders Pamela A, McMullen Tara, Barsness Sonya, Carle Andrew, Hanna Gay Powell
Aging and Health Program, Georgetown University, Washington, DC, USA.
Gerontol Geriatr Med. 2021 Sep 12;7:23337214211041800. doi: 10.1177/23337214211041800. eCollection 2021 Jan-Dec.
The national response to the COVID-19 pandemic pressed gerontologists to reflect, redesign, and reform services supporting older adults. Efforts to isolate a peer cohort to stabilize and maintain a standard of health had adverse outcomes and added pressure conflicting with autonomy and individual desires. In this, person-centered care emerges as a meaningful archetype to address dignity and independence. This article presents views from academics and practitioners across an interdisciplinary spectrum, arising from a webinar hosted by Georgetown University Program in Aging & Health. A description of personhood as an extension of the humanities is followed by a robust discussion of safety and autonomy for older adults during the COVID-19 pandemic. We examine the necessary commute between critical gerontological theory and the practice of humanistic gerontology. Further, this article disentangles humanism and person-centered care to balance autonomy and safety for older adults in congregate living situations and focuses on specific populations: people with dementia and their care partners. Discussion on the importance of person-centered policy development in a public health pandemic is also explored. The article concludes with a call to action for the adoption of a comprehensive person-centered care model across the fields of gerontology and geriatric medicine.
国家对新冠疫情的应对促使老年医学专家反思、重新设计并改革为老年人提供支持的服务。隔离同侪群体以稳定和维持健康标准的努力产生了不良后果，并带来了与自主性和个人意愿相冲突的压力。在此背景下，以人为主的护理成为解决尊严和独立性问题的一个有意义的典范。本文呈现了来自跨学科领域的学者和从业者的观点，这些观点源自乔治敦大学老龄与健康项目主办的一次网络研讨会。在将人格描述为人文学科的延伸之后，紧接着对新冠疫情期间老年人的安全与自主性进行了深入讨论。我们审视了老年学关键理论与人文老年学实践之间的必要衔接。此外，本文剖析了人文主义与以人为主的护理，以平衡集体生活环境中老年人的自主性和安全性，并聚焦于特定人群：痴呆症患者及其护理伙伴。还探讨了在公共卫生大流行中以人为主的政策制定的重要性。文章最后呼吁采取行动，在老年学和老年医学领域采用全面的以人为主的护理模式。
