The Clinical Advantages of Making Our Hospitals Older Adult Friendly.

IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Canadian Journal of Cardiology Pub Date : 2024-10-04 DOI:10.1016/j.cjca.2024.09.028
Adrian Wagg, George Heckman, Melissa Northwood, John Hirdes
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Abstract

Older adults (≥ 65 years), now constitute half of the hospital inpatient population. Catering for the needs of this group requires consideration of the processes of care, the inpatient environment, and care practices operating in our hospitals. Older adults are often multimorbid, more likely than older adults in the community to be malnourished and have coexistent physical and cognitive impairments. These older adults are at great risk of suffering hospital-associated harms or being designated as "bed blockers," partly owing to inadequate understanding of their needs, a failure of recognition, or an unwillingness to address them. The adoption of older adult-friendly care presents considerable opportunity to transform the manner in which care is delivered in order to mitigate avoidable harms and optimise outcomes for older adults. This review explores the nature of our older adult inpatients, the implications of older adult-friendly care, the requirement for true interprofessional care, and the advantages of systematic assessment spanning pre-hospital to post-hospital care, and highlights specific interventions to deal with in-hospital problems that differently impair health-related outcomes for older adults. As such, it hopes to raise awareness of the needs of older adults under cardiologic care to improve outcomes for hospitalised older adults.

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使我们的医院成为老年人友好型医院的临床优势。
老年人(≥65 岁)目前占住院病人总数的一半。要满足这一群体的需求,就必须考虑我们医院的护理流程、住院环境和护理实践。老年人通常患有多种疾病,与社区老年人相比,他们更有可能营养不良,并同时存在身体和认知障碍。这些老年人极有可能遭受与医院相关的伤害或被指定为 "病床阻塞者",部分原因是对他们的需求了解不足、未能认识到或不愿意解决这些问题。采用老年人友好型护理为改变护理方式提供了大量机会,以减少可避免的伤害并优化老年人的治疗效果。本综述探讨了老年人住院病人的性质、老年人友好型护理的意义、真正的跨专业护理的要求、从院前到院后护理的系统性评估的优势,并强调了处理住院问题的具体干预措施,这些问题会对老年人的健康相关结果造成不同程度的损害。因此,它提高了人们对接受心脏病治疗的老年人需求的认识,以改善住院老年人的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Canadian Journal of Cardiology
Canadian Journal of Cardiology 医学-心血管系统
CiteScore
9.20
自引率
8.10%
发文量
546
审稿时长
32 days
期刊介绍: The Canadian Journal of Cardiology (CJC) is the official journal of the Canadian Cardiovascular Society (CCS). The CJC is a vehicle for the international dissemination of new knowledge in cardiology and cardiovascular science, particularly serving as the major venue for Canadian cardiovascular medicine.
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