"Everyday ethics" in the care of hospitalized older adults.
"Everyday ethics" in the care of hospitalized older adults.
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护理住院老年人的“日常道德”。
DOI：
10.1097/nor.0b013e3182a3019d
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Erlen,JudithA
中科院分区：
文献类型：
--
作者：
Seaman,JenniferB;Erlen,JudithA
随着美国人口的老龄化，65岁以上的住院患者比例将继续增加，其中相当多的患者可能有一定程度的认知障碍。由于老年人中与跌倒有关的创伤性损伤的发生率很高，许多人需要矫形服务。这些患者可能有多种合并症，并发症的风险增加。不同程度的认知功能障碍与可能的术后并发症（包括谵妄）相结合，使这些患者面临决策能力下降的风险，并可能在提供床边护理期间产生伦理困境。本文探讨了一些日常的伦理困境，护士在他们的护理住院老年人面临的，并提供护士的策略，以维护病人的尊严和自决，同时提供高质量的，以证据为基础的护理。
As the US population ages, the proportion of hospitalized patients older than 65 years will continue to increase with a significant number likely to have some degree of cognitive impairment. Because of the high rate of falls-related traumatic injury among older adults, many will require orthopaedic services. These patients may have multiple comorbidities and are at increased risk for complications. Varying degrees of cognitive impairment in combination with possible postoperative complications including delirium places these patients at risk for decreased decisional capacity and can create ethical dilemmas during the provision of bedside care. This article explores some everyday ethical dilemmas that nurses face in their care of hospitalized older adults, and offers nurses strategies to preserve patient dignity and self-determination while providing high-quality, evidence-based nursing care.