Geriatric Workforce Capacity: A Pending Crisis for Nursing Home Residents

Wei-Chen Lee; Ciro V. Sumaya

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Geriatric Workforce Capacity: A Pending Crisis for Nursing Home Residents

机译：老年劳动力能力：疗养院居民的未决危机

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Introduction: The nursing home (NH) population in the US has grown to 1.6 million people and is expected to double by 2030. While 88.3% of NH residents are over 65, the elders aged 85 and more have become the principal group. This demographic change has increased the already high rates of chronic diseases and functional disabilities in NH residents.

机译：简介：美国的疗养院（NH）人口已增长至160万人，预计到2030年将翻一番。虽然NH居民中88.3％的65岁以上，但年龄在85岁及以上的老年人已成为主要人群。这种人口变化增加了新罕布什尔州居民本已很高的慢性病和功能性残障率。

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《Frontiers in Public Health》 |2013年第23期|共页
作者
Wei-Chen Lee; Ciro V. Sumaya;
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中图分类个人卫生;
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geriatric medicinegeriatrician workforcegeriatric psychiatristolder adultsnursing home;

机译：老年医学老人科医生劳动力老人精神病医生长者老人院;

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1. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
2. Outcomes and lessons learned from the John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Initiative Centers of Geriatric Nursing Excellence [J] . G.J. Huba, Claire M. Fagin, Patricia D. Franklin, Nursing outlook . 2006,第4期

机译：从约翰·哈特福德基金会（John A. Hartford Foundation）建立卓越的老年护理学术能力倡议中心的经验和教训
3. Psychiatric Mental Health Nursing Workforce Agenda: Optimizing Capabilities and Capacity to Address Workforce Demands [J] . Delaney Kathleen R. Journal of the American Psychiatric Nurses Association . 2016,第2期

机译：精神科心理健康护理劳动力议程：优化能力和能力以满足劳动力需求
4. Video Measurement of Resident-on-Resident Physical Aggression In Nursing Homes [C] . Datong Chen, Ming-yu Chen, Howard Wactlar, 1st ACM workshop on vision networks for behaviour analysis 2008 . 2008

机译：疗养院常驻居民身体攻击的视频测量
5. Addressing Positioning and Seating Challenges in Geriatric Residents of a Skilled Nursing Facility That Use Manual Wheelchairs [D] . Dhawan, Gunjan. 2019

机译：解决使用手动轮椅的技术护理设施的老年居民的定位和座位挑战
6. Geriatric Workforce Capacity: A Pending Crisis for Nursing Home Residents [O] . Wei-Chen Lee, Ciro V. Sumaya 2013

机译：老年劳动力能力：疗养院居民的未决危机
7. Geriatric Workforce Capacity: A Pending Crisis for Nursing Home Residents [O] . Wei Chen eLee, Ciro Valent Sumaya 2013

机译：老年人劳动力容量：护理院居民的未来危机
8. Challenges Facing the Nurse Workforce in a Changing Environment. Part I: Surge Capacity: Educating the Nursing Workforce for Emergency and Disaster Preparedness. Part II: Information Technology in Nursing Education and Practice. Seventh Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress [R] . 2009

机译：在不断变化的环境中面对护士员工面临的挑战。第一部分：激增能力：教育护理人员应急和灾难准备。第二部分：护理教育与实践中的信息技术。美国卫生与公众服务部秘书和美国国会第七次年度报告

Geriatric Workforce Capacity: A Pending Crisis for Nursing Home Residents

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