将姑息关怀纳入多种慢性疾病的管理：一份具有政策含义的专家共识文件。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2024-10-10 DOI:10.1016/j.outlook.2024.102273

Kim Kuebler DNP, ANP-BC, FAAN , Todd Monroe PhD, RN, FAAN , Richard Ricciardi PhD, CRNP, FAAN , Cheryl Westlake PhD, ACNS-BC, FAAN , Matthew Sorenson PhD, ANP-C, FAAN , Jane Pederson MD, MS , Michael Neft PhD, CRNA, FAAN , Sandra A. Mitchell PhD, CRNP, FAAN , Kathryn Daniel PhD, AGNP, FAAN , Susan De Santo-Madeya PhD, APRN-CNS, FAAN , Susan Renda DNP, ANP-BC, FAAN , Elizabeth Henneman PhD, RN, FAAN , Eduardo Bruera MD

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引用次数: 0

摘要

背景：本文由美国护理学会姑息关怀和临终关怀、初级护理、老龄化、急症和重症护理专家小组成员以及两位专家医师共同撰写而成。目的：本文的总体目标是促进将姑息关怀作为症状管理纳入初级护理环境，以改变对患有多种慢性疾病的患者的护理：方法：采纳世界卫生组织、美国卫生与公众服务部以及美国国家科学院、工程院和医学院提出的建议，在不可逆转或严重慢性病发作时启动姑息关怀或症状管理：讨论：早期姑息治疗可减少疾病恶化、预防住院、维持身体机能、提高与健康相关的生活质量：结论：随着美国人口老龄化的加剧、美国人寿命的延长以及国家医疗成本的空前增加，这是一种必要的模式转变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Integration of palliative care in the management of multiple chronic conditions: An expert consensus paper with policy implications

Background

This paper was jointly developed from members of the American Academy of Nursing Expert Panels on Palliative and End of Life Care, Primary Care, Aging, Acute and Critical Care, and two expert physicians.

Purpose

The overarching goal is to promote the integration of palliative care as symptom management into the primary care setting to transform care for patients living with multiple chronic conditions.

Methods

Embracing the recommendations made by the World Health Organization, the U.S. Department of Health and Human Services, and the National Academies of Science Engineering and Medicine to initiate palliative care or symptom management at the onset of nonreversible or serious chronic conditions.

Discussion

Earlier palliative interventions reduce disease exacerbation, prevent hospitalization, maintain physical functioning, and support health-related quality of life.

Conclusion

This is a needed paradigm shift as the nation’s aging population escalates, Americans are living longer, and the healthcare costs for the nation are unprecedented.

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.