在繁忙的外科实践中确保目标一致的护理

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI:10.1016/j.scrs.2024.101062

Jessica N. Cohan MD, MAS, FACS, FASCRS

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引用次数: 0

摘要

美国人口正在老龄化。因此，患有多种合并症和老年综合症的老年人将越来越多地前来就诊。美国老年医学会和美国外科学院、美国结肠和直肠外科医生学会、老年外科验证计划和医疗保健改进研究所联合制定了一份指南，建议将患者目标纳入外科治疗决策中，作为建设老年友好型医疗系统的一部分，但该指南的实施进展缓慢。本综述旨在提供一个框架，说明如何在现实世界的外科实践中激发和使用患者目标，以实现目标一致的护理。

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Ensuring goal-aligned care in a busy surgical practice

The US population is aging. Accordingly, older adults with multiple comorbidities and geriatric syndromes will present in increasing numbers for surgical consultation. Incorporating patient goals into surgical treatment decisions is recommended by a joint guideline from the American Geriatrics Society and American College of Surgeons, the American Society of Colon and Rectal Surgeons, the Geriatric Surgery Verification program, and the Institute for Healthcare Improvement as part of building Age-Friendly Health Systems, however uptake has been slow. The aim of this review is to provide a framework for how patient goals can be elicited and used in real-world surgical practices to achieve goal-aligned care.

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来源期刊

Seminars in Colon and Rectal Surgery SURGERY-

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Seminars in Colon and Rectal Surgery offers a comprehensive and coordinated review of a single, timely topic related to the diagnosis and treatment of proctologic diseases. Each issue is an organized compendium of practical information that serves as a lasting reference for colorectal surgeons, general surgeons, surgeons in training and their colleagues in medicine with an interest in colorectal disorders.