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护理领导力与晚期痴呆患者长期护理中的姑息治疗。

Nursing Leadership and Palliative Care in Long-Term Care for Residents with Advanced Dementia.

机构信息

MGH Institute of Health Professions School of Nursing, 36 First Avenue, Boston, MA 02129, USA.

Marion Peckham Egan School of Nursing, Fairfield University, 1073 North Benson Road, Fairfield, CT 06824, USA.

出版信息

Nurs Clin North Am. 2022 Jun;57(2):259-271. doi: 10.1016/j.cnur.2022.02.006. Epub 2022 May 4.

Abstract

Alzheimer disease and related dementias (ADRD) are irreversible, progressive brain disorders. Many people with ADRD experience the final stage of the disease, advanced dementia, in nursing homes (NHs). Although palliative care, including symptom management and emotional support for caregivers, is advocated for those with advanced dementia, many NH residents experience potentially burdensome interventions, such as feeding tubes, hospital transfers, and intensive rehabilitation. Nurses play a critical role in ensuring high-quality palliative care to residents with advanced dementia. The aim of this article is to raise awareness of the palliative care needs of NH residents with advanced dementia.

摘要

阿尔茨海默病及相关痴呆症(ADRD)是不可逆转的、进行性的脑部疾病。许多患有 ADRD 的人在养老院(NH)中经历疾病的终末阶段,即晚期痴呆症。尽管提倡对晚期痴呆症患者进行姑息治疗,包括症状管理和对护理人员的情感支持,但许多 NH 居民仍经历潜在的负担性干预,如喂养管、医院转移和强化康复。护士在确保晚期痴呆症居民接受高质量姑息治疗方面发挥着关键作用。本文旨在提高对 NH 中晚期痴呆症居民姑息治疗需求的认识。

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