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首页> 外文期刊>Critical care nursing quarterly >Palliative care for critically ill older adults: dimensions of nursing advocacy.
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Palliative care for critically ill older adults: dimensions of nursing advocacy.

机译：重症老年人的姑息治疗：护理倡导的维度。

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Overall, critical care nursing and medical teams are inadequately prepared to deliver palliative care for the critically ill geriatric patient. Conversations with nursing and medical providers caring for the frail elderly within an intensive care unit often reveal feelings of concern for overtreatment of patients when hope for improvement has diminished. Decline of critically ill elders regularly results in conflicts and disagreements surrounding care directives among patient, family, nursing, and specialty service teams. Uncertainty shrouds the care goals as the patient declines within a critical care setting. Nursing and medical providers caring for the critically ill elderly population often waver anxiously between aggressive verses palliative care measures and are troubled by ethical dilemmas of "doing more harm than good." Collaborative, interdisciplinary practice in the face of such dilemmas offers an interactive and practical approach that promotes clinical excellence and improves quality of care for the critically ill. This article defines palliative care, discusses the complexities of caring for the critically ill older adult, and suggests recommendations for nursing practice.
机译：总体而言，重症监护护理和医疗团队准备不足，无法为重症老年患者提供姑息治疗。与重症监护病房中照顾年老体弱的老人的护理和医疗服务提供者的对话通常会显示出当改善的希望减弱时，患者过度治疗的担忧。重病长者的减少经常导致患者，家庭，护理和专科服务团队之间在护理指示方面的冲突和分歧。当患者在重症监护环境中瘫痪时，不确定性笼罩了医疗目标。照顾重症老年人的护理和医疗服务提供者经常在积极的诗句姑息治疗措施之间焦虑不安，并且受到“弊大于利”的道德困境的困扰。面对这样的难题，跨学科的协作实践提供了一种互动且实用的方法，可促进临床卓越表现并提高危重患者的护理质量。本文定义了姑息治疗，讨论了照顾重症老年人的复杂性，并提出了护理实践的建议。

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