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新冠疫情再度凸显了以人为主的老年医学方法的必要性。

The COVID-19 Pandemic Reignites the Need for Person-Centered Gerontological Approach.

作者信息

Saunders Pamela A, McMullen Tara, Barsness Sonya, Carle Andrew, Hanna Gay Powell

机构信息

Aging and Health Program, Georgetown University, Washington, DC, USA.

出版信息

Gerontol Geriatr Med. 2021 Sep 12;7:23337214211041800. doi: 10.1177/23337214211041800. eCollection 2021 Jan-Dec.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9157/8442476/544a818dbbb1/10.1177_23337214211041800-fig1.jpg

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