{"title":"住院老年人避免功能衰退和尽量减少虚弱的影响。","authors":"Lee Anne Siegmund, Sandra L Siedlecki","doi":"10.1097/NUR.0000000000000896","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose/objectives: </strong>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.</p><p><strong>Description: </strong>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.</p><p><strong>Outcome: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 3","pages":"140-146"},"PeriodicalIF":1.1000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Avoiding Functional Decline and Minimizing the Effects of Frailty in Hospitalized Older Adults.\",\"authors\":\"Lee Anne Siegmund, Sandra L Siedlecki\",\"doi\":\"10.1097/NUR.0000000000000896\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose/objectives: </strong>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.</p><p><strong>Description: </strong>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.</p><p><strong>Outcome: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":55249,\"journal\":{\"name\":\"Clinical Nurse Specialist\",\"volume\":\"39 3\",\"pages\":\"140-146\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Nurse Specialist\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NUR.0000000000000896\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Nurse Specialist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NUR.0000000000000896","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Avoiding Functional Decline and Minimizing the Effects of Frailty in Hospitalized Older Adults.
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.
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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