New horizons: urgent care for older people with frailty

New horizons: urgent care for older people with frailty
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DOI:
10.1093/ageing/afw135
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发表时间:
2016-09-01
期刊:
影响因子:
6.7
通讯作者:
Turpin, Sarah
Turpin, Sarah
中科院分区:
医学1区
文献类型:
--
作者:
Conroy, Simon P.;Turpin, Sarah

文献摘要

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对老年人的紧急护理是一个重大的公共卫生问题,引起了许多政策关注。尽管为抑制需求作出了许多努力,但许多体弱多病和需要紧急护理的老年人需要获得紧急医院服务。急症医院提供的主要护理模式往往以医学为重点,但似乎有效的循证方法援引了一种整体护理模式,由跨学科团队提供,将老年医学能力融入其服务中。本文回顾了整体护理的作用-在研究文献中称为综合老年评估-以及如何将其用作指导未来急性服务迭代的组织框架,以更好地满足老年人的多方面需求。
Urgent care for older people is a major public health issue and attracts much policy attention. Despite many efforts to curb demand, many older people with frailty and urgent care needs to access acute hospital services. The predominant model of care delivered in acute hospitals tends to be medically focussed, yet the evidence-based approaches that appear to be effective invoke a holistic model of care, delivered by interdisciplinary teams embedding geriatric competencies into their service. This article reviews the role for holistic care-termed Comprehensive Geriatric Assessment in the research literature-and how it can be used as an organising framework to guide future iterations of acute services to be better able to meet the multifaceted needs of older people.