Avoiding Functional Decline and Minimizing the Effects of Frailty in Hospitalized Older Adults.

IF 1.1 4区 医学 Q3 NURSING
Lee Anne Siegmund, Sandra L Siedlecki
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引用次数: 0

Abstract

Purpose/objectives: The purpose of this article is to introduce the clinical nurse specialist to the Frailty Care Model. This model can be used by the clinical nurse specialist as a framework to guide nurses as they provide care to older adults predisposed to frailty progression while hospitalized.

Description: The Frailty Care Model is used as a framework to plan the care of the hospitalized older adult. Examples of frailty screening tools are presented to inform the clinical nurse specialist of the older adult's needs for intervention while hospitalized, and a case study is used. Known targets for frailty interventions include low physical activity, malnutrition, and depression, and recommendations for each are given.

Outcome: The clinical nurse specialist can use and support specific interventions to improve mobility and physical activity, address depression, and improve nutritional intake in hospitalized older adults.

Conclusion: The clinical nurse specialist is essential to the care of the hospitalized older adult who has frailty or is at risk for frailty. Frailty screening and an awareness of risks as well as modifiable factors can set the stage for supportive care that can help to prevent or stabilize frailty in the hospitalized older adult.

住院老年人避免功能衰退和尽量减少虚弱的影响。
目的/目的:本文的目的是向临床专科护士介绍虚弱护理模式。这个模型可以被临床护理专家作为一个框架来指导护士,因为他们在住院期间为易患虚弱的老年人提供护理。描述:虚弱护理模型被用作计划住院老年人护理的框架。提出了虚弱筛查工具的例子,告知临床护理专家老年人住院期间的干预需求,并使用了一个案例研究。已知的虚弱干预目标包括身体活动不足、营养不良和抑郁症,并针对每一项提出了建议。结果:临床护理专家可以使用和支持特定的干预措施来改善住院老年人的流动性和身体活动,解决抑郁症,改善营养摄入。结论:临床专科护理人员对住院的虚弱或有虚弱危险的老年人的护理至关重要。虚弱筛查和对风险的认识以及可改变的因素可以为支持性护理奠定基础,有助于预防或稳定住院老年人的虚弱。
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
CiteScore
1.50
自引率
16.70%
发文量
83
审稿时长
>12 weeks
期刊介绍: The purpose of Clinical Nurse Specialist™: The International Journal for Advanced Nursing Practice is to disseminate outcomes of clinical nurse specialist practice, to foster continued development o fthe clinical nurse specialist role, and to highlight clinical nurse specialist contributions to advancing nursing practice and health policy globally. Objectives of the journal are: 1. Disseminate knowledge about clinical nurse specialist competencies and the education and regulation of practice; 2. Communicate outcomes of clinical nurse specialist practice on quality, safety, and cost of nursing and health services across the continuum of care; 3. Promote evidence-based practice and innovation in the transformation of nursing and health policy for the betterment of the public welfare; 4. Foster intra-professional and interdisciplinary dialogue addressing nursing and health services for specialty populations in diverse care settings adn cultures.
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