运用老年急性期快速恢复病房模式对一例厌食伴体质量下降老年患者的照护体会

The nursing experience of an elderly patient with anorexia in the acute care for the elderly unit

目的总结1例厌食伴有体质量下降老年患者的照护体会。方法通过急性照护评估将患者纳入老年人急性期快速恢复病房(ACE),按照ACE的工作流程,对患者实施多学科团队照护。包括应用老年综合评估技术,全面评估患者情况,通过多学科团队查房、例行的ACE会议、实施以患者为中心的护理、制定早期出院计划等关键技术,让患者尽快恢复到入院前的健康水平,重返家庭和社会。结果该患者厌食情况好转,营养状况得到改善,8 d后好转出院。患者住院期间未发生功能下降及住院相关并发症。结论ACE可改善老年患者的急性期照护质量和患者结局。

Objective To summarize the nursing experience of an elderly patient with anorexia and weight loss.Methods The patient was admitted to the acute care for the elderly unit(ACE)after the acute assessment,and multidisciplinary team care was performed on the patient.To recovery patient to a healthy level and to return quickly the family and society,the team applied the comprehensive assessment technology for the elderly to comprehensively assess the patient′s situation,including multidisciplinary team rounds,routine ACE meetings,implementation of patient-centered care.Results The anorexia and nutritional status were improved,to be discharged after 8 days.There were no functional declines and hospital-related complications during hospitalization.Conclusion ACE improves the quality of care and patient outcomes in elderly patients.