A Focused Review of Long-Stay Patients and the Ethical Imperative to Provide Inpatient Continuity.


Journal

Seminars in pediatric neurology
ISSN: 1558-0776
Titre abrégé: Semin Pediatr Neurol
Pays: United States
ID NLM: 9441351

Informations de publication

Date de publication:
04 2023
Historique:
received: 16 09 2022
revised: 17 02 2023
accepted: 19 02 2023
medline: 4 4 2023
entrez: 1 4 2023
pubmed: 2 4 2023
Statut: ppublish

Résumé

Long-stay patients are an impactful, vulnerable, growing group of inpatients in today's (and tomorrow's) tertiary hospitals. They can outlast dozens of clinicians that necessarily rotate on and off clinical service. Yet, care from such rotating clinicians can result in fragmented care due to a lack of continuity that insufficiently meets the needs of these patients and their families. Using long-stay PICU patients as an example, this focused review discusses the impact of prolonged admissions and how our fragmented care can compound this impact. It also argues that it is an ethical imperative to provide a level of continuity of care beyond what is considered standard of care and offers a number of strategies that can provide such continuity.

Identifiants

pubmed: 37003634
pii: S1071-9091(23)00006-2
doi: 10.1016/j.spen.2023.101037
pii:
doi:

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101037

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Auteurs

Jeffrey D Edwards (JD)

Section of Critical Care, Department of Pediatrics, Columbia University Vagelos College of Physician and Surgeons, New York, NY.. Electronic address: jde2134@cumc.columbia.edu.

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Classifications MeSH