Developing a Frailty Care Pathway for Older Adults in Long-Term Care: A Modified Delphi Process.

IF 1.2 4区医学 Q3 GERONTOLOGY

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-08-08 DOI:10.1017/S0714980825100123

Pauline Wu, Jayna Holroyd-Leduc, Sharon Kaasalainen, David B Hogan, Aynharan Sinnarajah, Michelle Grinman, James Silvius, Jessica E Simon, Ann Madeline Toohey, Jacqueline McMillan, Vanessa Slobogian, Jenna Naylor, Wayne Hykaway, Daniel Gaetano, Sandra Gilroy, Chandra Vig, Loralee Fox, Itode Vivian Ewa, Zahra Goodarzi

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引用次数: 0

Abstract

Objective: We developed a clinical care pathway for the detection and management of frailty for older adults living in long-term care (LTC) homes.

Methods: We utilized a modified Delphi with residents of LTC homes experiencing frailty, their caregivers, and care providers. The pathway was created using existing literature and input from key LTC experts.

Findings: Fifty-two panelists completed round one of the Delphi, and 55.8% of these respondents completed round two. Both rounds had high agreement and ratings. We added six new statements following analysis of round two, and 15 statements were modified/updated to reflect panelist feedback. The final pathway included 28 statements and promotes a resident-centered approach that highlights caregiver involvement and inter-professional teamwork to identify and manage frailty, as well as initiate palliative care earlier.

Conclusion: Implementing this pathway will allow health care providers to adopt screening measures and adapt care to a resident's frailty severity.

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开发老年人长期护理的虚弱护理途径：一个改进的德尔菲过程。

目的：我们开发了一种临床护理途径，用于检测和管理生活在长期护理（LTC）家中的老年人的虚弱。方法：我们采用改进的德尔菲法，调查了长期养老中心中经历虚弱的居民、他们的照顾者和护理提供者。该路径是使用现有文献和关键LTC专家的输入创建的。结果：52名小组成员完成了第一轮德尔菲，55.8%的受访者完成了第二轮。两轮都有很高的一致性和收视率。在第二轮分析之后，我们增加了6条新陈述，并修改/更新了15条陈述，以反映小组成员的反馈。最后的路径包括28个声明，并促进以居民为中心的方法，强调护理人员的参与和跨专业团队合作，以识别和管理虚弱，并尽早启动姑息治疗。结论：实施这一途径将允许卫生保健提供者采取筛查措施，并根据居民的虚弱严重程度调整护理。

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

Canadian Journal on Aging-Revue Canadienne Du Vieillissement GERONTOLOGY-

CiteScore

3.40

自引率

5.30%

发文量

109

期刊介绍： The Canadian Journal on Aging/La Revue canadienne du vieillissement (CJA/RCV) promotes excellence in research and disseminates the latest work of researchers in the social sciences, humanities, health and biological sciences who study the older population of Canada and other countries; informs policy debates relevant to aging through the publication of the highest quality research; seeks to improve the quality of life for Canada"s older population and for older populations in other parts of the world through the publication of research that focuses on the broad range of relevant issues from income security to family relationships to service delivery and best practices.