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衰弱感知护理:在不同医疗保健环境中重视衰弱评估。

Frailty-aware care: giving value to frailty assessment across different healthcare settings.

机构信息

Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.

Institute of Cardiovascular Sciences, St. Boniface General Hospital Albrechtsen Research Centre, Winnipeg, Manitoba, Canada.

出版信息

BMC Geriatr. 2022 Jan 3;22(1):13. doi: 10.1186/s12877-021-02722-9.

Abstract

Healthcare systems need to adapt to better serve an aging population with complex presentations. Frailty assessments are a potential means to address this heterogeneity in aging to identify individuals at increased risk for adverse health outcomes. Furthermore, frailty assessments offer an opportunity to optimize patient care in various healthcare settings. While the vast number of frailty assessment tools available can be a source of confusion for clinicians, each tool has features adaptable to the constraints and goals of different healthcare settings. This review discusses and compares barriers, facilitators, and the application of frailty assessments in primary care, the emergency department/intensive care unit and surgical care to cover a breadth of settings with different frailty assessment considerations. The implementation of frailty-aware care across healthcare settings potentiates better healthcare outcomes for older adults.

摘要

医疗体系需要进行调整,以便更好地为具有复杂表现的老龄化人口提供服务。虚弱评估是解决老龄化异质性、识别健康不良风险增加的个体的一种潜在手段。此外,虚弱评估为优化各种医疗保健环境中的患者护理提供了机会。虽然可用的虚弱评估工具数量众多可能会让临床医生感到困惑,但每种工具都具有可适应不同医疗保健环境的限制和目标的特点。这篇综述讨论并比较了虚弱评估在初级保健、急诊/重症监护病房和外科护理中的障碍、促进因素和应用,涵盖了具有不同虚弱评估考虑因素的广泛设置。在医疗保健环境中实施虚弱感知护理可以为老年人带来更好的医疗保健结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/8722007/e7740250dc4a/12877_2021_2722_Fig1_HTML.jpg

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