"满足无声的需求"

IF 6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Age and ageing Pub Date : 2024-09-30 DOI:10.1093/ageing/afae178.154
Claire Gallagher, Ruth Staunton, Nichola Boyle
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引用次数: 0

摘要

背景 临床专家团队(CST)是 "老年人综合护理计划"(ICPOP)的基础组成部分,为有复杂需求的老年人提供护理服务,完成老年病综合评估(CGA)并支持目标,直至达到最佳效果(HSE,2021 年)。世卫组织(2014 年)估计,全球有 4 亿人受到听力损失的影响,患病率随年龄增长而增加。世卫组织于 2024 年建议对老年人进行有针对性的听力筛查和干预。NICE 指南(2023 年)针对疑似或确诊痴呆症或轻度认知障碍 (MCI) 的成年人提出了具体建议。本研究旨在根据这些建议对目前的感官评估实践进行回顾。方法 这是一项回顾性审核,目的是根据既定标准对当前的实践进行评估,并找出需要改进的地方,以实现最佳实践。这将成为持续质量改进计划的一部分。数据收集采用团队设计的工具,收集有关感官评估、干预和转诊的信息。从 2023 年最后一个季度的 65 名 ICPOP 客户中抽取了样本。结果 初步结果:结论 科学与技术组的感官障碍筛查率较高,但仍需改进,以达到 100%的目标。转介至适当服务机构接受专业感官干预的行动充分,但儿童体能训练中心有必要建议服务对象及时接受听力和视力测试,以遵守国际准则,尤其是那些患有痴呆症/多发性硬化症的服务对象。
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“Addressing the Silent Need”
Background Clinical Specialist Teams (CST) are a foundational component of the Integrated Care Programme for Older Persons (ICPOP) providing care for older adults with complex needs, completing Comprehensive Geriatric Assessments (CGA) and supporting goals until outcomes are optimised (HSE, 2021). WHO (2014) estimates 400 million individuals worldwide are affected by hearing loss, with prevalence increasing with age. The WHO in 2024 recommended targeted hearing screening and interventions in older age. NICE guidelines (2023) issued specific recommendations for adults with suspected or diagnosed dementia or mild cognitive impairment (MCI). The aim of this study was to review current practice of sensory assessment with respect to these recommendations. Methods This is a retrospective audit to evaluate current practice against established standards and to identify areas for improvement to achieve best practice. This will form part of an ongoing quality improvement initiative. Data was collected using a team designed tool gathering information on sensory assessment, interventions and onward referrals. A sample of 65 ICPOP clients was chosen from the last quarter of 2023. Results Preliminary results: Conclusion Screening rates for sensory impairment in the CST is high but needs improvement to reach the target of 100%. Referral onto appropriate services for specialised sensory intervention is actioned adequately, but there is need for the CST to advise timely hearing and vision testing to clients in order to adhere to international guidelines, especially those clients with dementia/MCI.
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来源期刊
Age and ageing
Age and ageing 医学-老年医学
CiteScore
9.20
自引率
6.00%
发文量
796
审稿时长
4-8 weeks
期刊介绍: Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.
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