Laura Bailey-Michigan\n<\/p>\n
Toto vyh\u00fdb\u00e1n\u00ed se p\u00e9\u010di zp\u016fsobilo u \u0159ady pacient\u016f nov\u00e9 nebo zhor\u0161uj\u00edc\u00ed se zdravotn\u00ed pot\u00ed\u017ee a poskytovatel\u00e9 dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de uv\u00e1d\u011bli, \u017ee jim chyb\u011bly dostate\u010dn\u00e9 informace a \u0161kolen\u00ed, aby mohli pacient\u016fm poradit v procesu rozhodov\u00e1n\u00ed, zda v p\u00e9\u010di pokra\u010dovat, \u010di nikoli.\n<\/p>\n
\" Jeden z p\u0159edstavitel\u016f agentury dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de uvedl, \u017ee v d\u016fsledku zru\u0161en\u00ed slu\u017eeb pacienty se vyt\u00ed\u017eenost jeho agentury sn\u00ed\u017eila o 38 %,\" \u0159\u00edk\u00e1 prvn\u00ed autorka studie Jennifer Inloesov\u00e1, studentka doktorsk\u00e9ho studia o\u0161et\u0159ovatelstv\u00ed na University of Michigan School of Nursing. \" To skute\u010dn\u011b pouk\u00e1zalo na m\u00edru strachu pacient\u016f, kte\u0159\u00ed na po\u010d\u00e1tku pandemie vyu\u017e\u00edvali zdravotn\u00ed slu\u017eby v dom\u00e1c\u00edm prost\u0159ed\u00ed. \"\n<\/p>\n
Rodinn\u00ed p\u0159\u00edslu\u0161n\u00edci i pacienti ru\u0161ili slu\u017eby a velk\u00fd po\u010det zru\u0161en\u00fdch slu\u017eeb Inloese p\u0159ekvapil.\n<\/p>\n
\" Pochopila jsem, pro\u010d pacienti mohou ru\u0161it osobn\u00ed n\u00e1v\u0161t\u011bvy nebo pl\u00e1novan\u00e9 operace, proto\u017ee existuje tolik potenci\u00e1ln\u00edch m\u00edst infekce spojen\u00fdch s p\u00e9\u010d\u00ed v ordinaci nebo v nemocnici,\" \u0159\u00edk\u00e1. \"Nebyla jsem p\u0159ipravena na to, \u017ee tolik pacient\u016f odm\u00edt\u00e1 dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010di, proto\u017ee dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de je mnohem kontrolovan\u011bj\u0161\u00ed interakce s men\u0161\u00edm po\u010dtem mo\u017en\u00fdch infek\u010dn\u00edch m\u00edst. \"\n<\/p>\n
L\u00e9\u010dba nemoc\u00ed se st\u00e1le posouv\u00e1 sm\u011brem k modelu dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de, ale neexistuje mnoho literatury o tom, jak mimo\u0159\u00e1dn\u00e9 ud\u00e1losti v oblasti ve\u0159ejn\u00e9ho zdrav\u00ed ovliv\u0148uj\u00ed kontinuitu dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de. Aby se v\u00fdzkumn\u00edci dozv\u011bd\u011bli v\u00edce, vyzpov\u00eddali 27 poskytovatel\u016f dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de s certifikac\u00ed Medicare v osmi okresech USA, aby l\u00e9pe porozum\u011bli rozhodov\u00e1n\u00ed star\u0161\u00edch dosp\u011bl\u00fdch o slu\u017eb\u00e1ch dom\u00e1c\u00ed p\u00e9\u010de b\u011bhem COVID-19.\n<\/p>\n
Tato zji\u0161t\u011bn\u00ed zd\u016fraz\u0148uj\u00ed, \u017ee emoce hraj\u00ed p\u0159i rozhodov\u00e1n\u00ed o l\u00e9ka\u0159sk\u00fdch slu\u017eb\u00e1ch velkou roli, a zpochyb\u0148uj\u00ed p\u0159edpoklad, \u017ee pokud maj\u00ed pacienti dostatek p\u0159esn\u00fdch informac\u00ed, rozhoduj\u00ed se racion\u00e1ln\u011b a ve sv\u00e9m nejlep\u0161\u00edm z\u00e1jmu. Inloesov\u00e1 \u0159\u00edk\u00e1, \u017ee jej\u00ed v\u00fdzkum zd\u016fraz\u0148uje, \u017ee je d\u016fle\u017eit\u00e9 pe\u010dliv\u011b zv\u00e1\u017eit dob\u0159e zn\u00e1m\u00e9 v\u00fdhody zdravotn\u00edch slu\u017eeb poskytovan\u00fdch v dom\u00e1c\u00edm prost\u0159ed\u00ed s mo\u017en\u00fdmi negativn\u00edmi d\u016fsledky zru\u0161en\u00ed slu\u017eeb.\n<\/p>\n
\" Nap\u0159\u00edklad poskytovatel\u00e9 dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de jsou pro\u0161koleni v opat\u0159en\u00edch pro kontrolu infekc\u00ed, tak\u017ee riziko n\u00e1kazy COVID-19 od poskytovatele, kter\u00fd p\u0159ijde do dom\u00e1cnosti, je pom\u011brn\u011b mal\u00e9,\" \u0159\u00edk\u00e1. \" Nicm\u00e9n\u011b pacient, u kter\u00e9ho se vyskytne komplikace souvisej\u00edc\u00ed s odm\u00edtnut\u00edm, j\u00ed\u017e lze p\u0159edej\u00edt a kter\u00e1 vy\u017eaduje o\u0161et\u0159en\u00ed na pohotovosti, nyn\u00ed ne\u00famysln\u011b zv\u00fd\u0161il riziko expozice COVID-19 kv\u016fli v\u011bt\u0161\u00edmu po\u010dtu poskytovatel\u016f, pacient\u016f a rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f na pohotovosti oproti dom\u00e1c\u00edmu prost\u0159ed\u00ed. \"\n<\/p>\n
