RESUMO
Rapid response services provide opportunities for older people living with frailty to remain in their own homes during an episode of deteriorating health. The government has announced additional funding to increase capacity and responsiveness for these services through the Ageing Well programme as part of the NHS Long Term Plan. Older people living with frailty are particularly at risk of the adverse effects of a hospital admission and evidence is emerging of the benefits of enhanced healthcare support to allow them to remain in their own home. The Hospital at Home model offers short-term, targeted interventions at acute hospital level care that can provide a truly person-centred experience within the home. This article describes a Rapid Response and Treatment service for older people living in care homes in Berkshire West and shares Sid's story to demonstrate how such a service is delivered. The COVID-19 pandemic has presented additional challenges and opportunities that highlight the ongoing need for the development of services that will support older people to prioritise what matters to them most.
Assuntos
COVID-19 , Idoso Fragilizado , Serviços de Saúde para Idosos/organização & administração , Enfermagem Domiciliar/organização & administração , Equipe de Respostas Rápidas de Hospitais/organização & administração , Planejamento Antecipado de Cuidados , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/uso terapêutico , Bacteriemia/diagnóstico , Bacteriemia/tratamento farmacológico , COVID-19/epidemiologia , Infecções Relacionadas a Cateter/diagnóstico , Infecções Relacionadas a Cateter/tratamento farmacológico , Humanos , Vida Independente , Masculino , Pandemias , Assistência Centrada no Paciente , SARS-CoV-2Assuntos
COVID-19 , Pessoal de Saúde , Instituições de Cuidados Especializados de Enfermagem , COVID-19/epidemiologia , COVID-19/mortalidade , COVID-19/enfermagem , COVID-19/transmissão , Pessoal de Saúde/organização & administração , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Humanos , Instituições de Cuidados Especializados de Enfermagem/organização & administração , Instituições de Cuidados Especializados de Enfermagem/estatística & dados numéricosRESUMO
Frailty is a term that presents many difficulties for policy makers and clinicians due to the lack of consensus in defining frailty in a way that meets the needs of older people. A principle-based concept analysis was used to examine the scientific literature across four perspectives: medicine, nursing, social sciences, and occupational and physiotherapy. The purpose was to identify the conceptual components of frailty as revealed by analysis of the literature, and to develop a theoretical definition of frailty. The findings exposed commonalities in implied meanings both within and across perspectives. The strengths of frailty as a concept are revealed in the implications for clinical practice and relevance to health professionals. The limitations reflect a concept that is still evolving and further research is recommended but this should not stop health professionals engaging in this process. The definition developed in this study will enhance existing knowledge and promote a shared understanding to unite different disciplines in recognising frailty as an important concept.
