Intrinsic capacity in older hospitalized adults: Implications for nursing practice.
Intrinsic capacity in older hospitalized adults: Implications for nursing practice.
复制标题
老年住院患者的内在能力：对护理实践的影响。
DOI：
10.1016/j.gerinurse.2017.06.008
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Mion,LorraineC
中科院分区：
文献类型：
--
作者：
Wang,Jinjiao;Boehm,Leanne;Mion,LorraineC
我丈夫的父母和姑姑最近搬来和我们住在一起。我亲切地称他们为白色头发。和他们一起生活是一种冒险和快乐。他们都超过65岁，但功能水平却如此不同。它们是内在能力的完美例证，也是我们衰老轨迹的完美例证。以威尔伯为例，他是一位69岁的绅士，从来没有让生活让他慢下来。他只有8年级的学历，阅读速度很慢，但对工程很有兴趣，总是摆弄机器、工具和各种项目。十几岁时的一次摩托车事故给他留下了脚踝上的螺丝钉。如果他做得太多，他会一瘸一拐的，但他会很高兴地用割草机帮助有需要的邻居。莉莉今年77岁，她一直很重视自己的独立性。她喜欢阅读和观看BBC的神秘故事。她会在沙发上坐很长一段时间，但很少拒绝出去走走的机会。过去十年里，她臀部感觉最好的一次是在拉斯维加斯散步玩老虎机时。她的猫，拉斐尔，是她的生命之光。67岁的格蕾丝喜欢独处。她大部分时间都坐在椅子上看电视，在平板电脑上玩游戏，或者处理文书工作。她的房间在一楼，所以她不用楼梯，很少有很远的地方去买她需要的东西。有时格蕾丝会打电话给威尔伯，提醒他必须给她带些东西。格蕾丝每周在杂货店转一圈，但每天走到邮箱那里太多了。她的儿子和上帝是她生命中的明灯，她一有机会就喜欢谈论这两件事。这三个人在住院治疗的情况下都容易出现功能和认知能力下降。但是，由于内在能力的可变性，格雷斯特别容易进一步下降到脆弱，残疾甚至死亡。琳恩·博姆
My husband’s parents and aunt recently moved in with us. I lovingly refer to them as The White Hairs. It’s an adventure and joy living with them. They are all older than 65 years and yet have such different levels of function. They are a perfect illustration for intrinsic capacity and how we vary in our aging trajectories. Consider Wilbur, a 69-year-old gentleman who has never let life slow him down. With an 8th grade education, he is a slow reader but has a mind for engineering and is always tinkering with machines, tools, and various projects. A motorcycle accident as a teenager left him with screws in his ankle. He limps if he does too much, but will happily use the push lawn mower to help out a neighbor in need. Lilly is 77 and has always valued her independence. She loves to read and watch BBC mysteries. She will sit on the couch for long periods of time but rarely declines an opportunity to get out and about. The best her hip felt in the last decade was when she walked around Las Vegas playing slots. Her cat, Raphael, is the light of her life. Grace, 67, likes her solitude. She spends the majority of her time in a chair either watching television, playing games on the tablet, or taking care of paperwork. Her room is on the first floor, so she doesn’t use stairs and rarely has far to go for anything she needs. Sometimes Grace will call Wilbur’s cell phone to alert him of something he must bring to her. Grace gets around the grocery store once a week, but a daily walk to the mailbox is too much. Her son and God are the lights of her life and she loves to talk about both any chance she gets. All three are vulnerable to functional and cognitive decline in the event of a hospitalization. But because of the variability in their intrinsic capacity, Grace is especially vulnerable to further decline into frailty, disability and even death.-Leanne Boehm