面對中期醫療照護之挑戰ppt课件.pptVIP

面對中期醫療照護之挑戰;案例分析; 功能退化：25-35% 損失一項ADL 醫源性傷害：50%以上住院15天以上內科老年住院病患會出現 認知功能障礙：25%老年住院病患會出現認知功能障礙 情緒障礙：20-25%老年住院病患出現情緒障礙 活動與行走障礙：所有老年住院病患均具有風險 營養不良：20-40%老年住院病患出現營養不良 約束：所有約束均與病患不良治療結果有關;長期住院是高齡化社會常見現象;台灣現行高齡民眾健康照護體系;急性照護;全民健康保險;混淆的名詞;A range of services designed to facilitate transition from hospital, and from medical independence to functional independence, where the objects of care are not primarily medical, the patient’s discharge destination is anticipated, and a clinical outcome of recovery (or restoration of health) is desired. ;中期照護的需求;Joint working Cultural cleavages between professions, but dialogues resolves Medical care and long-term care needs The Danish system of care for older persons: Municipalities pay hospital patients awaiting LTCF placement Cooperation contracts informed communities 3 days before discharge “Geriatric teams”: DP, 24-hours integrated community care GP: rarely involved unless for disease treatment;Opening the institutes Family members trigger needs for new types of support systems Neighborhood-centers providing all kinds of services and facilities The Dutch: promoting the concept of ‘care-friendly districts’ This approach concerns the housing/care-interface which, in medicalized concepts, is often being neglected. Respective policies have led to interesting partnerships Greek: aim at preventing isolation of the elderly promoting an integrated centre for prevention, health promotion, and social integration;Supporting informal care Families / informal carers in integrated care networks is crucial. Both prevention and the actual care: No professionalized service is able to completely cover all long-term care needs Support mechanisms may vary from cash benefits (UK, some regions in Italy) and pension grants (Germany) to training and information, employment (Nordic countries), and respite services such as day-care or short-term care but at very poor levels. The integration of informal care is remaining a critical area for integrated care d