Chronological Needs in Terminal Care Management of Frail Elderly Person

护理管理，以满足需要护理的晚期老年人的临时需求1)对需要护理的晚期老年人进行时间变化分析1)在需要护理的老年人中，常见的症状逐渐减少的是口服。2)医生、护士和家庭对静脉治疗的适宜性有不同的看法。3)虽然有时被怀疑衰老，但一些人被发现脱水或有轻微的肺炎，并通过治疗恢复。4)症状，如水肿、脱水、疼痛、呼吸困难、发烧、2.高质量护理管理的四个条件对家访护理机构的护士进行的调查结果显示，高质量…的以下四个条件更灵活的终端护理：1)个人和他/她的家人的意图的指示，2)护士维持来自个人周围的人的护理和支持的能力，3)支持终端护理的医疗护理，以及4)连接可用于实现个人和他/她的家人的愿望的资源的护理管理，此外，创建了应用这4个条件的格式，并为个案调查中的应用进行了改进。3.法国的终端护理从为巴黎的家庭住院联合会(HAD，住处)和护士从业者进行的访谈中收集的数据，1)家庭死亡率为15%，近年来已趋于平稳。2)HAD中85%的受试者是癌症患者，出院后立即提供一个月的重症监护。设施的平均停留时间为18.3天。提供的护理包括抗癌药物的管理、疼痛控制、中心静脉营养、营养管理、输液以及心理和社会护理。3)家庭住院期间临终关怀的必要条件包括医院和诊所之间的顺利合作、有专职协调员(由医生负责)、多学科团队方法以及高质量的姑息护理技能和护理方法。4)执业护士在临终关怀中的作用不是提供先进的医疗技术，而是提供贴近护理的护理。较少

Care management for meeting the temporal needs of terminal-stage elderly individuals requiring nursing care1.Analysis of temporal changes was performed for terminal-stage elderly individuals requiring nursing care for conditions other than cancer (e.g.chronic respiratory failure, stroke, severe dementia).1)Among the elderly individuals requiring nursing care, a common symptom that decreased gradually was oral intake.2)Opinions regarding the appropriateness of intravenous treatment varied among doctors, nurses, and families.3)Although senility was sometimes suspected, some individuals were found to be dehydrated or have mild pneumonia instead, and recovered with treatment.4)Symptoms such as edema, dehydration, pain, breathing difficulty, fever, and bedsores were common, and require palliative knowledge and skills.2.Four conditions for high-quality care managementResults of a survey conducted on nurses at home-visit nursing care facilities revealed the following 4 conditions for high-qua … More lity terminal care : 1)indication of the individual's and his/her family's intent, 2)ability of nurses to maintain care and support from people around the individual, 3)medical care that supports terminal care, and 4)care management that connects the resources available for realizing the desires of the individual and his/her family, In addition, a format that applies these 4 conditions, "Terminal care clinical path", was created, and refined for applications in case investigations.3.Terminal care in FranceData collected from interviews conducted for the home hospitalization federation (HAD, Hospitalization a domicile) and nurse practitioners in Paris, France, are summarized below :1)At-home death rate was 15%, and has leveled off in recent years.2)85% of subject patients at HAD were cancer patients, and a month of intensive care is provided immediately after discharge. Mean stay at facilities is 18.3 days. Care provided includes administration of anticancer drugs, pain management, central intravenous nutrition, nutritional management, infusion, and psychological and social care.3)Conditions necessary for terminal care during home hospitalization comprise smooth cooperation between hospitals and clinics, availability of a full-time coordinator (under a doctor's charge), a multidisciplinary team approach, and high-quality palliative care skills and nursing methods.4)The role of nurse practitioners in terminal care is not to provide advanced medical technology, but to provide nursing care close to nursing. Less