效率、安全、质量和同理心：平衡老年患者围手术期的竞争挑战。
Efficiency, Safety, Quality, and Empathy: Balancing Competing Perioperative Challenges in the Elderly.
机构信息
Department of Anesthesiology, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Department of Anesthesiology, University of Vermont Larner College of Medicine, Burlington, VT, USA; Department of Orthopaedics and Rehabilitation (by courtesy), University of Vermont Larner College of Medicine, Burlington, VT, USA; Department of Surgery (by courtesy), University of Vermont Larner College of Medicine, Burlington, VT, USA.
出版信息
Anesthesiol Clin. 2023 Sep;41(3):657-670. doi: 10.1016/j.anclin.2023.02.011. Epub 2023 Mar 22.
Although baby boomer generation accounts for a little more than 15% of the US population, the cohort represents a disproportionate percentage of patients undergoing surgery. As this group continues to age, a multitude of challenges have arisen in health care regarding the safest and most effective means of providing anesthesia services to these patients. Many elderly patients may be exquisitely sensitive to the effects of anesthesia and surgery and may experience cognitive and physical decline before, during, or after hospital admission. In this review article, the authors briefly examine the physiologic processes underlying aging and explore steps necessary to deliver safe, empathetic care.
虽然婴儿潮一代仅占美国人口的 15% 以上，但这一代人在接受手术的患者中所占比例不成比例。随着这一群体的不断老龄化，在为这些患者提供麻醉服务方面，医疗保健领域出现了许多安全和有效的方法方面的挑战。许多老年患者可能对麻醉和手术的影响非常敏感，并且在住院前、住院期间或住院后可能会经历认知和身体上的衰退。在这篇综述文章中，作者简要地检查了衰老的生理过程，并探讨了提供安全、富有同情心的护理所必需的步骤。
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