Kathryn R Segal, Lauren E Piana, Nadia Mujahid, Brian Mikolasko, Eren O Kuris, Alan H Daniels, Julia A Katarincic
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引用次数: 0
摘要
(四)临终关怀计划(Advanced care planning)是指根据患者的个人价值观、人生目标和偏好,对临终关怀和/或严重疾病的决定进行规划和准备的行为。(五)随着时间的推移,先进的护理计划及其通过先进指令的正规化已经证明对患者,其家属和护理人员以及更大的医疗保健系统有实质性的好处。(四)尽管有这些好处,但先进的护理计划和先进的指示仍未得到充分利用。(五)骨科医生在前哨事件(如脆性髋部骨折)期间与患者互动,表明整体健康轨迹下降。(四)骨科医生必须熟悉先进护理计划的概念和医学法律方面的知识,以便在定点卫生活动期间为患者提供最佳护理。
Advanced Care Planning for the Orthopaedic Patient.
➢ Advanced care planning most commonly refers to the act of planning and preparing for decisions with regard to end-of-life care and/or serious illness based on a patient's personal values, life goals, and preferences.➢ Over time, advanced care planning and its formalization through advanced directives have demonstrated substantial benefits to patients, their families and caregivers, and the larger health-care system.➢ Despite these benefits, advanced care planning and advanced directives remain underutilized.➢ Orthopaedic surgeons interact with patients during sentinel events, such as fragility hip fractures, that indicate a decline in the overall health trajectory.➢ Orthopaedic surgeons must familiarize themselves with the concepts and medicolegal aspects of advanced care planning so that care can be optimized for patients during sentinel health events.
期刊介绍:
The Journal of Bone & Joint Surgery (JBJS) has been the most valued source of information for orthopaedic surgeons and researchers for over 125 years and is the gold standard in peer-reviewed scientific information in the field. A core journal and essential reading for general as well as specialist orthopaedic surgeons worldwide, The Journal publishes evidence-based research to enhance the quality of care for orthopaedic patients. Standards of excellence and high quality are maintained in everything we do, from the science of the content published to the customer service we provide. JBJS is an independent, non-profit journal.