Using a standardized assessment tool to identify patients for referral to discuss and understand their goals of care

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-02-11 DOI:10.1016/j.gerinurse.2025.01.046

Reshna Thapa DNP, APRN, FNP-C, Joy Elwell DNP, APRN, Savitha Chandramohan DNP, APRN, Carol Jin DNP, APRN

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引用次数: 0

Abstract

Introduction

Dementia, a terminal illness, deteriorates the physical and mental health as it advances. Discussing goals of care (GOC) is important in these patients but there is no standard way to identify these patients.

Purpose

Identify patients that can be referred for GOC discussion based on their quality of life (QOL) by utilizing dementia quality of life (DEMQOL) or DEMQOL carer tools.

Methods

The study was conducted in a nursing home in long-term care patients diagnosed with dementia. Patients who scored less than 90 in assessment tools were referred for GOC discussion.

Results

20 patients and family participated in the study. Unit A had total of 62.5% referral rate, unit B had 66.7%, and unit C had 66.7%. Total referrals showed increased number of patients that were referred for goals of care discussion.

Conclusion

Utilization of QOL assessment tools is feasible in nursing home. DEMQOL/DEMQOL carer, an assessment tool helped identify patients for GOC discussion.

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使用标准化的评估工具来确定转诊的患者，讨论和了解他们的护理目标

痴呆症是一种晚期疾病，随着病情的发展，它会恶化患者的身心健康。讨论护理目标（GOC）对这些患者很重要，但没有标准的方法来识别这些患者。目的利用痴呆生活质量（DEMQOL）或DEMQOL护理工具，根据患者的生活质量（QOL）确定可转诊进行GOC讨论的患者。方法本研究是在一家长期护理的老年痴呆症患者中进行的。评估工具得分低于90分的患者转介进行GOC讨论。结果20例患者及家属参与研究。A单位总转诊率为62.5%，B单位为66.7%，C单位为66.7%。总转诊显示增加的病人数量，被转诊的目标护理讨论。结论在养老院使用生活质量评价工具是可行的。DEMQOL/DEMQOL护理，一个评估工具，帮助确定患者进行GOC讨论。

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

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.