Nen\u00ed zn\u00e1mo, zda se v\u00edce star\u0161\u00edch dosp\u011bl\u00fdch vyhnulo infekci izolac\u00ed, ne\u017e kolik jich bylo po\u0161kozeno negativn\u00edmi zdravotn\u00edmi d\u016fsledky odm\u00edtnut\u00ed p\u00e9\u010de - a odpov\u011b\u010f na tuto ot\u00e1zku nen\u00ed \u010dernob\u00edl\u00e1, \u0159\u00edk\u00e1 Inloes. Krom\u011b nov\u00fdch nebo zhor\u0161en\u00fdch stav\u016f p\u0159edchoz\u00ed v\u00fdzkumy zjistily, \u017ee pandemi\u00ed vyvolan\u00e1 izolace tak\u00e9 negativn\u011b ovlivnila star\u0161\u00ed dosp\u011bl\u00e9, co\u017e je d\u016fle\u017eit\u00fd aspekt.\n<\/p>\n
\" Pro n\u011bkter\u00e9 pacienty, ale ur\u010dit\u011b ne pro v\u0161echny, m\u016f\u017ee b\u00fdt poskytovatel dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de jejich jedin\u00fdm pravideln\u00fdm n\u00e1v\u0161t\u011bvn\u00edkem, tak\u017ee p\u0159i ur\u010dov\u00e1n\u00ed rizik a p\u0159\u00ednos\u016f rozhodnut\u00ed jednotlivce zru\u0161it p\u00e9\u010di mus\u00edme vz\u00edt v \u00favahu i tento aspekt,\" \u0159\u00edk\u00e1.\n<\/p>\n
Nejde o to, zda je to dob\u0159e, nebo \u0161patn\u011b.\n<\/p>\n
\" Paliativn\u00ed p\u00e9\u010de, co\u017e je obor, ve kter\u00e9m bych si p\u0159\u00e1la, aby se vzd\u011bl\u00e1valo v\u00edce poskytovatel\u016f zdravotn\u00ed p\u00e9\u010de, odrazuje od toho, aby se rozhodnut\u00ed pacienta posuzovala podle toho, zda je to spr\u00e1vn\u00e9, nebo ne,\" \u0159\u00edk\u00e1. \" Na\u0161\u00edm \u00fakolem jako poskytovatel\u016f zdravotn\u00ed p\u00e9\u010de je pom\u00e1hat pacient\u016fm \u017e\u00edt co nejl\u00e9pe v souladu s jejich individu\u00e1ln\u00edmi hodnotami, syst\u00e9my p\u0159esv\u011bd\u010den\u00ed a c\u00edli. V\u00edm, \u017ee jsem pomohla jednotlivci dosp\u011bt ke spr\u00e1vn\u00e9mu rozhodnut\u00ed, pokud dok\u00e1\u017ee jasn\u011b vyj\u00e1d\u0159it, jak se jeho rozhodnut\u00ed, a\u0165 u\u017e jde o pokra\u010dov\u00e1n\u00ed nebo zru\u0161en\u00ed p\u00e9\u010de, shoduje s t\u011bmito t\u0159emi v\u011bcmi. \"\n<\/p>\n
Studie vy\u0161la v \u010dasopise Journal of Gerontological Nursing. Hlavn\u00ed \u0159e\u0161itelkou je Sue Anne Bellov\u00e1, odborn\u00e1 asistentka na Fakult\u011b o\u0161et\u0159ovatelstv\u00ed.\n<\/p>\n
Zdroj: University of Michigan\n<\/p>\n
P\u016fvodn\u00ed studie DOI: 10.3928\n<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Laura Bailey-Michigan Toto vyh\u00fdb\u00e1n\u00ed se p\u00e9\u010di zp\u016fsobilo u \u0159ady pacient\u016f nov\u00e9 nebo zhor\u0161uj\u00edc\u00ed se zdravotn\u00ed pot\u00ed\u017ee a poskytovatel\u00e9 dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de uv\u00e1d\u011bli, \u017ee jim chyb\u011bly dostate\u010dn\u00e9 informace a \u0161kolen\u00ed, aby mohli pacient\u016fm poradit v procesu rozhodov\u00e1n\u00ed, zda v p\u00e9\u010di pokra\u010dovat, \u010di nikoli. \" Jeden z p\u0159edstavitel\u016f agentury dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de uvedl, \u017ee v d\u016fsledku zru\u0161en\u00ed […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[96],"tags":[],"class_list":["post-52334","post","type-post","status-publish","format-standard","","category-health"],"_links":{"self":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts\/52334","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/comments?post=52334"}],"version-history":[{"count":0,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts\/52334\/revisions"}],"wp:attachment":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/media?parent=52334"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/categories?post=52334"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/tags?post=52334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}