The Japan Geriatrics Society consensus statement "recommendations for older persons to receive the best medical and long-term care during the COVID-19 outbreak-considering the timing of advance care planning implementation"
The Japan Geriatrics Society consensus statement "recommendations for older persons to receive the best medical and long-term care during the COVID-19 outbreak-considering the timing of advance care planning implementation"
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DOI：
10.1111/ggi.14075
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发表时间：
2020-11-02
影响因子：
3.3
通讯作者：
Akishita, Masahiro
中科院分区：
文献类型：
--
作者：
Kuzuya, Masafumi;Aita, Kaoruko;Akishita, Masahiro
自2019年底以来，一种危及生命的传染病（2019冠状病毒病：COVID-19）在全球蔓延，已有大量受害者报道。特别是，老年人在感染新型冠状病毒（SARS-CoV-2）时往往遭受更严重的痛苦，并且病例死亡率更高；此外，疫情经常发生在医院和长期护理机构，那里的大多数居民都是老年人。不幸的是，据称，COVID-19 大流行已导致一些国家的医疗崩溃，导致呼吸机等医疗资源枯竭，并根据实际年龄进行分诊。此外，由于一些COVID-19病例表现出临床症状迅速恶化，因此医疗和长期护理人员无法及时确认患者的价值观和愿望，我们非常担心老年患者是否正在接受他们希望的医疗和长期护理服务。人们再次认识到，在感染 COVID-19 之前尽早实施预先护理计划至关重要。为此，日本老年医学会于2020年8月宣布了老年人医疗和长期护理的伦理建议，并强调了在早期阶段进行预先护理计划的重要性。老年老年国际 2020;中心点 中心点：中心点 中心点-中心点 中心点。
Since the end of 2019, a life-threatening infectious disease (coronavirus disease 2019: COVID-19) has spread globally, and numerous victims have been reported. In particular, older persons tend to suffer more severely when infected with a novel coronavirus (SARS-CoV-2) and have higher case mortality rates; additionally, outbreaks frequently occur in hospitals and long-term care facilities where most of the residents are older persons. Unfortunately, it has been stated that the COVID-19 pandemic has caused a medical collapse in some countries, resulting in the depletion of medical resources, such as ventilators, and triage based on chronological age. Furthermore, as some COVID-19 cases show a rapid deterioration of clinical symptoms and accordingly, the medical and long-term care staff cannot always confirm the patient's values and wishes in time, we are very concerned as to whether older patients are receiving the medical and long-term care services that they wish for. It was once again recognized that it is vital to implement advance care planning as early as possible before suffering from COVID-19. To this end, in August 2020, the Japan Geriatrics Society announced ethical recommendations for medical and long-term care for older persons and emphasized the importance of conducting advance care planning at earlier stages. Geriatr Gerontol Int 2020; center dot center dot: center dot center dot-center dot center dot.