Delivering safe, person-centred care for acutely unwell older people on virtual wards.

Melissa Angell
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Abstract

A virtual ward can provide hospital-level care for older people in their usual place of residence during an episode of acute illness. Care on a virtual ward may be delivered through a mix of in-person home visits, telephone or video calls and remote monitoring. This model of care can prevent unnecessary inpatient admissions, which in turn can prevent the development of associated complications in this patient population, such as deconditioning, delirium and hospital-acquired infections. However, there are barriers to the use of virtual wards in the care of older people. This article provides an overview of technology-enabled virtual wards and discusses some of the barriers to their use in older people's care as well as ways in which these can be addressed. The author also considers how nurses can help ensure that the care provided to an older person admitted to a virtual ward is person-centred and safe.

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在虚拟病房为严重不适的老年人提供安全、以人为本的护理。
虚拟病房可以在老年人急性疾病发作期间在其通常居住地为其提供医院级别的护理。虚拟病房的护理可以通过亲自家访、电话或视频通话以及远程监控的组合来提供。这种护理模式可以防止不必要的住院,这反过来又可以防止在这一患者群体中出现相关并发症,如条件恶化、谵妄和医院获得性感染。然而,在老年人护理中使用虚拟病房存在障碍。本文概述了技术支持的虚拟病房,并讨论了在老年人护理中使用虚拟病房的一些障碍以及解决这些障碍的方法。作者还考虑了护士如何帮助确保提供给入住虚拟病房的老年人的护理以人为本和安全。
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